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ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 07120/2021 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 NAME: Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA 520 Madison Avenue 32nd Floor PHONE0. t: (888) 202-3007 ac No: E-MAIL ADDRESS: contact@hiscox.com INSURERS AFFORDING COVERAGE NAIC # New York, NY 10022 INSURERA: Hiscox Insurance Company Inc 10200 INSURED Procure America, Inc. INSURERS: 31103 Rancho Viejo Rd. #D2102 INSURERC: INSURERD: San Juan Capistrano, CA 92675 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: RFVISIfIN NIIMRFR• _ 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 I TYPE OF INSURANCE ADDLSUBR D WV13 POLICYNUMBER POLICY EFF MMMD POLICY EXP MM/DDNYYY LIMITS COMMERCIALGENERALLIABILITY CLAIMS -MADE 171 OCCUR EACH OCCURRENCE $ AMA ETO RE PREMISES E. occurrence $ MED EXP (Any one person) $ GEN'L PERSONAL B ADV INJURY $ AGGREGATE LIMIT APPLIES PER: POLICY D PRO- ❑ JECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE -LIMIT Ea accident $ BODILY INJURY (Per person) $ tid Per accident) BODILY INJURY ( ) $ PROPERTY DAMAGE Peraccideni $ UMBRELLALIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIEfORIPARTNEWEXECUTIVE ❑ OFFICERIMEMBEREXCLUDEDP (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ A Professional Liability N UDC-1895948-EO-21 01/27/2021 01/27/2022 Each Claim: Aggregate: $ 1,000,000 $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana 20 Civic Center Plaza Santa Ana 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 -- Rldr Ma W..d DiWtl^n ui® REV1EwID 6 APROJac Or 7ou Plcltosc V 19tR1-ZU15 ACUHU CI ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD