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Digitally signed by Francine R.
<br />Francine R. Villareal Villareal
<br />® CERTIFICATE OF LIABILITY INSURANCE
<br />al 2ACORD
<br />�DAI,E (MM/DD/YYYY)
<br />2/28/2020
<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
<br />Brown & Brown Insurance of AZ, Inc
<br />2800 North Central Avenue, Suite 1100
<br />AZ 85004
<br />CONTACT
<br />NAME: Marie Puetz, CISR
<br />PHONE FAX
<br />A/C No Ext : 602-664-7043 A/c, No): 602-287-6743
<br />E-MPhoenix
<br />ADDRESS: mpuetz@bbphoenix.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA: Travelers Insurance Company of Canada
<br />INSURED AVOLSOF-01
<br />Avolve Software Corporation
<br />4835 East Cactus Road, Ste. 420
<br />INSURER B: Travelers Property Casualty Co of AM
<br />25674
<br />INsuRERc: Travelers Indemnity Company
<br />25658
<br />INSURERD:
<br />Scottsdale AZ 85254
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER:2047011804 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 />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICYNUMBER
<br />POLICY EFF
<br />MM/DD
<br />POLICY EXP
<br />MM/DD
<br />LIMITS
<br />B
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />Y
<br />Y
<br />ZLP41M23114
<br />UXTRV30797
<br />1/2/2021
<br />1/2/2021
<br />1/2/2022
<br />1/2/2022
<br />EACH OCCURRENCE
<br />$1,000,000
<br />DAMAGETO S(RENTED
<br />PREMISES Ea occurrence)
<br />$ 1,000,000
<br />VIED EXP (Any one person)
<br />$ 10,000
<br />X
<br />Dec = $0
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRO -
<br />POLICY � ECT1:1 LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />X
<br />Aggregate
<br />$ 2,000,000
<br />OTHER: Foreign Liab
<br />C
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />Y
<br />Y
<br />BA9J542207
<br />UXTRV30797
<br />1/2/2021
<br />1/2/2021
<br />1/2/2022
<br />1/2/2022
<br />COMBINED SINGLE LIMIT
<br />(EaA accident
<br />$1,000,000
<br />O
<br />BODILY INJURY (Per person)
<br />$
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />X
<br />Any One Accident
<br />$ 2,000,000
<br />Foreign X HNOA
<br />B
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />Y
<br />Y
<br />CUP31_995642
<br />1/2/2021
<br />1/2/2022
<br />EACH OCCURRENCE
<br />$4,000,000
<br />AGGREGATE
<br />$ 4,000,000
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED X RETENTION $ 1 n nnn
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />Y
<br />UB8J755123
<br />1/2/2021
<br />1/2/2022
<br />X PER OTH-
<br />STATUTEI ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />OFFICER/MEMBER EXCLUDED? FN]
<br />N/A
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />B
<br />Domestic Professional/Cyber Liab
<br />N
<br />N
<br />ZPL21PO5221
<br />1/2/2021
<br />1/2/2022
<br />Aggregate
<br />5,000,000
<br />A
<br />Canadian Professional/Cyber Liab
<br />N
<br />N
<br />UXTRV30797
<br />1/2/2021
<br />1/2/2022
<br />Retention
<br />Aggregate/Deductible
<br />10,000
<br />5,000,000/10,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />Blanket Additional Insured applies where required by written contract to General Liability per attached form CG 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 Automobile Liability Waiver of Subrogation applies per form CA T3 40 20 15. Excess Liability is Following
<br />Form for 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 #PR T1 03 01 17.
<br />Professional Liability/Cyber Liability Retroactive Date: 1/2/2015
<br />See Attached...
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF,
<br />NOTICE WILL
<br />BE DELIVERED IN
<br />City of Santa Ana
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92702
<br />�w c
<br />Risk Managzmenti?MSLun
<br />REVIEWED &APPROVED SY:
<br />@ 1988-2015 ACORD CI
<br />ACORD 25 (2016103)
<br />The ACORD name and logo are registered marks of ACORD
<br />_ _—
<br />Wsk Management Analyst
<br />
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