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I lans.0 lc n, ..�e,.e..r,.... ..,........... <br />Yllareal <br />ACORDR Vllldlldl <br />CERTIFICATE OF LIABILITY INSURANCE <br />e0.TE IMMNO <br />1/24/2022 <br />THIS CERTIFICATE IS ISSUEDAS 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 COV ERAGEAFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATEOF INSURANCE DOES NOT CONSTITUTEA CONTRACT BETWEEN THE ISSUING INSURERS), 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, ce rtam policies may require an endorsement. A statement on <br />this certificate does not confer rights to the Dort fhNste holder in fie of such ondors am a m(s). <br />PRODUCER <br />CONTACTNAME Carl Davidson Insurance Agency <br />Carl Davidson Insurance Agency <br />ac Ji Ea: (661)222-7319 FAx <br />Wc, xa: <br />(661)222-7232 <br />25060 Avenue Stanford Ste. 270 <br />E-NW` <br />ADDRESS : carl@cdavidsoninsurance.com <br />Valencia, CA 91355 <br />INSURER(S) OFFORDINO CWERAOE <br />NAIL« <br />MSURERA: Kinsale Insurance Company <br />38920 <br />INSURED <br />INSURERS <br />Vicon Enterprises Incorporated <br />INSURER O: <br />5433 E Spyglass Way <br />INSURER D: State Fund <br />35076 <br />Anaheim, CA 92807 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUM BE : REV ISIr1N Na IMRPR- <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 SUBJECTTO ALL THE TERMS. <br />EXCW SIONSAND CONDITIONS OF SUCH POLICIES. OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INS0. <br />LTR <br />TYPE OF INSURAr10E <br />ADDL <br />SO <br />SUER <br />POLICYNUMEER <br />POLICY EFF <br />MMEDIYYYY <br />POLICY ENP <br />MMNO <br />LIMITS <br />xCOMMERCMLGEHERALLMBILRY <br />CIAIMS.MApE Q OCCUR <br />FACHCCCURRENCE <br />E 1,000,000 <br />PREMSES(Eemcvexxx) <br />E 100,000 <br />MEDBP(Npoxm—) <br />$ <br />PERSONAL6ADVINJURY <br />E 1,000,000 <br />A <br />X <br />X <br />0100160438-0 <br />8/19/2021 <br />8/19/2022 <br />R N'LAGGREGNTE UMIT APPUES PER <br />XPOMCY ❑ JECT ❑ LOC <br />GENERAFAGGREGOTE <br />E 2,000,000 <br />PRODUCTS-COMPIOPAGG <br />E 2,000,000 <br />S <br />OTHER'. <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE UMn <br />coseeiaenl) <br />$ <br />BODRYINJURY(Pe,prsm) <br />S <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOSONLY AUTOS <br />Parxtld,R <br />BODILY INJURY ( 1 <br />E <br />HIRED NON-OV,NEO <br />AUTOSONLY AUTOSONLY <br />(Psnel TYDAMAGE <br />(PeCFEHTI <br />S <br />E <br />UMBRELLALWB <br />X <br />pCCUft <br />FACHOCOURRENCE <br />E 3,000,000 <br />A <br />X <br />Excess LMB <br />cLANa-MAnE <br />X <br />0100169118-0 <br />11/3/2021 <br />11/3/2022 <br />AGGNFGAIE <br />6 <br />DED NETE"Y'SI E <br />S <br />WORKERS COMPENSATION <br />V PEft OTH- <br />ANDEMPLOYERS'LMBILT T.IN <br />/� ETA WE I I ER <br />EL EACH ACCIDENT <br />S 1,000,000 <br />D <br />ANY PROPAETAUA A NERAE LCUTWE <br />OFFICERIMEMBEREXCWDED] C <br />NIA <br />9304121 <br />8/21/2021 <br />8/21/2022 <br />EALDISFASE-EAEMPLOYEE <br />S 1,000,000 <br />(MonNMaryNNH) <br />It , de'Wee uMx <br />E.LDSEISE-FCUCYUMIT <br />E 1,000,000 <br />DESCRIPTION OF OPERATIONS CNN' <br />DESCRIPTION OF OPERATIONS ILOCATIONS I VEHICLES (ADDED 1M, AdNkloeal RemeMs EsAvlUIS mas be tltaMetl N more spew Is mulms) <br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract agreement, or <br />memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and anv insurance carried by City shall be excess and <br />noncontributory. 30 days notice of cancellation with 10 days notice for nonpayment of premium in accordance with the policy provisions. <br />SHOULD MY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISION S. <br />Risk Management Division <br />AIITHORaED REPRESS20 <br />Civic Center Plaza <br />Santa Ana, CA 92702 <br />©1988-2015 ACORD CORPORA <br />ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD <br />REtnEWED & APPROeV,ED Br. <br />9MMZM'. <br />��� Ruk Management Analyst <br />