Laserfiche WebLink
CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />6/29/2023 <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 CERYIFICATE 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 riahts to the certificate holder in lieu of such endorsementfsl. <br />PRODUCER <br />WESTER INSURANCE AGENCY Digitally SI Ile <br />P O.BOX 76s g• Y g <br />N 11 27 s Acevedo <br />•���� ® <br />Date: 2024.0 3. <br />NAME, W. David Carver <br />1@34B-z33C <br />E.M L <br />ADDRESS: CSr westerinst <br />INSURER: <br />U r <br />INSURED INVENA <br />Invengo Technology Corp.; Invengo American Corp. <br />DBA FE Technologies <br />1011 South Hamilton Rd Ste 300 <br />Chapel Hill NC 27517 <br />INSURER B: <br />INSURER C: <br />INSURER O: <br />INSURER E <br />COVERAGES CERTIFICATE NUMBER: 911398836 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 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 />ILTB <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDO <br />POLICY SKIP <br />MWODPYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />22SBAAC9548 <br />41`7/2023 <br />40/2024 <br />EACH OCCURRENCE <br />$2,000.000 <br />CLAIMS -MADE OCCUR <br />PREMISES Ea occEO <br />PREMISES Ea omunenca <br />$1,000,000 <br />MED EXP (Any one person) <br />$10,000 <br />PERSONAL B ADV INJURY <br />$2.000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$4,000,000 <br />- <br />POLICY E P" LOG <br />PRODUCTS - COMPIOPAGG <br />$4.000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />22SBAAC9548 <br />4/7/2023 <br />40/2024 <br />•COMBINED SINGLELIMIT <br />Fe accident) <br />$2000,000 <br />BODILY INJURY (Par person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />H <br />Pidt ) <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Par accitlent <br />$ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />A <br />UMBRELLALIAB <br />X <br />OCCUR <br />22SBAAC9548 <br />4/7/2D23 <br />4/7/2024 <br />EACH OCCURRENCE <br />$10,000,000 <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />i <br />DIED X RETENTION$ 1 a BOB <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />I PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />ANWROPRIETORIPARTNERIEXECUTIVE ❑ <br />OFFICERIMEMBEREXCLUDED9 <br />NIA <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />(Mandatory in Ni <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Prolessional Liability <br />Cyber Liability <br />22SBAAC9548 <br />4/7/2023 <br />4/7/2024 <br />Limits of Liability <br />Limits of liability <br />1,000,000 <br />1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mom spare is required) <br />City of Santa Ana, officers, agents, employees, and volunteers are named as additional insureds with respect to General Liability as required in a written <br />contract. Such insurance is primary and non contributory as required in a Written contract. 30 day notice of cancellation applies. <br />CERTIFICATE HOLDER <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 Pi <br />City of Santa Ana Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE <br />01988.2015 ACORD <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />REVIEWED & APPROVED BY: <br />A+ji:, Atv4ltd <br />Risk Management Sped Ant <br />