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A`CaRCJ0 CERTIFICATE OF LIABILITY INSURANCE DATE 08/12019 Y) 05/08019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Insurance Brokers of MD - Hagerstown TOME Nancy Stottlemyer (PHONE _ (301) 790-0652 alC Nc _ (301) 790-0962 6—)CC No.Ex1 13126 Pennsylvania Ave. E-MAIL so nancy.stoUlemyer@ibmofmd.com ACORE INSURERS) AFFORDING COVERAGE NAIC # PO Box 3767 INSURER A: Twin City Fire Ins, Co. 29459 Hagerstown MD 21742 INSURED ~_` INSURERS: HartfordA&I Co. 22357 INSURERC: Hartford Fire Ins. Co. 19682 [ The Library Corporation .I. Carl Corporation and Tech -Logic CorporaliDrF0 V V i Research Park C') " INSURER D: INSURER E : INSURER F: Inwood WV 25428 nnVFRAnVR CERTIFICATE NUMBER: 2015.2020 REVISION NUMBER: THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMlunmy"). MM/oo-f-I LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 CLAIMS -MADE X OCCUR AM PREMISES (Ea occurrence) 3 1,000.D00 MED EXP JAny one person) S 10.000 A Y 30SBAVK5698 05/0812019 05/06/2020 l PERSONAL & ADV INJURY 3 1,000,000 GEN-LACaGRI=GATE LIMIT APPLIES PER: POLICY EgJECOT FX LOC GENERAL AGGREGATE S 2:000,000 PRODUCTS-COMPIOPAGG $ 2,000,000 3 OTHER: AUTOMOBILE LIABILITY COMBI NED SINGLE LIMIT Ea aalden! $ 1,000.000 _ BODILY INJURY (Per person) 3 X ANY AUTO BODILY INJURY (Peraccident) S B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 30UECFP3134 05/08/2019 0510B/2020 P 0VERTY DA S 5. UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 6,000.000 A EXCESS LIAR CLAIMS -MADE 30SBAVK5696 05108/2019 05/0812020 AGGREGATE $ 6,000,000 DED I X1 RETE ITION S 0 s C' WORKERS COMPENSATION AND EMPLOYERS' LIA BILITY YON ANY PROPRIETOR/PARTNERiEXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory In NH) N/A .._..�_ 30VVECAD2KBN OSI08/2019 05/08I2020 X STATUTE 2R E-L- EACH ACCIDENT s 1,000,000 £ L DISEASE - EA EMPLOYEE $ 1,000,000 E-L DISEASE - POLICY LIMIT S 1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below Aggregate Limit $5,000,000 C E&O, Information Risk & Media Liability First Party Expense 30TE0336969-Claims Made 05/0812019 05/08/2020 Each W ongful Act $5,000,000 Retention $ 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, Maybe attached it more space is required) City of Santa Ana, It's Officers, employees, agents, volunteers and representatives are additional insured as indicated, and coverage is primary, non-contributory when required by written contract. ��j • y CERTIFICATE HOLDER I J CANCELLATION gru '.J Rls Man 9e"nf DIvlslon SHOULD ANY OF THE ABOVE DESCRIBED Z �S CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTI WIL LIVERED IN City Of Santa Ana ACCORDANCE WITH THE POLICY P ISIONS..<� 20 Civic Center Plaza M-30 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701I ...- ........ -- -- -- ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD