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Fro GCIDP R. VilUraal noneMialmpD.nama.wan..i
<br />on
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMID13=17Y)
<br />01/1312021
<br />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
<br />ALTERTHE COVERACEAFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE ACONTR\CT BETWEEN THE ISSUING INSURERRS), AUTHORIZED REPRESENTATIVE OR
<br />PRODUCER,AND THE CERTIFICATE HOLDER
<br />IMPORTANTH the eme Boom holder la an ADDITIONAL INSURED, the Folic,den ..at have ADDITIONAL INSURED proralnns or be endorsed If SUBROGATION IS WAIVED, subleeem thelernm and conditions of the paltry, certain policies may
<br />re9ube an endorsement. A statement on this certificate does net confer rights to the cerlNenle bolder In lieu of such endorsen,enno.
<br />PRODUCER
<br />CONTACTNAME:
<br />FoanderShleld, LLC
<br />PHONE (AW No ESQ: 646-854-1058
<br />122 W 26tb Street, Had Floor
<br />Nov York, New York, 10001
<br />E-MAIL ADDRESS: c01(eJfoundarshlelJ.com
<br />INSURERS) AFFORDING COVERAGE
<br />FAIL
<br />INSURER A: HARTFORD UNDERWRITERS INS CO(HARTFORD)
<br />30104
<br />INSURED
<br />INSURER D: ILLINOI3 ONION INSURANCE CO
<br />27960
<br />INSURER C : AXIS INSURANCE COMPANY
<br />37173
<br />eenevete
<br />INSURER Be
<br />342J Pledmon[ Rd NE
<br />aHenla, Ceorgla, JDJ05
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 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 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR
<br />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
<br />ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
<br />INSR
<br />L'1'R
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />(MM/DDIYYYY)
<br />POLICY EXP
<br />(MM/DD/YYYY)
<br />LIMITS
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$1,DD0,000.00
<br />CLAIMS MADE OCCUR
<br />DAMAGETORENTED
<br />$1,D00,000.00
<br />PREMISES (Ea a ativi ence)
<br />SUED EXP (Any one person)
<br />$ID,000.00
<br />A
<br />GENT AGGREGATE LIMIT APPLIES PER:
<br />�!
<br />S
<br />;b-y
<br />IM
<br />IDSBAAJSR
<br />MOB12021
<br />01/182022
<br />PERSONAL&ADV INJURY
<br />$1,000,000.00
<br />f TPOLICY Cryyyry
<br />PROJECT tE,I LOC
<br />GENERAL AGGREGATE
<br />$2,000,000.00
<br />PRODUCTS-COMP/OPAGG
<br />$2,000,000.00
<br />y jOTHER
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />$1,000,00D.00
<br />, j ANY AUTO
<br />(Ea ceeident)
<br />BODILY INJURY (Per person)
<br />A
<br />OWNED AUTOS 'n
<br />ti � YSCHEDULI
<br />ONLY
<br />LJ
<br />x•�"
<br />t, j
<br />IDSBAAJIMSR
<br />pi110f1021
<br />M/1&2022
<br />BODILY INJURY (Per
<br />tom✓ ! °NON -OWNED AUTOS
<br />yyi HlltED AUTOS ONLY ONLY
<br />acddenry
<br />PROPERTY DAMAGE (Par
<br />accident)
<br />)� UMBRELLA LIAR jr- EXCESS LIAe
<br />EncM1 act arunce
<br />$2,000,0DD00
<br />B
<br />.-y'
<br />CLAIMS-MADE
<br />G72503910001
<br />01/12021
<br />01/12022
<br />Aggr am
<br />$J,000,ODo.00OCCfR
<br />WORKERS COMPENSATION AND EMPLOYERSLIABILITY
<br />PER STATUTE n.h
<br />ANTE ROPRMTORTARTNER/EXECUTIV YIN
<br />OFFICERIMEMBER EXCLUDED? N
<br />OTHER
<br />E.L. EACH ACCIDEN
<br />(Mandatory In Nin
<br />[fyes,deu,11monder DESCRIPTION OF OPERATIONS below
<br />WA
<br />�..:
<br />,,.
<br />E.L. DISEASE -EA
<br />EMPLOYEE
<br />E.L. DISEASE -POLICY
<br />LIMIT
<br />C
<br />Cybur Liabillty,Media Liabi111y,Errors& Omissions
<br />s.•'
<br />i�2
<br />ITTN-200275-01
<br />011IW2021
<br />DIJIM022
<br />53,000,000 per am $3,000,000 in ago
<br />C
<br />Social Engineering
<br />F
<br />�.
<br />ITTN-200275-01
<br />QVISCHU1
<br />DI/I82022
<br />$100,000peroce $100000hugg
<br />A
<br />Property
<br />F.
<br />i—!
<br />IDSBAAJIMSR
<br />01/IB/2021
<br />011182022
<br />512000.00 DPI• $1,000 deductible
<br />fn
<br />6.i
<br />in
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Acrid .nal RemmM Scbamle, may he nmmhed If non —pare Ir reamers)
<br />CltyofSanln Ame,m][mars,ngenrs,employees, and voluukera are named as emotionally Soared on thl"thy pnnmmr too". ma—l''agrc'.mzt or memornndum of understanding Such b,mnn¢as is traded by this policy sbnll be prlmargand
<br />eny Insurance stinted by Cal, almll he ¢sera, mal nanennhNulm'. C"llOeate of Insurance Wall provide thirty (30) day prle, n losm notice ofemseellatm..
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE
<br />City of Santa Ana
<br />THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Ithk Menagcment Divisiva
<br />20 Civic Center Plaza
<br />Seam non, CA 92702
<br />AUTHORIZED REPRESENTATIVE /J�G�•, "
<br />OF 198E-2014
<br />ACORD 25 (2016/03) The ACORD name and logo are registered narks of ACORD
<br />thWekManagowdD[YIeirt
<br />R REVIEWED&APP!R,OVED BY.
<br />� ��aaa.c�.E.e �, Ki�LAMlaE
<br />Bids Management AnoWt
<br />
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