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Digitally signed by Francine R. <br />FrancineR.Villareal Villareal <br />g, <br />A` f �® CERTIFICATE OF LIABILITY INSURANCE <br />DATEOD <br />sm2D2 <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 endorsement(s). <br />PRODUCER <br />RBN Insurance Services <br />303 E Wacker Dr Ste 650 <br />Chicago IL 60601 <br />NAMEACT <br />: Tellsa Gibson <br />PHONE FAX <br />AID No Ext: 312-856-9400 ac No:312-856-9425 <br />ADLss: ibson rbninsumnce.com <br />INSURER(S)AFFORDINGCOVERAGE <br />NAICA <br />INSURERA: Twin City Fire Insurance CO. <br />29459 <br />INSURED ESOURCE-01 <br />E Source Companies LLC <br />1745 38th St <br />INSURERS: Underwriters at Lloyds <br />11041 <br />INSURERC: HARTFORD UNDERWRITERS INS CO <br />30104 <br />INSURER D: <br />Boulder CO 83301 <br />INSURER E: <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: 255604206 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 />ILTR <br />TYPEOFINSURANCE <br />ADOL <br />SUER <br />POLICY NUMBER <br />POLICY SEE <br />MWDCYYY <br />UNITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />83SBAAD4682 <br />6/1412021 <br />6/142022 <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE � OCCUR <br />DAMAGE TO REN <br />PREMISES Eaorcunence <br />$1,000,000 <br />MED UP (Any a. person) <br />$10,000 <br />PERSONAL S ADV INJURY <br />$1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$2,000,000 <br />GEN'L <br />X <br />POLICY JECT LOC <br />PRODUCTS-COMP/OPAGG <br />$2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />83SBAAD4682 <br />6/142021 <br />6/142022 <br />COMBINED SINGLELIMIT <br />Ea accident) <br />$1,000,000 <br />BODILY INJURY (Par person) <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />ONLYMXAUTOS <br />BODILY INJURY (Per accident) <br />$ <br />X <br />HIRED <br />HIRED NON-OWNEDPROPERTY <br />AUTOS ONLYAUTOS ONLY <br />DAMAGE <br />Per accident <br />$ <br />$ <br />A <br />X <br />UMBRELLA LIAR <br />OCCUR <br />83SBAAD4682 <br />6/142021 <br />6/142022 <br />EACH OCCURRENCE <br />$5,000,000 <br />AGGREGATE <br />$5,000,000 <br />EXCESS <br />CESS LIAB <br />CLAIMS -MADE <br />OED <br />%( RETENTION $ <br />$ <br />C <br />WORKERS COMPENSATION <br />UIB ANDEMPLOYERS'LILDY YIN <br />Y <br />83WECAD4JDV <br />6/14/2021 <br />6/142022 <br />X IPERH <br />ER <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />ANYPROPMEFORIPARTNERIEXECUTIVE <br />OFFICERIMEMBEREXCLUDED'! <br />NIA <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />(Mandatory in NH) <br />Use. describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />B <br />Technology/Pmfessional U.Nlity <br />CT0146321 <br />6/142021 <br />6/142022 <br />Each Claim/Aggregate <br />5000000 each <br />DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached 6 more space is required) <br />Continued Coverage <br />Excess Professional/Cyber Policy <br />Policy: PSI00190818262 <br />Carrier: Underwriters at Llyods <br />Effective: 0611412021 to 06/14/2022 <br />Limit: $5,000,000 each Claim/Aggregate <br />City of Santa Ana, The City, its officers, employees, agents, volunteers & representatives are listed as additional insured on primary and non-contributory basis <br />See Attached... <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <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 />©1988.2015 ACORD C <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />a+„,,,.,a� )Oak MarogementlJemion <br />„ RENEWED& APPROVED Br. <br />- Risk Management Analyst <br />