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Di'"ly signed by Francine R Francine R. Villareal Wh eal Date: 2021 J06.1809:15:01-OTW ACORD CERTIFICATE OF LIABILITY INSURANCE Ill DATE(MMIDDIYYYY) 1 05/26/2021 THIS CERTIFICATE 15 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 Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA 520 Madison Avenue 32nd Floor CONTACT NAME: PHONE gg8 202-3007 FAX No Ex[: ( ) A/C No): E-MAL s: contact@hiscoz.com INSURER(S) AFFORDING COVERAGE NAIC p New York, NY 10022 INSURER A: Hiscox Insurance Company Inc 10200 INSURED Bridgemore Consulting, Inc INSURER B 5405 Grand Prix Ct INSURER C : INSURER D : Fontana, CA 92336 INSURER E : INSURERF: CERTIFICATE 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 TV PE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYYI POLICY EXP fMMJDD/YYY)`1 LIMOS X COMMERCIAL GENERAL LIABILITY CLAIMEWADE r OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TOR NTED PREMISES Ea accurrenra $ 100,000 MED EXP(Any one purser) $ 5,000 Primary &Noncontributory PERSONAL& ADV INJURY $ 1,000,000 p X Y Y UDC-4766083-CGL-21 03/11/2021 03/11/2022 AGGREGATE LIMIT APPLIES PER: POLICY 0PRO-JECT ❑ LOC GENERALAGGREGATE $2,000,000 GEN'L X PRODUCTS-COMP/OP AGG $SIT Gen. Agg $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLELIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY ) (Peraccid.rd -DAMAGE $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY Per accident $ UMBRELLALIAa OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ DIED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNEMEXECUTIVE OFFICERIMEMBEREXCLUDEDP N/A I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) .IlTxiil7[N_lY� City of Santa. Ana Risk Management 20 Civic Center Plaza Santa Ana CA 92702 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 ACORD C ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Riele Marogmlent Diweipn REVIEWED & APPROVEC S C f�.cr,o,n.z P. Risk Management Analyst