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CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 6/25/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endo sempRi _ _ • L _ 1 1 • _ 1 1 _ PRODUCER Aingie NAME uTE IS3RBN Insurance SerPHONE RB E Wacker S r a 312-856- o ac No:312-856-9425 Chicago IL 60601 nooalESS ibs i r n con C NAIC# INSUREF a: H. Aford FireInsurance Co. 19682 INSURED OURCE-01 INSUR' <B: TrU .. lJ GDV7120 E Source CompaniAocievea. --. - la'.0 . . 9424 3020CarbonPlaceINSL',ERC: Boulder CO 83301 IN' JRER D: Hartford Insurance Grou SURER E: Un nvr art at a 15792 _ INSURER F: SCO da M E 41297 COVERAGES CERTIFICATE NUMBER: 5637646z2 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POUCYNUMBER POLICY EFF MMIDDIYYYY POLICY EXP MWDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y B3 UUN AH0533 6/14/2024 6/14/2025 EACH OCCURRENCE $1,000,000 CLAIMS --MADE 1XI OCCUR DAMAGE TO RENTED PREMISES Eaocru.. $300.000 MED EXP (Any one person) $10,000 PERSONAL S ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 GEN'L X POLICY D JET LOC PRODUCTS-COMP/OP AGO $2.000,000 $ OTHER: B AUTOMOBILE LIABILITY 83UENBG3L2R 6/14/2024 6/14/2025 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Par accident $ 8 C X UMBRELLALIAB OCCUR 83RHUAH0632 6/14/2024 6/14/2025 EACH OCCURRENCE $5,000,000 N AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN Y 13WEBG31-3G 6/14/2D24 6/14/2025 X STATUTE ERH E.L. EACH ACCIDENT $1,000,000 ANYPROPRIETOR/PARTNEWEXECUTIVE N OFFICERIMEMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) IT yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 E TechnoloW/Professional Liability APT1172524 6/14/2024 6/14/2025 Each ClaiMAggregate 5000000 each F Ezcess Cybedrech E 80 EKS3528861 6/14/2024 6/14/2025 Each Claim 5000000 each DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES ACORD RIM. Additional Remarks Schedule, may be attached it more space is required) City of Santa Ana, The City, its officers, employees, agents, volunteers & representatives are listed as additional insured on primary and non-contributory basis with respect to the General Liability as required by written contract or agreement. Waiver of Subrogation applies in favor of additional insured with respect to the General Liability and Workers Compensation as required by written contract or agreement. 30 Days Notice of Cancellation applies. Umbrella Liability follows the GL. Auto Liability and Workers Comp. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92701 ACORD 25 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PRC AUTHORIZED REPRESENTATIVE ©1988-2015 AC( The ACORD name and logo are registered marks of ACORD RekMmagmedDluI Risk Managemen[Spe6