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ACC)RbF CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMII[ IYYYY) <br />05/28/2021 <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 <br />CONTACT Jeanne Vezina <br />NAME: <br />Assured Partners Northeast, L-C. <br />N0NNo (974)761-9000 FA(AicX. (914)781-3749 <br />(. Not <br />445 Hamilton Avenue <br />E-MAIL Ieanne.vez@ p m ina assured artners.co <br />ADDRESS: <br />1 UIh Floor <br />INSURER(S) AFFORDING COVERAGE <br />NAIC W <br />White Plains NY 10601 <br />INSURERA: ACE American Insurance Company <br />10030 <br />INSURED <br />INSURERS: <br />Keenan & Associates <br />INSURER C : <br />c/o The AssuredPartners Group, LP <br />INSURER D : <br />200 Colonial Center Parkway <br />INSURER E: <br />Lake Mary FL 32746 <br />INSURER F: <br />:ERTIFICATE NUMBER: CL2 <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />in <br />TYPE OF INSURANCE <br />ADDLSUBR <br />INSR <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />COMMERCIALGENERALLIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />g <br />77KWAffff`FTTMTrED- <br />PREMISES Ea occurrence <br />S <br />MEO EXP (An one person) <br />S <br />PERSONAL&ADV INJURY <br />S <br />N/A <br />GENL AGGREGATE LIMITAPPUES PER: <br />POLICY 0 PROECT - ❑ LOC <br />GENERALAGGREGATE <br />S <br />PRODUCTS - COMPIOPAGG <br />$ <br />$ <br />OTHER: <br />AUTDMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Eaaccident <br />$ <br />BODILY INJURY (Per person) <br />g <br />ANYAUTO <br />OWNED SCHEBULED <br />AUTOS ONLY AUTOS <br />N/A <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY' DAMAGE <br />Pereccidenl <br />$ <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />N/A <br />BED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' UABILHY YIN <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NHl <br />If yes, describe under <br />EL.DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />CYBER LIABILITY <br />A <br />SECURITY& PRIVACY COVERAGE <br />D94933262 <br />11/06/2020 <br />11/06/2021 <br />$10,000,000 LIMIT <br />$250,000 DED. <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />FOR EVIDENCE PURPOSES ONLY <br />City of Santa Ana, Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana <br />CA 92702 <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 />WAI <br />©1988-2015 ACORC <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />,,�", =x,t�e W&k1.lvwgelnenEDivislpn <br />fj rREVIEWED &APPROVED Br. <br />Risk Namgement Analyst <br />