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AC ?FH CERTIFICATE OF LIABILITY INSURANCE <br />L.,..i 3/19/2024 <br />GATE0/20 VYVY) <br />3/10/2023 <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 Lockton Insurance Brokers, LLC <br />License llOFI 5767 <br />4275 Executive Square, Suite 600 <br />La Jolla CA 92037 <br />CONTACT <br />NAME: <br />PHONE FAX <br />No: <br />-MAIL <br />ADDRESS: <br />INSURERIS) AFFORDING COVERAGE <br />NAIC It <br />(858) 587-3100 <br />INSURER A: National Fire Insurance Co of Hartford <br />20478 <br />INSURED IPS Group, Inc <br />1377909 7737KenamarCourt <br />INSURER B : Valley Forge Insurance Company <br />20508 <br />INSURERC:TheContinental Insurance Company <br />35289 <br />INSURER D : American Casualty Company of Reading, PA <br />20427 <br />San Diego CA 92121 <br />INSURER E : Lloyd's Syndicate 457 (Munich Re Syndicate Limited) <br />NSU RER F: <br />COVERAGES IPSGROI CERTIFICATE NUMBER: 12892512 REVISION NUMBER: XXXXXXX <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 />TR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />MMIDDmW <br />POLICY EXP <br />MM/DDfYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE aOCCUR <br />Y <br />Y <br />4034952942 <br />3/19/2023 <br />3/19/2024 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />-DAMAGE TO ARENTED <br />PREMISES Ea occurrence <br />— <br />$ 1000000 <br />MED EXP(Any one person) <br />$ 15000 <br />PERSONAL &ADV INJURY <br />$ 1000000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ 2000000 <br />GEN'L <br />POLICY PRO- <br />JECT1:1 LOC <br />PRODUCTS - COMPIOPAGG <br />$ 2000000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />N <br />N <br />6013847872 <br />3/19/2023 <br />3/19/2024 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILYINJURY(Perpemon) <br />_ <br />$ XXXXXXX <br />ANY AUTO <br />Ix <br />OWNED SCHEDULED <br />ONLY AUTOS <br />BODILY INJURY (Per accltlenl) <br />$AUTOS <br />XXXXXXXAUTOS <br />ONLY X AUTOS ONLY <br />PROPERTY dDAMAGE <br />$ XXXXXXX <br />Comp./Coll. Ded <br />$ 1,000 <br />C <br />X <br />UMBRELLA LIAB <br />OCCUR <br />N <br />N <br />4034952990 <br />3/19/2023 <br />3/19/2024 <br />EACH OCCURRENCE <br />$ 20,000,000 <br />N <br />AGGREGATE <br />$ 2O OOO OOO <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION <br />$ XXXXXXX <br />D <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN <br />OFFICERIMEMBER EXCLUDED? NJ <br />NIA <br />N <br />5093308451 CA)) <br />5093308496 �AO5) <br />3/19/2023 <br />3/19/2023 <br />3/19/2024 <br />3/19/2024 <br />PER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />_ <br />$ 1000000 <br />E.L. DISEASE-EAEMPLOVEE <br />$ 1000000 <br />(Mandatory In NH) <br />describe under <br />If DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />$ 1 OOO 000 <br />E <br />Tech E&O/Cyber <br />N <br />N <br />OIMRCT0000037-01 (E&O) <br />3/19/2023 <br />3/19/2024 <br />Each Occ. 5,000,000; <br />Agg.: 5,000,000; <br />Ded.: 100,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space la required) <br />Worker's Compensation insurance does not apply to states ND, OD, WA, WY Tech E&O/Cyber provides coverage for Network Security and Privacy Liability, as well as Breach Event, Cyber <br />Extortion, and Business Interruption RE: Agreement to Purchase Parking Technology & Related Services. City of Santa Ana, its officers, officials, employees, and volunteers are an Additional Insured <br />to the extent provided by the policy language or endorsement issued or approved by the insurance carrier. Insurance provided to Additional Insured(s) is primary and non-contributory, as per the <br />attached endorsements or policy language. Waiver of Subrogation applies per attached endorsement(s) or policy language. Referenced Excess or Umbrella Liability policy is follow form to all <br />underlying policies as provided on the policy or endorsements. <br />CERTIFICATE HOLDER CANCELLATION See Attachments <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />12892512 <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />J <br />© f9g"015 ACORD C072POAlAT(ON. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />