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OPENGOV, INC.
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Last modified
6/21/2019 2:03:23 PM
Creation date
6/21/2019 2:03:04 PM
Metadata
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Template:
Contracts
Company Name
OPENGOV, INC.
Contract #
N-2016-056-02
Agency
Finance & Management Services
Expiration Date
4/4/2020
Insurance Exp Date
1/1/1900
Destruction Year
2025
Notes
N-2016-056; N-2016-056-01
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,4 ®� CERTIFICATE OF LIABILITY INSURANCE <br />onr <br />9/27/2018YYI <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Woodruff -Sawyer & Co. <br />50 California Street, Floor 12 <br />San Francisco CA 94111 <br />CONTACT <br />Jenna Freund <br />PHONE FAX <br />0 1: AIC No <br />ADDAREss: 'freund@woodruffsawyer.com <br />_ <br />INSURERS AFFORDING COVERAGE <br />NAIC4 <br />INSURERA: Travelers Prop Casualty Cc of America <br />25674 <br />INSURED OPENING-02 <br />OpenOov, Inc. <br />INSURER B: Travelers Indemnity Company of CT <br />25682 <br />955 Charter St. <br />INEU RE C: <br />INSURER p: <br />Redwood City CA 94063 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER:1998260092 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDpIYYYV <br />LIMITS <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE M OCCUR <br />ZLP81N04497 <br />9/21/2018 <br />9/21/2019 <br />EACH OCCURRENCE <br />$1,000,000 <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence <br />$1.000'000 <br />MED ESP Any oneperson) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />X <br />AGGREGATE LIMITAPPLIES PER: <br />POLICV[:] PRO- <br />JECT ❑ LOD <br />OTHER: <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS - COMP/OP AGO <br />$2,000,000 <br />$ <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANVAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />BA4L014160 <br />9/21/2018 <br />9/21/2019 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />( i BODILY INJURY Per accident <br />$ <br />X <br />PROPERTYDAMAGE <br />Per accident <br />$ <br />A <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />CUP41020788 <br />9121/2018 <br />9/21/2019 <br />EACH OCCURRENCE <br />$4,000,000 <br />AGGREGATE <br />$4,000,000 <br />LED I X I RETENTION$ 0 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />OFFICERPMEMB REXCLUDEDRIETORIPARTNERJE�ECUTIVE ❑ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />PER OTH- <br />STATUTE I I ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: All Operations Named Insured. City of Santa Ana and as their interests may appear are additional insureds as respects General Liability but only to the <br />extent required by written contract or written agreement. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />a <br />Santa Ana CA 92701 <br />©1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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