CI SOLUTIONS (CARD INTEGRATORS) (2)

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Dlgiusly signed by Francine R. Francine R. Villareal Villareal Date:2U21 ou1162o:56-oa'oo' CERTIFICATE OF LIABILITY INSURANCE DA6/8/GD ) 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 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 N ME: CT Vivian Sundin Hammam Miller Beauchamp & Deeble PHGNE (562)439-9731 FAX C Nolsbzl ua-sass AI: 3633 East Broadway, Suite 200 E-MAIL ADDRESS: Vivs=@hmbd.com INSURERS AFFORDING COVERAGE NAIC N INSURER A-Philadel his Indemnity Ins Cc Long Beach CA 90803-6035 INSURED INSURER B: Card Integrators Corporation, DBA: CI Solutions INSURER C: 3625 Serpentine Drive INSURERD: NN RER E 1INSURER F: Los Alamitos CA 90720 COVERAGES CERTIFICATE NUMBER: GL/AL20-21 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 LTR TYPE OF ADDL SUBR POLICYNUMSER POLICYEFF MMIDDIYYYY POLICY EXP MMIDO LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000, 000 A CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one arson) $ 5,000 PHFX2137107 6/6/202D 6/6/2021 PERSONAL &ADV INJURY $ 1,000,000 GENL AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000 X ❑ PR, POLICY ECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A ANYAUTO PRPK2137107 6/6/2020 6/6/2021 I BODILY INJURY Per aoddent ( ) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS M AUTOS PROPERTY DAMAGE Per attIdY $ UMBRELLA JAG OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITY YIN T E ER E.L. EACH ACCIDENT $ ANY PROPRIETORPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? El NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under EL DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, AddlOonal Remarks Schedule, maybe allached if more space Is required) City of Santa Ana, officers, employees, agents, volunteers, and representatives are inclued as Additional Insured per attached endorsement. Coverage is Primary and Non -Contributory per form PI-GL-005 (07/12) attached. Cancellation endorsement form PI-CANXAICH-002 (05/11) attached. CERTIFICATE HOLDER City of Santa Ana Risk Management Division 20 Civic Center Plaza, F; Santa Ana, CA 92701 ACORD 25 (2014101) INS025 (201401) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 4 AUTHORIZED REPRESENTATIVE Daniel Roddy/vIVSUN gt� WekMMwgannitDlYWmI REVIEWED & APPROV® BY: 01988-2014 ACORD C `�?.',; The ACORD name and logo are registered marks of ACORD '�' Risk Management Analyst