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Digitally signed <br />ACCORD® CERTIFICATE OF LIABILI�aAN�: �y Angie <br />DATE(YYYY) <br />CID <br />4/6/202/2022 <br />INFORMATION ONLY <br />THIS ISNt <br />AEOR <br />CERT F CATECATE DOES NOT AFDFIRMATIVELYAS <br />NEGATIVELY AMENDOF <br />XTEANDAI �UF�NHCTJFjLC�];E THE POLIC EIS <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BET`W_-EN TJFO!ftltJ Ib:J ff(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 />WESTER INSURANCE AGENCY <br />P.O. BOX 769 <br />HENDERSON NC 27536-769 <br />CONTACT <br />NAME: W. David Carver <br />PHONE FAX <br />A/C No Ext : 919-348-2330 A/C, No): 919-747-4304 <br />ADDE-MRESS: csr@westerinsurance.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: Twin City Fire Insurance Company <br />29459 <br />INSURED INVEN-1 <br />Invengo Technology Corp.; Invengo American Corp. <br />DBA FE Technologies <br />INSURER B : <br />INSURERC: <br />INSURERD: <br />1011 South Hamilton Rd Ste 300 <br />Chapel Hill NC 27517 <br />INSURERE: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER:787843254 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />22SBAAC9548 <br />4/7/2022 <br />4/7/2023 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE � OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 1,000,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />POLICY ❑ PRO- <br />JECT LOC <br />❑ <br />PRODUCTS - COMP/OP AGG <br />$ 4,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />22SBAAC9548 <br />4/7/2022 <br />4/7/2023 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 2,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />22SBAAC9548 <br />4/7/2022 <br />4/7/2023 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />AGGREGATE <br />$ 2,000,000 <br />EXCESS LAB <br />CLAIMS -MADE <br />DED X RETENTION $ 1 n nnn <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICE R/M EMBER EXCLUDED? ❑ <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />City of Santa Ana, officers, agents, employees, and volunteers are named as <br />additional insureds with respect to General Liability as required in a <br />written contract. Such insurance is primary and non contributory as required <br />in a written contract. 30 day notice of cancellation applies. <br />CERTIFICATE HOLDER CANCELLATION <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 />City of Santa Ana Risk Management Division <br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702 <br />m <br />Risk kluagment DlMsiaR <br />/ ° REVIEWED & APPROVED BY: <br />© 1988-2015 ACCORD °( e& <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD — Risk Management specialist <br />