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Francine R. Digitally signed by Francine R. Villareal Villareal A� " CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 08/06/2021 F" 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 endorsement(s). PRODUCER CONTACT Debra Cross NAME: Brown & Brown of Florida, Inc. pHONE (813) 472-7015 FAx A/C No Exf : A/C, No): P.O. Box 173086 E-MAIL dcross@bbtampa.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Tampa FL 33672 INSURERA: Great Northern Insurance Company 20303 INSURED INSURER B: Federal Insurance Company 20281A Holland & Knight LLP INSURER C : Sentry Insurance a Mutual Company 24988 524 Grand Regency Blvd INSURER D : INSURER E : Brandon FL 33510 INSURER F : COVERAGES CERTIFICATE NUMBER: CL218213490 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 INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE FX OCCUR PREM SDA AGES Ea XurDrence $ 1,000,000 VIED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 A Y Y 35798711 08/01/2021 08/01/2022 LAGGREGATE LIMITAPPLIES PERGENERAL AGGREGATE $ 2,000,000 POLICY ElPRO FX LOC JECT: MOTHER PRODUCTS-COMP/OPAGG $ Ind in GA $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 74986035 08/01/2021 08/01/2022 BODI LY I NJ U RY(Pe r accide Fit) $ X PROPERTY DAMAGE Per accident $ HIRED �/ NON -OWNED AUTOS ONLY /� AUTOS ONLY PIP $ 10,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 50,000,000 AGGREGATE $ 50,000,000 B EXCESS LAB CLAIMS -MADE 79818355 08/01/2021 08/01/2022 DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABI LI TY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A Y 901492301 08/01/2021 08/01/2022 X STATUTE EORH E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ A Personal Property -Special Form Data Proc Equipment 35798711 08/01/2021 08/01/2022 Personal Property Data Process Equipment 205,793,125 44,918,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: The City of Santa Ana, its officers, officials, employees, and volunteers are included as Additional Insured as required by written contract prior to a loss. A Waiver of subrogation applies as required by written contract prior to a loss. The Additional Insured & Subrogation Waived boxes checked above only apply when required by written contract prior to loss. (See page 2) *30 days written notice of cancellation applies, except in the case of non-payment of premium then 10 days notice will be given. CERTIFICATE HOLDER CANCELLATION City of Santa Ana Risk Management Division 20 Civic Center Plaza 4th Flr Santa Ana ACORD 25 (2016/03) CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @ 1988-2015 The ACORD name and logo are registered marks of ACORD µow NCF Risk ManagementDivisian REVIEWED & APPROVED BY.- .v —� Risk Management Analyst