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Digitally signed by <br />Samantha samarude M. <br />mb— <br />16ig1 22,05 ' <br />A� D® CERTIFICATE OF LIABILITY INSURA�(Ir bertI.go14.7w. <br />°AT514/2022 <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(les) 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 />Cothrom Risk &Insurance Services <br />440 N Andrews Ave <br />Fort Lauderdale FL 33301 <br />CONTACT <br />NAME: <br />PHL NE . 954-3B8-21g1 a Nat <br />E-MAIL <br />ADDRESS: cerfificates@cothrom.com <br />INSURE S APFORDINGCOVERAGE <br />NAIC7 <br />INSURER A: ACE Property And Casualty Insurance Company <br />20699 <br />INSURED JDICATAAI <br />JDI Data Corporation <br />100 W Cypress Creek Rd Ste 1052 <br />INSURER B: Chubb Indemnity Insurance Company <br />12777 <br />INSURER c: Ace American Insurance Company <br />22667 <br />INSURER D: Federal Insurance Company <br />20281 <br />Fort Lauderdale FL 33309 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 181935193.9 REVISION NUMRER- <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 />ILTk <br />TYPE OF INSURANCE <br />ADDL <br />MIND <br />SUER <br />MQ <br />POLICYNUMBER <br />POLICY EFF <br />M DO <br />POLICYEXP <br />MMIDDIYYYY <br />LIMITS <br />A <br />CI -AIMS -MADE FX I OCCUR <br />Y <br />Y <br />D52792757 <br />1/312022 <br />1/31/2023 <br />EACHOCCURRENCE <br />$2,000,000 <br />17MERCIALGENEMLLIABILffY <br />O R NTED <br />PREMISES Ea dercurr,nden <br />$1,000,000 <br />MED EXP (Any one person) <br />S 10,000 <br />PERSONAL B AOV INJURY <br />31,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY�EGT I LOC <br />j <br />GENERALAGGREGATE <br />g4,00 0,000 <br />GENL <br />PRODUCTS-COMP/OP AGG <br />54,000,000 <br />S <br />OTHER: <br />A <br />AUTOMOMI <br />LIABIUW <br />052792757 <br />11312022 <br />1/31/2023 <br />COMBINED SINGLE LIMIT <br />Ea .1danl <br />S2,000,000 <br />BODILY INJURY (Par parson) <br />S <br />ANYAUTO <br />OWN(Per <br />AUTOSED ONLY AUTOS SCHEDULED <br />BODILY INJURY) <br />am.Jdent <br />S <br />XAUTOS <br />HIRED X NONN <br />ONLY AUTOSS ONLYLY <br />PROPERTY DAMAGE <br />(Per PeraWtlenl <br />$ <br />UMSRELAUAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CIAIMS-MADE <br />DEO I I RETENTIONS <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />2271761180 <br />IM12022 <br />1/31/2023 <br />X 5TA UTE ER <br />E.L. EACH ACCIDENT <br />$1,000.000 <br />ANYPROPRIETORIPARTNEWEXECUTIVE <br />OFFICEMMEMBEREXCLUDED? <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />(MarMatory, In NH) <br />If, , dascrisk under <br />DESCRIPTION OF OPERATIONS belay <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />C <br />❑ <br />C <br />Emom and recluse.. <br />CnmelFiduciNarY HBhillly <br />NeNvak 9eavity (Cyber) <br />D52792836 <br />826DO528 <br />052792836 <br />1/31/2022 <br />1/312022 <br />1M2022 <br />1131/2023 <br />1/31/2023 <br />1/3112023 <br />ESO Limit <br />Crime s FO UmiI <br />Cyber Umll <br />3,000,D00 <br />1,000,000 <br />1,000,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 19I.AddKional Remarks Schedule, maybe aaached ifmme spacals inquired) <br />City of Santa Ana, officers, agents, employees, and volunteers are included as an additional Insured under the general liability policy per form BOP-47675a <br />(0716) pursuant to written agreement, subject to the terms and Conditions of the policy. The general liability policy is primary and any insurance carried by City <br />shall be excess and noncontributory. <br />A waiver of subrogation is provided in favor of the City of Santa Ana under the general liability per form BOP-47676a (0716) when required by written <br />agreement, subject to the terms and Conditions of the policy. <br />Certificate Holder is an additional insured under the auto liability policy subject to the terms and conditions of the policy. <br />SHOULD ANY OF THE ABOVE DESCRIBE ed"e. <br />THE EXPIRATION DATE THEREOF, N s <br />City Of Santa Ana ACCORDANCE WITH THE POLICY PROVIS <br />20 Civic Center Plaza ` <br />Box AUTHORIZEDREPRES <br />Santa AnaaCA 92702 1 <br />4itdar•! ©1988-2D15 ACORD CORPORATION. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />RenEwEO&APPRovBDBr. <br />"�U <br />RNk Mans gerrlen Supe� <br />