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Digitally signed by Francine R. <br />Francine R. Villareal Villareal <br />NV E N -1 Date: 2021.04.190P28 b'QO'N O <br />ACORO� CERTIFICATE OF LIABILITY INSURANCE <br />�� <br />FDATE(MM/DD/YYYY) <br />03/26/2021 <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 252-438-8165 <br />WESTER INSURANCE AGENCY <br />1020 S.GARNETT STREET <br />CONTACT W David Carver <br />NAME <br />PHONE FAX <br />(A/C, No, Ext): 252�438-8165 (A/C, No):252�38-6640 <br />P.O.BOX 769 <br />E-MAIL david@westerinsurance.com <br />ADDRESS: <br />HENDERSON, NC 27536-769 <br />W David Carver <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURERA: Hartford Insurance Co <br />22357 <br />INSURED <br />Invengo Technology Corporation <br />DBA FE Technologies <br />Invenggo American Corporation <br />2700-160 Sumner Blvd. <br />INSURER B : <br />INSURERC: <br />INSURER 7 <br />INSURERE: <br />Raleigh, NC 27616 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 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 />DDL <br />INSD <br />UBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MWDD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE X OCCUR <br />X <br />22SBAAC9548 <br />04/07/2021 <br />04/07/2022 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />2,000,000 <br />$ <br />IVIED EXP (Any oneperson) <br />$ 10,000 <br />Business <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />POLICYEl JECT PRO ❑ LOC <br />PRODUCTS - COMP/OP AGG <br />$ 4,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />2,000,600 <br />$ <br />BODILY INJURY Perperson) <br />$ <br />ANY AUTO <br />22SBAAC9548 <br />04/07/2021 <br />04/07/2022 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident) <br />ccident <br />$ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />22SBAAC9548 <br />04/07/2021 <br />04/07/2022 <br />AGGREGATE <br />$ 2,000,000 <br />DED X RETENTION $ 10000 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />N / A <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Professional Liab. <br />22SBAAC9548 <br />04/07/2021 <br />04/07/2022 <br />Each Act <br />2,000,000 <br />Aggregate <br />2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana, officers, agents, employees, and volunteers are named as <br />additional insureds with respect to General Llabliity as required in a <br />written contract. Such insurance Is primary and non contributory as required <br />in a written contract. 30 day notice of cancellation applies. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (2016/03) <br />CITYSA2 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />4� J. tl---, <br />© 1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />oRaN RiskManagemerdDMsian <br />REVIEWED & APPROVED BY. <br />3 z <br />Risk Management Analyst <br />