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BLUETEC-01 JPOMPIGNANO
<br /> ,d►coRo CERTIFICATE OF LIABILITY INSURANCE DATE
<br /> 5/1/2 2YYYY)
<br /> 5/1/2025
<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 Group PHONE FAX
<br /> 5005 Rockside Road,Fifth Floor (A/C,No,Ext):(216) 643-6651 (A/C,No):(216) 328-8081
<br /> Independence,OH 44131 E-MAIL-ADDRESS:JPompignano@thefedeligroup.com
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURIERANalley Forge Insurance Company 20508
<br /> INSURED INSURER B:National Fire Insurance Company of Hartford 20478
<br /> Blue Technologies Smart Solutions LLC INSURER C:Continental Insurance Company 35289
<br /> 5885 Grant Ave INSURER D:Continental Casualty Company 20443
<br /> Cleveland,OH 44105
<br /> INSURER E
<br /> INSURER F:
<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 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR 7014859669 5/1/2025 5/1/2026 DAMAGE TO RENTED 100,000
<br /> X PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $ 15,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY�X PEI° 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 5/1/2025 5/1/2026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident)
<br /> ccident $
<br /> C X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 10,000,000
<br /> EXCESS LIAB CLAIMS-MADE 7014859686 5/1/2025 5/1/2026 AGGREGATE $ 10,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> A WORKERS COMPENSATION PER X OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> Y/N 7014859669 5/1/2025 5/1/2026 1,000,000
<br /> ANY PROPRIETOR/ R/EXECUTIVE ❑ E.L.EACH ACCIDENT $
<br /> EXCLU
<br /> OFFICER/MEMBER EXCLUDED? N/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 5/1/2025 5/1/2026 Third Party 5,000,000
<br /> D Cyber Liability 7039378793 5/1/2025 5/1/2026 Limit 5,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> City of Santa Ana,officers,agents,employees,and volunteers are included as additional insureds as required by written contract. Policy is primary and
<br /> non-contributory and includes 30 day notice of cancellation.
<br /> signed
<br /> Tu Tra n TugTralnyNguy nby
<br /> Date:Nguyen 16:4158-0T00'1
<br /> APPROVED
<br /> By Tu Tran Nguyen at 4:41 pm,May 21,2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Y ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Risk Management Division
<br /> 20 Civic Center Plaza,4th Floor
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> (�Pd1�'�'`&o
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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