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ACORbP CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD YYYY) 4/16/2020 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). PRODUCECONTACT R Broom & Brown Insurance of AZ, Inc 2800 North Central Avenue, Suite 1100 Phoenix AZ 85004 NAME: Marie Puet2, CISR PNONE 6O2$04-7043 rA" N : 602-287-6743 WONEau EAmDDAR'LESS mpuetz@bbphoeriix.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: Travelers Insurance Company of Canada INSURED AVOLSOFOI Avolve Software Corporation 4835 East Cactus Road, Ste. 420 9lsuaeft B: Travelers Property Casualty Co of AM 25674 lasuaER c :Travelers lode Company25658 INSURER D : Scottsdale AZ 85254 INSURER E NSURER F : COVERAGES CERTIFICATE NUMBER: 172155965 REVISION NUMBER: 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 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. IN?R TYPE OF INSURANCE DL Rim SOB iffin POLICY NUMBER POLIOVEFF POLIOYEXP LIMITS a A X COMMERCUOIENERALLJABILTY CLAIMS -MADE OOCCUR Y Y ZLP41M23114 UXTRV30797 1@/2020 1/2/2020 11=021 1rM021 EACH OCCURRENCE $1,000,000 PREMISES Ea occuaFDrencol $1.000,000 MED EXP (Any are person) $10,000 X Dec -MI PERSONAL & ADV INJURY $1.000,000 GEM AGGREGATE LIMIT APPLIES PER GENERALAGGREGATE $2,000,000 POLICY O TEEGT D LOC PRODUCTS - COMP/OP ADD $2.000,000 q $2,000,000 X OTHER: Teheran Laal, C A AUTOMOBILELIABILITY MY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS Y Y BA9J542207 UXTRV30797 1r2/2020 1/2/2020 / •/ 1/2/I021 il2/202 � COMBI tlEatSINGLE LIMIT $1000000 BODILY INJURY (Per person) 8 BODILY INJURY (Per accident) $ PROPERTYDAMAGE fro, n $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY Any Ons Accident $2,000,000 X I~ X fepA B X UMBRELLALIAB X OCCUR Y Y CUP31_995642 1Z2020 1/2=1 EACHOCCURRENCE $4,000,000 AGGREGATE $4,000,000 EXCESS LIAB CLAMS -MADE DED X I RETENTION $ C WORK ERSCOMPENSATION AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETORIPARTNER/EXECURIVE OFFICERIMEMBER EXCLUDED? N (Mamsary In NH) 44 IA Y UB9J755123 1/2/2020 / tl'2/2021 / X STAT E ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1.000,000 57 If es, tlesaibe untler CRIPT N OF OPERATIONS Pit EL. DISEASE -POLICY LIMIT $1000000 a A ProleagatM B CYW EMosty Forapn Prof UWMy N N N N ZPL21POS221 UXTRV30727 1/2/2020 1/2J2020 1/2/2021 1/2/202y Awrawte Re(entlor Aggreg hutaductlble 5,000,000 10,000 5.000,000/10,000 .// DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is resolved) Blanket Additional Insured applies where required by written contractto General Liability per attached form CIS D4 1702 19 including Blanket Waiver of Subrogation. Blanket Primary & Non -Contributory applies to General Liability per attached form CG Tl 00 02 19. Blanket Additional Insured applies to Auto Liability per attached form CA T4 37 02 15. Blanket Autorrobi�iabilfty Waiver of Subrogation applies per form CA T3 40 20 15. Excess Liability is Following Form for both General Liability and Automobile Liability. Blanket Waiver of Subrogation applies to Workers' Compensation per attached form WC000313 (00)-01. Privacy Liability is added to the Network and Information Security Coverage Form #PR Tt 03 01 17. / See Attached... City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92702 INUT IL IT Ur � r" . —. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2010 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN L ACCORDANCE WITH THE POLICY PROVISIONS. ANGIE ACEVECIO AUTHORIZED REPRE V A G All riahts rexarvad_ ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD