|
i........IN BLUETEC-01 JPOMPIGNANO
<br /> ACoRo' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)
<br /> 7/16/2024
<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 CONTACT Janette Pompignano
<br /> NAME:
<br /> The Fedeli Grou � �, • 1 ��FAX 328-8081
<br /> 5005 Rockside d,Fifth Floor �
<br /> Independence 41 a I Cli ••G t
<br /> r G I r. p Tii
<br /> __ INSURER(S)AFFORDING COVERAGE NAIC B
<br /> I • :V•1-�!•rr•- I•s an•: C•• r- r�1 0508
<br /> INSURED I E :111]i D1 lI I _110 a •,�- �•e—Ya o ist.lio,1:1 0478
<br /> Blue Technologies, , lue Technologies Smart Solutio s NSUR -C:Continent. nsurance Company 35289
<br /> LLC
<br /> 58 Grant Avenue e eI _ R :tontinent
<br /> _ _ _ 20443
<br /> Cl land,OH 44105 i t' s
<br /> INSURER F: I
<br /> COVERAG E I C RE I -;,
<br /> THIS IS T CERTI INDICATED. NOTWITHSTANDING ANY CREQUIREMENT, T• RM JR CONDITIONI OF I N . DO AL araz TyE If�ER DOLot7MENT SPECTTOLW WHICH ICY THIRIGS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE IN'JRANCE 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER I POLICY EFF POLICY EXP LIMITS
<br /> LTR INSR WVD (MM(DDIYYYYI (MM/DD/YYYYI_
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR 7014859669 5/1/2024 5/1/2025 DAMAGE TO RENTED 100,000
<br /> X X PREMISES(Ea occurrence) $
<br /> MED EXP(Any one person) $ 15,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY X JECOT LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> (Ea accident) $
<br /> X ANY AUTO 7014859672 5/1/2024 5/1/2025 BODILY INJURY(Per person) $
<br /> AWNED UTOS ONLY AUTOSULED
<br /> A BODILY INJURY(Per accident) $
<br /> AUTOS ONLY NON-OWNED ONLY (Peer accidentDAMAGE $
<br /> $
<br /> C X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000
<br /> EXCESS LIAB CLAIMS-MADE 7014859686 5/1/2024 5/1/2025 AGGREGATE $ 5,000,000
<br /> DED X RETENTION$ 10,000
<br /> A AND EMPLOYER3ELIABII COMPENSATION
<br /> I STPEATUTE I X ERH-
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 7014859669 5/1/2024 5/1/2025 E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N I A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> D Technology E&O 7039378793 ' 5/1/2024 5/1/2025 Third Party 5,000,000
<br /> D Cyber Liability 7039378793 5/1/2024 5/1/2025 Limit 5,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City of Santa Ana,its City Council,officers,officials,employees,agents,or volunteers are included as additional insureds as required by written contract.
<br /> General Liability policy is primary and non-contributory and includes waiver of subrogation. The policy includes a 30 day notice for cancellation or material
<br /> restriction and a 10 day notice due to non-payment of premium.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREO\
<br /> ACCORDANCE WITH THE POLICY PR( ,�•r Risk Ma nottattDivislan
<br /> 20 Civic Center Plaza REVIEWED&APPROVED BY:
<br /> Santa Ana,CA 92701 e
<br /> AUTHORIZED REPRESENTATIVE °I - '. A cev a
<br /> A
<br /> IY 1 it I p`l` 0 bbb...""" -------.B"------' Risk Management Specialist
<br /> I /
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved\
<br /> The ACORD name and logo are registered marks of ACORD
<br />
|