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C I ie nt#: 1258425 <br />Francine R. <br />305COM PU mgkp rea I <br />Digl W y signed by Francine R. <br />Villareal <br />Deter 2R21 04. 14 1 ]'2521-07'00' <br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />4/01/2021 <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 any rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />McGriff Insurance Services <br />CONTACT NAME: Aide Radilla <br />PHONE FAX <br />AlC, No, Ext : 714 941-2850 AIC, No 877 297-9245 <br />2400 E Katella Ave Suite 1100 <br />EMAIL aradilla me riff.com <br />ADDRESS: g <br />Anaheim, CA 92806 <br />714 941-2800 <br />INSUREIIAFFORDING COVERAGE <br />NAIC# <br />StarNet Insurance Company <br />INSURER A : P Y <br />40045 <br />INSURED <br />Compulink Mgmt Center Inc <br />INSURER B : All -erica Financial Benefits <br />41840 <br />Westchester Surplus Lines Insurance <br />INSURER C : P <br />10172 <br />dba Laserfiche <br />INSURER DHomeland Ins Co <br />34452 <br />3545 N. Long Beach Blvd. #110 <br />INSURER E: Lloyds Of London <br />Long Beach, GA 9a8a7 <br />INSURER F: Radnor Specialty Ins Co <br />15756 <br />COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 />INSR <br />SUB <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMBS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />X <br />TCP701616011 <br />3/13/2021 <br />03/1312022 <br />EACH OCCURRENCE <br />$1 00a 000 <br />CLAIMS -MADE � OCCUR <br />PREMISES(E.O.T'D.nce)$1,000,000 <br />MED EXP (Any one person) <br />$15,000 <br />PERSONAL & ADV INJURY <br />$1 ,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$2,000,000 <br />❑ JECT PRO-POLICY[XI <br />PRODUCTS - COMPIOPAGG <br />$2,000,000 <br />$ <br />OTHER', <br />A <br />AUTOMOBILE <br />LIABILITY <br />TCP701616011 <br />3/13/2021 <br />03/13/202 <br />COMEaaccident BINED SINGLE LIMIT <br />$ 1t OOar aaa <br />X <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 />NON-OWNED <br />HIRED ONLY iAUTOS ONLY <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />TCP701616011 <br />3/13/2021 <br />03/1312022 <br />EACH OCCURRENCE <br />$20OOO OOO <br />AGGREGATE <br />$20OOO OOO <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />EMPLOYERS' LIABILITYER <br />ANY PROPRIETORlPARTNEPJEXECUTIVEYIN <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />W23H44370100 <br />1/01/2021 <br />01/01/202 <br />OT <br />X PER LITE H- <br />EN L EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1 000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$1,aa113,000 <br />**SEE BELOW FOR <br />**SEE BELOW FOR <br />ADDITIONAL <br />ADDITIONAL <br />COVERAGES** <br />COVERAGES** <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />ADDITIONAL COVERAGE/POLICY INFORMATION: <br />C. Insurer: Westchester Surplus Lines Insurance (Non Admitted) - NAIC #: 10172 <br />Technology E&O, Cyber, Privacy & Network Security and Media Liability <br />Policy Number: F14774865003 <br />Policy Effective: 03/13/2021 - Policy Expiration: 03/13/2022 <br />(See Attached Descriptions) <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Risk Management Division, 4th Floor <br />20 Civic Center Plaza <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 />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE <br />© 1988-2015 ACORD <br />ACORD 25 (2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD <br />#S27696010/M27543148 <br />i oR,N E Risk MnnagemerttDMsion <br />,' REVIEWED &APPROVED BY: <br />z <br />®'. <br />�'�� Risk Management Analyst <br />