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Digitally signed by Francine R.
<br />Francine R. Villareal Villareal
<br />ACTORDATE
<br />" CERTIFICATE OF LIABILITY INSURANCE
<br />(MM/DD/YYYY)
<br />2/8M/DDN
<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 />Arthur J. Gallagher & Co.
<br />Insurance Brokers of CA, Inc. LIC #0726293
<br />N Brand Boulevard Suite 600
<br />CONTACT
<br />NAME: Taylor L. Lutz, CIC, CISR
<br />PHONE FAX
<br />A/C No Ext : 818.539.8600 A/C, No): 818.539.2301
<br />E-M505
<br />ADDRESS: Taylor_Lutz@ajg.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />Glendale CA 91203
<br />INSURERA: Travelers Property Casualty Co of America
<br />25674
<br />INSURED
<br />Intratek Computer Inc
<br />9950 Irvine Center Drive
<br />INSURERB: Radnor Specialty Insurance Company
<br />15756
<br />INsuRERc: Federal Insurance Company
<br />20281
<br />INSURERD:
<br />Irvine CA 92618
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 1091351198 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 />C
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />Y
<br />Y
<br />36069393
<br />12/31/2021
<br />12/31/2022
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 100,000
<br />VIED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />$ 2,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />POLICY ❑ PRO
<br />JECT LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />C
<br />AUTOMOBILE
<br />LIABILITY
<br />73625531
<br />12/31/2021
<br />12/31/2022
<br />COEaMBINED ident SINGLE LIMIT
<br />acc
<br />$1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<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 />C
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />78195410
<br />12/31/2021
<br />12/31/2022
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />$ 10,000,000
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED X RETENTION $ 1 nnnn
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />UB7R562987
<br />12/31/2021
<br />12/31/2022
<br />X PER OTH-
<br />STATUTE ER
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />OFFICER/MEMBER EXCLUDED? ❑
<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 />TECHNOLOGY PROFESSIONAL LIABILITY
<br />DPS5002520
<br />12/31/2021
<br />12/31/2022
<br />EACH CLAIM LIMIT
<br />$2,000,000
<br />CYBER LIABILITY
<br />AGGREGATE LIMIT
<br />$2000,000
<br />RETROACTIVE DATE: 9/28/2007
<br />RETENTION —EACH CLAIM
<br />$16,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />Technology Services
<br />The City of Santa Ana, its officers, employees, agents, and representatives are included as Additional Insureds on a primary and non-contributory basis where
<br />required in a written contract as respects General Liability per policy forms 80-02-2367 (Rev 5-07). Waiver of Subrogation applies where required in a written
<br />contract per policy form 80-02-2000 (04/01).
<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 />Santa Ana CA 92702
<br />AUTHORIz DREPRESENTATIVE
<br />USA
<br />;
<br />RAManagementDMsian
<br />REVIEWED & APPROVED BY:@
<br />1988-2015 ACORD C
<br />41,
<br />ACORD 25 (2016103)
<br />The ACORD name and logo are registered marks of ACORD
<br />_ _—
<br />Wsk Management Analyst
<br />THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE
<br />
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