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AC40MV CERTIFICATE OF LIABILITY INSURANCE llta./ DAM(MMIDDn'YYv) 1 10/28/2020 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 endomement(s). PaooucER Ashbrook-Clevidence, Inc. 3000 W MacArthur Blvd, Suite 320 Santa Ana, CA 92704 r,uAMCONTACT Beverly Lyall PA/ .HONE Eat: (714)979A023 FAc No: (714)979-2609 ADDRESS, Beverlyl@acievidence.com INSURERBAFFORDING COVERAGE NAICY License #: 0188788 INSURERA: Continental Casually Company INSURED INSURER B: Scottsdale Data Ticket, Inc. INSURER C: 2603 Main Street Suite 300 INSURER D: Irvine, CA 92614 INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER: 00012154-8975280 REVISION NUMBER: 50 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 INSURANCE ADDL Sp SUBR POLICYNUMBER POLICY EFF MMIDO POLICY EXP MMIDD LIMITS COMMERCMLGENERALLIABILDY EACH OCCURRENCE $ CLAIMSMADE ❑ OCCUR DAMAGE TO RENTEDccu0e PREMISES Eaonce $ $ MED EXP(Any one person) $ PERSONAL B ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER $ GENERALAGGREGATE POLICY ❑ PEO- LOC PRODUCTS -COMPIOP AGG $ 3- OTHER: AUTOMOBILE LIABILITY COM Ea aBINED SINGLEUMIT cdtlenl $ $ ANYAUTO BODILY INJURY (Per person) H O"ED ASCHEDULED AUTOS ONLY UTOB BODILY INJURY (Per accitleni) $ HIRED NON-OMED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Peraccident $ a 1 1 UMBRELLA LMB OCCUR EACH OCCURRENCE $ $ EXCESS DAB CLAIMS -MADE AGGREGATE DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED) NIA I PER OTK STATUTE ER E.L. EACH ACCIDENT $ $ (Mandatory in NH) ELDISEASE-EAE10PILOYEE (ryes, describe under DESCRIPTION OF OPERATIONS bales EL DISEASE -POUCY LIMIT $ A Errors & Ommissions 287188360 11/0112020 11/0112021 Deductible $10K $2,000,000 B Cyber Liability EKS3362231 11/0112020 11/01/2021 Deductible $25K $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate also evidences Crime provided by Travelers Casualty & Surety Company of America NAIC #31194, policy number105702099 with effective dates of 11/112019-11/1/2022 and limits of $1,000,000. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92702 AUTHORIZED REPRESENTA VE © 98 15 AC RD CO at"""• WaF MarugnnrntDiki$IwI ACORD 25 (2016103) The ACORD name and logo are registered me A REviEwED &APPROVED By: Printed by Bx Feu R- V:&L Risk Management Analyst