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ZOUBCON-01 KSYLVIA CERTIFICATE OF LIABILITY INSURANCE °A7/191DDIYYYY, 319/2020 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(ies) 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 ONTACT The Mahone Group - Tucson 5330 N. La Cholla Tucson, AZ 5741 Blvd HONrm,Exi:(520 795-8511 AIC,Np:(520 795.8542 ) ) rOrrbAlL INSURE S AFFORDING COVERAGE NAICN INSURER A: Continental Casualty Company 20443 INSURED INSURER B:Technology Insurance Company 42376 Zoubek Consulting, LLC Attn: Paul Zoubek INSURER C:Philadelphia Indemnity Ins. Co 18058 INSURER D: 3047 University Ave, Suite 211 INSURERS: San Diego, CA 92104 NSURERF: COVERAGES CERTIFICATE NUMBER: RFVICION NIIMRFR• THIS IS TO CERTIFY THAT 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 CONTRACTOR 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. INSR L TYPE OF INSURANCE AODLSUBR D MD POLICYNUMBER POUCYEFF M DD POLICY EXP D LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X 4017910125 121112019 1211/2020 $ 1,000,000 RENTED e booamenco 300000 En one on $ 10,000 NEACHOCCURRENCERRENCE ADV INJURY $ 1,000,000 GENT AGGREGATE LIMpIIT APPLIES PER: POLICY JECT LOC OTHER:A GREGATE $ 2,000,000 -COMPIOPAGG $2,000,000 AUTOMOBILE I LIABILITY ANY AUTO AUT�Op��S�DONLY AL�TT�OSVVU��LNNEDpp AIITOS ONLY X AU RTO 4017910125 12I112019 12/1/2020 (EaacdeetINGLE LIMIT $ 1,000,000 BODILY INJURY Per on $ BODILY INJURY Peracidenl $ POracp�l AMAGE $ $ UMBRELLA LUAB EXCESS LIAB OCCUR CLAIM6-MADE EACH OCCURRENCE $ AGGREGATE $ DIED RETENTION$ $ B WORKERS COMPENSATION ANDEMPLOYERS'UABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE ❑ OFFICSEt1IrySn 66EERR EXCLUDED? an ae NH) if yee, describe under DESCRIPTION OF OPERATIONS below NIA C3834133 12/U2019 12I1/2020 PER OTH- X T E E E.L EACH ACCIDENT $ 1,000,000 E.L DISEASE -EA EMPLOYE $ 1,000,000 E.L DISEASE -POLICY LIMIT $ 1,000,000 C Prof Liab PHSD1489629 12/1/2019 17JI12020 10,000 ded 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is req imdl City of Santa Ana, its officers, employees, agents, volunteers & representatives are additional insured including PnmarylNon-Contributory & Waiver of Subrogation per attached form #SBI46932F(6-16). 30 Day Notice of Cancellation included per attached form #SB147052. RE IIIEWMD & APPRpOVEDD City of Santa Ana Rick Management Devision, 4th Floor 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED RE P RE S ENTATIVE ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD