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Digrally signed by Francine R
<br />Francine R. Villareal V114real
<br />Dale: 2021A7.13112850 oT00'
<br />GMECH-01 BAGASCHE
<br />A`� o CERTIFICATE OF LIABILITY INSURANCE
<br />DATE7/7/2 wyyyv)
<br />nlzort
<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 endorsements .
<br />PRODUCER
<br />Henderson Brothers Inc
<br />920 Ft. Duquesne Blvd.
<br />Pittsburgh, PA 15222
<br />CONTAE:CT
<br />PHONE FAX
<br />Wc, Na, Ea: (412) 261-1842 (AIC, No):(412) 261-4149
<br />ED &ESS: mailroom@hendersonbrothers.com
<br />INSURERS AFFORDING COVERAGE
<br />NNC 11
<br />INSURER A: Hartford Fire Insurance Company Payable
<br />19682
<br />INSURED Questica Software Inc.
<br />INSURER B:Trumbull Insurance Co
<br />27120
<br />INSURER C: Hartford Casualty Insurance Company
<br />29424
<br />GTY Technology Holdings, Inc.
<br />INSURER D: Endurance Risk Solutions
<br />43630
<br />603 Michigan Dr.
<br />Oakville, ON L6L OC4
<br />CANADA
<br />INSURERE:
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER- RFVI.RIOId NI IMRFR-
<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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE 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 />JJ1LA
<br />TYPE OF INSURANCE
<br />ADDL
<br />[man
<br />SUBR
<br />MD
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X OCCUR
<br />X
<br />40 UUN CF0154
<br />6115/2021
<br />611512022
<br />EACH OCCURRENCE
<br />1,000,000
<br />DAMAGE TO RENTED
<br />PREMISES Eaom.mani
<br />300,00
<br />10,000
<br />GEN'L
<br />X
<br />MED EXP An one rson
<br />PERSONAL& ADV INJURY
<br />1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY PReT LOG
<br />OTHER:
<br />GENERALAGGREGATE
<br />1 2,000,000
<br />PRODUCTS -COMPIOP AGO
<br />1 2,000,000
<br />B
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED X NON rNED
<br />AUTOS ONLY AUTOS ONLY
<br />X
<br />40 UEN CF0128
<br />6115/2021
<br />6/1512022
<br />COMrED1SINGLE LIMIT
<br />an
<br />$ 1,000,000
<br />BODILY INJURY Per erson
<br />$
<br />BODILY INJURY Per accident)
<br />$
<br />ROPERTY AMAGE
<br />Per accitlent
<br />$
<br />C
<br />X
<br />UMBRELLA LIAB
<br />EXCESS LIAB
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />X
<br />40 XHU CD8436
<br />6115/2021
<br />6115/2022
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />DIED X RETENTION$ 10,000
<br />C
<br />WORKERS
<br />ND EMPLOYERS' LIABILIITY
<br />ANY PROPRIETOR/PARTNERIEXECUTNE YIN
<br />WQpaniSERIMEMBER EXCLUDEDP
<br />IMantlatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />0WEI AL4MYB
<br />6115/2021
<br />611512022
<br />X PERT
<br />ERH
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE -EA EMPLOYE
<br />$ 1.000,000
<br />E.L DISEASE - POLICY LIMIT
<br />1,000,000
<br />A
<br />D
<br />Professional/Cyber
<br />Excess PLICyber
<br />0 TIE 0391564 21
<br />PRX30007896400
<br />6/15/2021
<br />6115/2021
<br />6115/2022
<br />611512022
<br />5,000,000
<br />5,000,000
<br />DESCRIPTION OF OPERATIONS ILOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aNached if more space is required)
<br />The City of Santa Ana, its officers, officials, employees, and volunteers are Included as Additional Insureds for General Liablity, Auto Liability and Umbrella
<br />Liability when required by written contract.
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th Floor
<br />Santa Ana, CA 92701
<br />ACORD 25 (2016103)
<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 />y y RIAMatvgemmt Didaion
<br />1'Si(1E.W T I' fwy.. RENEWED n APPROVED Br
<br />© 1988-2015 ACORD C J-''ll�� fn�w,:.1.e �' �`�M�ice
<br />aisk wandgClPPRt ADaysl
<br />The ACORD name and logo are registered marks of ACORD I �—
<br />
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