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ACiI CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMMDNYYY) <br />4/16Q020 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 7H15 <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: N 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 endorsemen s . <br />PRODUCER <br />Brown & Brown Insurance of AZ, Inc <br />2800 North Central Avenue, Suite 1100 <br />Phoenix AZ 85004 <br />CONTACT <br />NAME: Made PuetZ, CISR <br />. 602.684-7043 <br />PWC,HONEEru FqC N :602-2H7-8743 <br />EAD pa , m uetz bb hoenix.wm <br />INSURERS AFFORDING COVERAGE <br />NAICA <br />INSURERA: Travelers insurance Company of Canada <br />INSURED AVOLSOFd1 <br />Avolve Software Corporafion <br />4835 East Cactus Road, Ste. 420 <br />INSURER B: Travelers Property Casualty Co of AM <br />25674 <br />INSURER C : Travelers Indemnity Company <br />25658 <br />INSURER 0 <br />Scottsdale AZ 85254 <br />INSURER E <br />NSURER F: <br />COVERAGES CERTIFICATE NUMBER: 172165965 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 />TYPEOFINSURANCE <br />DDL <br />SUER <br />POLICYNUMBER <br />POLICY EFFLTR <br />POLICY EXP <br />LIMITS <br />B <br />A <br />X <br />COMMERCIALGENERALLIABILITY <br />Y <br />Y <br />ZLP41MZ3114 <br />UXTRV30797 <br />1/2/2020 <br />1/2/2020 <br />IPM021 <br />1=021 <br />EACHOCCURRENCE <br />s1.000000 <br />PREMISES Me,xNnence) <br />$1.000,000 <br />CLAIMS -MADE � OCCUR <br />MED EXP (Any one person) <br />S 10,000 <br />X <br />Dec=sO <br />PERSONAL a AOV INJURY <br />$1,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY T JEGOT D LOG <br />GENERA -AGGREGATE <br />$2,000,000 <br />PRODUCTS-COMPIOPAGG <br />$2,000.000 <br />X OTHER: Farei nUeD <br />Ag~e <br />$2,000,000 <br />C <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OVINED SCHEDULED <br />AUTOS ONLYNALTOS <br />Y <br />Y <br />BASJ542207 <br />UXTRV30797 <br />1/212020 <br />U72020 <br />'/ <br />1/2/2021 <br />1f2f102]� <br />/ <br />COMBINED SINGLE LIMIT <br />ac d n <br />$1000000 <br />BODILY INJURY (Per person) <br />4 <br />BODILY INJURY Per accident <br />I <br />8 <br />X <br />HIRED NON-0WNED <br />AUTOS ONLYAUTOS ONLY <br />PROPERTY DAMAGE <br />(Per Id <br />$ <br />X <br />F HNOA <br />Any One Acddenl <br />$2,000,000 <br />a <br />X <br />UMBRELLALIAS <br />X <br />OCCUR <br />Y <br />Y <br />CUP31-996642 <br />1=020 <br />1/2/2021 <br />EACH OCCURRENCE <br />$4,000.000 <br />AGGREGATE <br />$4,000.000 <br />EXCESS LIAB <br />CINMS.MADE <br />DELI I X I RETENTION <br />S <br />0 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y I N <br />ANYPROPRIETOMPARTNEMEXECUrIVE <br />OFFICERIMENIOEREXCLLDED? N <br />/A <br />Y <br />U88J755123 <br />11=20 <br />/ <br />1/2/2021 <br />/ <br />X I PSTURTUTE ERK <br />EL EACH ACCIDENT <br />$1,000,000 <br />E.L DISEASE -EA EMPI OYFE <br />S1,000.000 <br />(Mandatory In NH) <br />If yyea, describe under <br />DESCRIPTION OF OPFRATIONS <br />E.L. DISEASE. POLICY LIMIT <br />I S1.000,000 <br />B <br />A <br />PlWsesbnelACyber UeNl9y <br />Farapn Pr0lu My <br />N <br />N <br />N <br />N <br />ZPL21POS221 <br />UXTRV30797 <br />1/7/2G20 <br />1/2/2020 <br />1/2Q021 <br />112/202j <br />: <br />AR"IA <br />ReNntlen <br />AW99arn e1=UtIe <br />5,000,0OR <br />10,O <br />5.000,000/10,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Addltonal Romarks schedule, may ba enachad II more apace is re9aUedl <br />Blanket Additional Insured applies where required by written Contract to General Liability per attached form CIS D4 17 02 19 Including Blanket Waiver of <br />Subrogation. Blanket Primary & Non -Contributory applies to General Liability per attached form CG T1 00 02 19. Blanket Additional Insured applies to Auto <br />Liability per attached form CA T4 37 02 15. Blanket AWomobll ability Waiver of Subrogation applies per form CA T3 40 20 15. Excess Liability Is Fallowing <br />Form or both General Liability and Automobile Liability. <br />Blanket Waiver of Subrogation applies to Workers' Compensation per attached form WC000313 (00)-01. Privacy Liability is added to the Network and <br />Information Security Coverage Form APR T1 03 01 17. / <br />See Attached... <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE TON DATE THEREOF, NOTICI <br />JU 2020 ACCORDANNCCEIWITH THE POLICY PROVISIONS.E WLL BE DELIVERED IN <br />ANGLE ACEVEdo AUTHORIZED REPRESENTATIVE <br />All rinhl. rn.—A <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />