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Francine R. Villareal Digitally signed by Francine R. Villareal <br />Date: 2021.04.00 00:0557 -07'01]' <br />ACO/20® CERTIFICATE OF LIABILITY INSURANCE <br />L� 3/19/2022 <br />DATEIMMRIDIYYY <br />1 3/17/2021 <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(les) 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 Lockton Insurance Brokers, LLC <br />License #OF15767 <br />4275 Executive Square, Suite 600 <br />La Jolla CA 92037 <br />CONTACT <br />NAME: <br />PHONE FAX <br />A/C No Ert• Me NO), <br />EMAIL - <br />ADDRESS: <br />INSURERS) AFFORDING COVERAGE <br />1110 <br />(858)587-3100 <br />INSURER A: National Fire Insurance Co of Hartford <br />20478 <br />INSURED 1P5 Group, Inc. <br />1377909 7737 Kenamar Court <br />INSURER B: Valle Forge Insurance Company <br />20508 <br />INSURER C: The Continental Insurance Company <br />35289 <br />San Diego CA 92121 <br />INSURER D: Lloyd's Syndicate 457 (Munich Re Syndicate Limited) <br />INSURER E : American Casualty Company of Reading, PA <br />20427 <br />INSURER F : <br />COVERAGES IPSGROI CERTIFICATE NUMBER: 12RO7i 17 RFVI.SION NIIMRFR- vv4vvvV <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 />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />INSO <br />Me <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD <br />POLICY EXP <br />MWDDIYI'YY <br />LIMnS <br />A <br />X i COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADEFRI OCCUR <br />Y <br />N <br />4034952942 <br />3/19/2021 <br />3/19/2022 <br />OCCURRENCE <br />$ 1000000 <br />DAMAGE <br />occunence TO <br />PREMISES HE <br />_ <br />$ 1000000 <br />MED ESP (Any one Person) <br />$ 15,000 <br />PERSONAL A ADV INJURY <br />$ I OQO 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY JEST LOC <br />GENERALAGGREGATE <br />$ 2000000 <br />PRODUCTS - COMP/OPAGG <br />$ 2000000 <br />S <br />I OTHER: <br />D <br />AUTOMOBILE <br />LIABILITY <br />N <br />N <br />6013847872 <br />3/19/2021 <br />3/19/2022 <br />COMBINEDSINGLEUMrr <br />$ 1,000,000 <br />X <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per Person) <br />$ XXXXX� <br />BODILY INJURY accident) <br />S XXXXX�(�( <br />X <br />HIRED NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />PROPERTY DAMAGE <br />Per awident <br />$ XXXXXXX <br />Comn./Coll. Ded <br />s 1,000 <br />C <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />N <br />N <br />4034952990 <br />3/19/2021 <br />3/19/2022 <br />EACH OCCURRENCE <br />$2000Q000 <br />AGGREGATE <br />S 20,000,000 <br />EXCESB LV\B <br />CLAIM&MADE <br />DED RETENTION $ <br />$ X'XXXXXX <br />E <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNEF'JEXECUrIVE <br />OFFICERry,lnN � <br />NIA <br />N <br />5093308451 (CA) <br />5093308496 (ADS) <br />3/19/2021 <br />3/192021 <br />3/19/2022 <br />3/19/2022 <br />PER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1.000.000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory In NH) <br />NH) <br />If <br />E.L. DISEASE- POLICY LIMIT <br />$ 1.000.000 <br />Nunder <br />DESCRIPTION <br />DESCRIPTION OF OPERATIONS below <br />D <br />Tech E&O/Network / <br />Privacy / Media <br />N <br />N <br />CYYE63501 (E&O) <br />3/19/2021 <br />3/192022 <br />Each Occ. 5,000,000; <br />Agg.: 5,000,000; <br />Ded.: 100,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />THISCERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERMS) REFERENCED. <br />RE: RFP 14-012, Modernization of Downtown Parking Meters. City of Santa Ana, its officers, employees, agents, volunteers and representatives are an <br />Additional Insured to the extent provided by the policy language or endorsement issued or approved by the insurance carver. Insurance provided to Additional <br />Insured(s) is primary and non-contributory as per the attached endorsements or policy language. Notice of Cancellation applies per attached endorsement(s). <br />12892512 <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana CA 92701 <br />ACORD 25 (2016/03) <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 REPRESENTATNE <br />sh REVIEWED&APPROV®BY: <br />© 015 ACORD C ^.I'., F,wti� R• <br />The ACORD name and logo are registered marks of ACORD ='. Rhk Management Analyst <br />