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Digitally signed by Tori Pierson <br />Tori Pierson Date: 2021.10.06 12:08:56 -07'00' <br />/ <br />A� " CERTIFICATE OF LIABILITY INSURANCE <br />F7A (MM/DD/YYYY) <br />0912912021 <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 Stacey Campbell <br />NAME: <br />KIA Insurance Associates, Inc. <br />a/c Nr o (661) 835-4542 (661) 835-4500 <br />(FAX <br />Ext : , No): <br />License # OL78680 <br />E-MAIL scampbell@kernins.com <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />P.O. Box 11390 <br />Bakersfield CA 93389-1390 <br />INSURERA: Travelers Casualty Insurance Co ofAmerica <br />19046 <br />INSURED <br />INSURER B : Travelers P & C Co America <br />25674 <br />Infinity Communications & Consulting, Inc. <br />INSURER C: National Fire Insurance of Hartford <br />20478 <br />P.O. Box 999 <br />INSURER D : Houston Casualty Company <br />42374 <br />INSURER E <br />Bakersfield CA 93302 <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: 21-22 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 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 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 />INSD <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MWDD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREMESEaocurrrnc <br />$ 300,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 2,000,000 <br />A <br />680001J742131 <br />02/17/2021 <br />02/17/2022 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />X POLICY ❑ PRO ❑ LOC <br />JECT <br />PRODUCTS-COMP/OP AGG <br />$ 4'000'000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BA91\1276397 21 <br />10/24/2021 <br />10/24/2022 <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />X <br />AGGREGATE <br />$ 2,000,000 <br />B <br />EXCESS LAB <br />CLAIMS -MADE <br />CUP002J348555 <br />02/17/2021 <br />02/17/2022 <br />DED I I RETENTION $ <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABI LI TY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />N/A <br />WC418266026 <br />07/01/2021 <br />07/01/2022 <br />ER /� STATUTE EORH <br />E.L. EACH ACCIDENT <br />1,000,000 <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />1,000,000 <br />$ <br />D <br />Professional Liability -claims made <br />including Cyber Liability <br />H21TG31255-00 <br />08/19/2021 <br />08/19/2022 <br />per claim <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 />RE: Santa Ana Public Library. The City of Santa Ana, Risk Management 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents <br />and representative are named as additional insureds and coverage is primary and non-contributory for General Liability per written contract and attached <br />endorsements. 30 days notice of cancellation applies except for non-payment of premium <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza 4th Flr <br />Santa Ana <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 />@ 1988-2015 ACORD v Risk Management �I encal Aide <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />