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ACC?Ro® CERTIFICATE OF LIABILITY INSURANCE y `mom. ' DATE(MM/DDIYYYV) 1 06/15/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS 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(les) 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 NAME: CT Automatic Data Processing Insurance Agency, Inc. Automatic Data Processing Insurance Agency, Inc. (PA HONE.. No Eat: 1-800-524-7024 uc No: E-MAIL ADDRESS: 1 Adp Boulevard INSURER($) AFFORDING COVERAGE NAIL# Roseland NJ 07068 INSURER A: Charter Oak Fire Insurance Company 25615 INSURED KFB MANAGEMENT INC INSURER B: INSURER C: INSURER D: 27 Galheringhlll Cl INSURER E: MOrriSPlalns NJ 07950 INSURER F: COVERAGES CERTIFICATE NUMBER: 2500696 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. INTR TYPE OF INSURANCE ADDL I so SUER MD POLICY NUMBER POLICYEFF MMIDOIYYYY) POLICYEXP (MMIDD/YYYYI LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ PAMAGE TO-RENTEU— REMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL B ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PEA LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGO $ $ AUTOMOBILE LIABILITY ANVAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY ONLY COMBINEDSI G ELIMIT Ea accident) $ BODILY INJURY (Par person) $ BODILY INJURY (Perl) acctlenlAUTOS $ PROPERTY DAMAGE Per accident $ UMSRELLA LIAB EXCESS LIAB H.I.A. OCCUR EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICERIMEM ERANY IEXCLUDED?ECUTIVE Y� (Mandatory In NH) f yea, deserlhe under DESCRIPTION OF OPERATIONS below NIA N UB6S71606621 08/12/2021 08/12/2022 X1 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached If more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE �la 171ekMwgmMnfl3irtdm Santa Ana CA 92702 > �K�'L-w 4P�) & 704 plimddre CC) 19RR-21115 AcORn (.f RRkManaO<a'a'reCleeioAade ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD K _- "'