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DigiOtly 11910 by Frantine R.
<br />Francine R. Villareal miiareai
<br />1 CKCKG-3
<br />A� or CERTIFICATE OF LIABILITY INSURANCE
<br />_—___.____. r
<br />_Cl
<br />D
<br />11118/OD/YYYY)
<br />11/18/2021
<br />THIS CERTIFICATE 15 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 430-368-5222
<br />HILL INSURANCE SERVICES
<br />14301 N 87th Street S# 115
<br />NDNTACT Casie Crocker
<br />PHONE 480-368a222 FAx
<br />AIC, N., EaI : (A/C, Ne):480-368-1862
<br />Scottsdale, AZ 85260
<br />Casie Lee CrockerADDRESS'
<br />E-MAIL
<br />INSURERS AFFORDING COVERAGE
<br />NAIC M
<br />INSURER A: Everest National Ins
<br />INSURED
<br />Energy Experts International
<br />MikeWatanabe
<br />555 Twin Dolphin Dr, Ste 150
<br />Redwood City, CA 94065
<br />INSURER B: RSUI Indemnity CO
<br />INSURER C: Certain Underwriters at Lloyds
<br />2012
<br />INSURER D : Kinsale Insurance Company
<br />INSURER E: Houston Casualty Co
<br />INSURER F
<br />COVFRA G FS CPATILICATC M"AADCD.
<br />_ _—••••• _••�•-�••"�••• 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 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 />TYPE OFINSURANCE
<br />ADDL
<br />SUER
<br />POLICY NUMBER
<br />POLICYEFF
<br />MM/OD
<br />POLICYEXP
<br />MM/00
<br />LIMITS
<br />A
<br />C
<br />D
<br />X
<br />COMMERCUILGENERALLUIBILITY
<br />CLAIMS -MADE OCCUR
<br />Prof Liab CM
<br />X
<br />ENIML00003.211
<br />10143L210346-$2 MIL AG/CL
<br />0100085841-2$3 MIL XS
<br />08/01/2021
<br />04/1312021
<br />04/1312021
<br />08/0112022
<br />04/13/2022
<br />04/13/2022
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTED
<br />$ 100,000
<br />$ 5,000
<br />X
<br />MED EXP (Am one erson
<br />X
<br />xis Prof Liab CM
<br />PERSONAL A ADV INJURY
<br />$ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLI ES PER
<br />POLICY ❑X JELQT �LOC
<br />GENERALAGGREGATE
<br />$ 2,000,000
<br />PRODUCTS-COMP/OP AGO
<br />$ 2,000,000
<br />EO =SINGLE LIMIT
<br />$ 1,000,000
<br />A
<br />OTHER:
<br />AUTOMOBILE LIABILITY
<br />BODILY INJURY Per erson
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />��q ooNN WW
<br />X A OS ONLY X AUTO1 ONLB
<br />X
<br />ENl ML00003-211
<br />08/0112021
<br />08101/2022
<br />BODILY INJURY Per accitlenl
<br />$
<br />Pe�acdtlen� AMAGE
<br />$
<br />A
<br />X
<br />UMBRELLA QAB
<br />EXCESS LIAR
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />EN1C000003-211
<br />08/01/2021
<br />08/01/2022
<br />EACH OCCURRENCE
<br />$ 5,000,00U
<br />AGGREGATE
<br />$ 5,000,000
<br />DEO I I RETENTION$
<br />A
<br />ANR EMPS COMPENSYERS'AA IIOry
<br />LI
<br />ANYPROPRIETORIPARTNER/EXECUTIVE YIN
<br />(FF.1tlEJ.%JMBER EXCLUDED? �N
<br />N /A
<br />X
<br />ENlWC00002-211
<br />08/01/2021
<br />08101/2022
<br />X PER 01H-
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L.DISEASE-EA EMPLOYE
<br />$ 1,000,000
<br />E
<br />B
<br />lfrs aory nNH)
<br />If yes, describe untler
<br />DESCRIPTION OF OPERATIONS below
<br />Cyber Liab
<br />WE Umb
<br />H21NGP206843.00
<br />LHA252120
<br />03101/2021
<br />08/01/2021
<br />03101/2022
<br />08/01/2022
<br />E.L. DISEASE - POLICY LIMIT
<br />Cyber Agg
<br />Xs Umb Ag
<br />1,000,000
<br />10,000,000
<br />4,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Add]U.nal Remarks S.hedule, maybe allaehed it mare spec. is required)
<br />CONSULTANTS. CITY OF SANTA ANA, ITS OFFICERS OFFICIALS, EMPLOYEES, AGENTS AND
<br />VOLUNTEERS ARE NAMED AS ADDITIONAL INSURE6 WITH RESPECTS TO THE GENERAL
<br />LIABILITY AND AUTO PER WRITTEN CONTRACT. COVERAGE IS PRIMARY NOW
<br />CONTRIBUTORY. WAIVER OF SUBROGATION APPLIES WITH RESPECST TO THE WORKERS
<br />COMP. 30-DAY NOTICE OF CANCELLATION APPLIES.
<br />-11
<br />CITY OF SANTA ANA
<br />RISK MANAGEMENT DIVISION
<br />20 CIVIC CENTER PLAZA
<br />SANTA ANA, CA 92702
<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 />ca.....1 c�
<br />ACORD 25 (2016103) ©1988-2015 ACORD C
<br />The ACORD name and logo are registered marks of ACORD
<br />�9 REVIEWED �Rcrvway:
<br />�T.
<br />Risk Management Anays[
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