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ACOR"® 11 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYVY) 1 01/19/2021 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 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 endomement(s). PRODUCER 866-591-5050 866-791-2715 CIA Insurance Services 1510 Park Avenue Unit C Long Beach, CA 90815 NAME:CONTACT Hal Reniff nIc°NN E.1:866-591-5050 aIc Na:866-791-2715 a oaess: hal oiainsuranceservice.com INSURERS AFFORDING COVERAGE NAICA INSURERA: Oak River Insurance Company 34630 A++ INSURED 800-599-7385 Card Integrators Corporation 3625 Serpentine Drive Los Alamitos, CA 90720 INSURER B: INSURER C: INSURER D: NSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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, ILTR TYPE OF INSURANCE ADDLSUBR INSR Me POLICYNUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIODIYYYV LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea oecurnmoe $ MED EXP(Anyone person) $ PERSONAL A ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE POLICY LIMIT APPLIES PER: PROI LOC PRODUCTS - COMPIOP AGO $ $ AUTOMOBILE _ LIABILITY ANYAU70 ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accMenl BODILY INJURY (Par person) $ BODILY INJURY (Par e.. mmt) $ PROPERTY -DAMAGE Per accMent $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' UABIDTY YIN OFFICERIMEMBEEREXCLUDEDRANY PRO ECUTIVE❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA CAWC144334 12/20/2020 12/20/2021 I WCSTATU- OTH- LIM E.L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $ 1 00O 000 E.L. DISEASE -POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach AC ORD 101, Additional Remarks Schedule, It more space is required) City of Santa Ana -Risk Management 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92706 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 © 1988.2010 ACORD Cl ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ear. s WakMaMgtmentDiviaim _ s �4 gREVIEWED&pAPPRcvmaY:: _ RBS ManYgcinNrll AnB4yst