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DATE(MMIDDIYYYY)
<br /> ACOR" CERTIFICATE OF LIABILITY INSURANCE
<br /> 4/11/2027 4/21/2026
<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 policy(ies) 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 Lockton Companies,LLC CONTACT
<br /> NAME:
<br /> DBA Lockton Insurance Brokers,LLC in CA PHONE FAX
<br /> CA license#OF15767 (A/C,No Ext: A/C,No
<br /> E-MAIL
<br /> 8110 E Union Ave.,Ste.100 ADDRESS:
<br /> Denver CO 80237 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> denver-ceps@lockton.com INSURER A:Berkley National Insurance Company 38911
<br /> INSURED INVOICE CLOUD,INC INSURER B:Riverport Insurance Company 36684
<br /> 1567218 10 Fan Pier Boulevard INSURER C:Federal Insurance Company 20281
<br /> Boston,MA 02210 INSURER D:Indian Harbor Insurance Company 36940
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 23410206 REVISION NUMBER: XXXXXXX
<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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER MM/DDIYYW W MMIDD/ YY
<br /> A X COMMERCIAL GENERAL LIABILITY Y N TCP 7031 343-1 0 4/11/2026 4/30/2027 EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurrence)
<br /> ccurrence $ 1 000 000
<br /> MED EXP(Any one person) $ 15,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY JE� � LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY N N TCP 7031343-10 4/11/2026 4/30/2027 COMBINED SINGLE LIMIT $
<br /> Ea accident 1,000,000
<br /> ANY AUTO BODILY INJURY(Per person) $ XXXXXXX
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS XXXXXXX
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ XXXXXXXAUTOS ONLY AUTOS ONLY Per accident
<br /> X Coll Ded:$1 X Com Ded:$ 00 $ XXXXXXX
<br /> A X UMBRELLA LIAB X OCCUR N N TCP 7031343-10 4/11/2026 4/30/2027 EACH OCCURRENCE $ 15,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 15,000,000
<br /> DED I I RETENTION$ $ XXXXXXX
<br /> WORKERS COMPENSATION PER OTH-
<br /> B AND EMPLOYERS'LIABILITY YIN N TWC 7031344-1 0 4/11/2026 4/1 1/2027 X STATUTE ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1000 000
<br /> OFFICER/MEMBER EXCLUDED? N N I A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> C Crime N N J07113808 4/11/2026 4/30/2027 Limit:$2,000,000
<br /> D Cyber/Tech E&O/PL MTP9050460 00 4/11/2026 4/30/2027 Limit:$5,000,000;Ret$250,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE:Agreement:A-2020-028. City of Santa Ana is/are an Additional Insured to the extent provided by the policy language or endorsement issued or approved by the insurance
<br /> carrier.
<br /> APPROVED
<br /> By Tu Tran Nguyen at 4:19 pm,Apr 29,2026
<br /> CERTIFICATE HOLDER CANCELLATION See Attachments
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> 23410206 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City 0 Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 20 Civic Center Plaza f
<br /> AUTHORIZED REPRESENTATNE
<br /> Santa Ana CA 92701
<br /> ©1988-20j ACORD CORPC,RATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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