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ACC)R H CERTIFICATE OF LIABILITY INSURANCE DATE13/2D21YYY) THIS RTI TE IS ISSUED ER OF INFORMATION ONLY AND CONFERS NO RI HT 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 Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA 520 Madison Avenue 32nd Floor CONTACT NAME: PHONE (ggg) 202.3007 Ali Not: E-MAIL ADDRESS: contact@hiscox.com INSURERS AFFORDING COVERAGE NAIC9 New York, New York 10022 INSURERA: HISCOx Insurance Company Inc 10200 INSURED INSURER B: Procure America, Inc. 31103 Rancho Viejo Rd. #D2102 INSURER C San Juan Capistrano, CA 92675 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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. IN$R LTR TYPE OF INSURANCE INSD UBRMD POLICY NUMBER MMIDDY� MMIDDiYYYY LIMITS COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ CLAIMS -MADE ❑ R NT PREMISES MAEd occurrence $ MED EXP (Any one person) $ PERSONAL&ADV INJURY $ AGGREGATE LIME APPLIES PER: GENERALAGGREGATE $ GEN'L POLICY 0 jECOT 7 LOC PRODUCTS - COMPIOP AGO $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEO I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER E.L. EACH ACCIDENT $ ANYPROPRIETORIPARTNEMEXECUTIVE OFFICEWMEMBER EXCLUDED'! ❑NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS belov E.L. DISEASE -POLICY LIMIT 1 $ A Professional Liability P100.067.963.6 01/27/2022 01/27/2023 Each Claim:$ 1,000.000 Aggregate: $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Risk mmv od Dnwon f{// IEi�/w�m &�}A,wRw®Br 112(4!3 /OTC YIQ'WOH @ 1988-2015 ACORD C( ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD