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A-TECON-01
<br />ALHILI
<br />�►co�ro„ CERTIFICATE OF LIABILITY INSURANCE
<br />`.�•- '
<br />FDATE(MM/DD/YYYY)
<br />4/29/2024
<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(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 />Rooney Insurance AgeA Inc.
<br />5100 E Skellyy Drive, St 0
<br />Tulsa, OK 74135 nqie
<br />CONTAC' EJe
<br />NAME:
<br />f'illl •
<br />•
<br />PHONE
<br />(A/C, No, Ixt):
<br />/ ,
<br />4
<br />-
<br />ADDRESS ,ilexis.hill ooneyinsu ance.co
<br />lwww • F RDI C
<br />NAIC #
<br />INSURER '. N S
<br />e
<br />S I
<br />INSURED
<br />POI
<br />INSURE .B: L —r-: Amerlcan Insurance Company
<br />22667
<br />A -Tech Co uIt' ng, Inc.
<br />INSUr _RC: N it
<br />Orange, 86
<br />1640 N. B a $cevedo
<br />INS' RERD' •
<br />• •
<br />It sURERE:
<br />ENSURER F : • •
<br />COVERAGES CERTIFICATE NUMBER: V V 0 -0 ft, • fi-VYON IMMAERv V
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDD/YYYY
<br />POLICY EXP
<br />MMIDCU P'
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 3,000,000
<br />CLAIMS -MADE j OCCUR
<br />G71802462005
<br />5/1/2024
<br />5/1/2025
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />100,000
<br />$
<br />MED EXP (Any oneperson)
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />$ 3,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 3,000,000
<br />POLICY X71 JECT El LOC
<br />PRODUCTS - COMP/OPAGG
<br />$ 3,000,000
<br />PER PROJECT AGG
<br />$ 5,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />1,000,000
<br />$
<br />X
<br />BODILY INJURY Perperson)
<br />$
<br />ANY AUTO
<br />H08471265006
<br />5/1/2024
<br />5/1/2025
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Per accident
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />A
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />X
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />G71840773005
<br />5/1/2024
<br />5/1/2025
<br />AGGREGATE
<br />$ 1,000,000
<br />DED RETENTION $
<br />Prod/CompOps Ag
<br />$ 1,000,000
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />Y/N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />N / A
<br />WCC349341A
<br />3/15/2024
<br />3/15/2025
<br />X PER FIR F
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE- EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />$
<br />A
<br />Pollution
<br />G71802462005
<br />5/1/2024
<br />5/1/2025
<br />Ea (*Agg Incl Above)
<br />3,000,000
<br />A
<br />Prof Liab (E&O)
<br />G71802462005
<br />5/1/2024
<br />5/1/2025
<br />Ea (*Agg Incl Above)
<br />3,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Employment Practices Liability:
<br />Policy #107561310
<br />1 /1 /2024 -1 /1 /2025
<br />$1,000,000 Limit of Liability
<br />Cyber Liability:
<br />Policy #AB660124406
<br />SEE ATTACHED ACORD 101
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREO
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PRC RiskMougmumtDMslcrn
<br />P.O Box 1988 M-11
<br />Santa Ana, CA 92701 f REVIEWEDppq& APPROVED BY:
<br />AUTHORIZED REPRESENTATIVE r"I •. r'fA%.
<br />ManagementSpeaakkst
<br />ACORD 25 (2016/03) © 1988-2015 ACORD
<br />The ACORD name and logo are registered marks of ACORD
<br />
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