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Tori Pierson Dattea202206.222095030e07'00' —1 '`'� `� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/16/2022 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 Aon Risk services central, Inc. Philadelphia PA Office CONTACT NAME: PHONE (A/CC.No. Ext): (866) 283-7122 A/X No.): (800) 363-0105 E-MAIL 100 North 18th Street 15th Floor ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Philadelphia PA 19103 USA INSURED INSURERA: Indian Harbor Insurance company 36940 KANOPY INC INSURER B: The continental Insurance company 35289 One OverDrive Way Cleveland OH 44125 USA INSURERC: National Fire Ins. co. of Hartford 20478 INSURER D: Transportation Insurance CO. 120494 INSURER E: Valley Forge Insurance co 120508 INSURER F: COVERAGES CERTIFICATE NUMBER: 570093689159 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DD/YYyYL LIMITS C X COMMERCIAL GENERAL LIABILITY 6080688803 06/09/2022 06 09 2023 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $15 , 000 PERSONAL &ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ❑ PRO- LOC ❑ PRODUCTS - COMP/OP AGG $2,000,000 ECT OTHER: B AUTOMOBILE LIABILITY BUA 6080688817 06/09/2022 06/09/2023 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED PROPERTY DAMAGE ONLY AUTOS ONLY Per accident B CUE6080688848 06/09/2022 06/09/2023 $15,000,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE $15 , 000, 000 DED I X RETENTION $10,000 E WORKERS COMPENSATION AND Wc680688820 06/09/2022 06/09/2023 X I PER STATUTE I OTH EMPLOYERS' LIABILITY Y/N WC (AOS) E.L. EACH ACCIDENT $1,000,000 D ANY PROPRIETOR/ PARTNER/ EXECUTIVE N wc608O688834 06/09/2022 06/09/2023 OFFICER/MEMBEREXCLUDED' (Mandatory in NH) N/A WC (CA) E.L. DISEASE -EA EMPLOYEE $1,000,000 under DESCRIPTION OF OPERATIONS below DESCRIPTION I E.L. DISEASE -POLICY LIMIT $1,000,000 A Cyber Liability MTP904130201 07/09/2021 07/09/2022 Aggregate $5,000,000 claims Made SIR per Aggregate $750,000 SIR applies per policy terns & condi ions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. `w City of Santa Ana AUTHORIZED REPRESENTATIVE Risk Management Division 20 civic center Plaza, 4th Floor Santa Ana CA 92702 USA IQL Risk MardgmwilUikem. t 7— Awe w ©1988-2015 ACORD CORPOF --•-' "' Rrsl<6wW n gen e e CYe icatPsdie ACORD 25 (2016/03) The ACORD name and logo are registered marks ofACORD