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Page 1 of 2 <br /> ACORO° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 06/18/2024 <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 su^!-endorsement(s). <br /> PRODUCER CONTACT WSW Ce;t'.fica Center <br /> Inc. I NAME: • <br /> Willis Towers Watson theast, aHON _ 9 . 1-888-467-2378 <br /> c/o 26 Century Blvd A <br /> P.O. Box 305191AAIL ce ficates@wt co DRESS: <br /> Nashville, TN 372 519 U i <br /> e <br /> SUR R S AFRO ING VER G NAIC# <br /> = <br /> N, IR ib M an 23035 <br /> INSURED INSI, �R B: LM Insuran orporation 33600 <br /> Guidehouse Inc. f� <br /> 1676 International Dr - 800 INSURINSUR{gy a •nsExa - rgpra y• - �m y 20079 <br /> McLean, VA 22102 / F /.= y/�'l_ tisl <br /> URER E <br /> M AI • G <br /> •UR ' FA • _A A iA a <br /> COVERAGES CE- ICA NU : R. - 801 I, • V • REV TA. N IT:. =. <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS ED sELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM C:, 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 ADDL SUBR POLICY EFF POLICY EXP <br /> TYPE OF INSURANCE <br /> LTR INSR WID POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 1,000,000 <br /> A MED EXP(Any one person) $ 25,000 <br /> Y Y TB2-Z11-C3H770-033 12/14/2023 12/14/2024 <br /> PERSONAL&ADVINJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY X jE r X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: S <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ Included <br /> B OWNED SCHEDULED Y Y AS5-Z11-C3H77D-023 12/14/2023 12/14/2024 BODILY INJURY(Peraccidenl) $ Included <br /> _. AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> X AUTOS ONLY X AUTOS ONLY (Per accident) $ Included <br /> $ <br /> C X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 2,000,000 <br /> EXCESS LIAR CLAIMS-MADE TH7-Z11-C3H77D-053 12/14/2023 12/14/2024 AGGREGATE S 2,000,000 <br /> DED RETENTIONS S <br /> WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> B ANYPROPRIETOR/PARTNER/EXECUTIVE ,000,000 <br /> OFFICER/MEMBER EXCLUDED? n E.L.E <br /> N/A Y WC5-Z11-C3H77D-o13 12/14/2023 12/14/2024 L EACH ACCIDENT $ <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 & Professional Liab 42-EPP-332564-01 12/14/2023 04/28/2025 Limit $10,000,000 <br /> Media Liability Limit $10,000,000 <br /> Network Security & Privacy Liab Limit $10,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> City of Santa Ana, its officers, officials, employees, and volunteers are included as Additional Insureds as respects <br /> to General Liability and Auto Liability. <br /> General Liability and Auto Liability policies shall be Primary and Non-contributory with any other insurance in force <br /> for or which may be purchased by Additional Insured. <br /> CERTIFICATE HOLDER CANCELLATION <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 PRC\ / <br /> City of Santa Ana RidtManagementDivlsion <br /> Risk Management Division AUTHORIZED REPRESENTATIVE : REVIEWED&APPROVED BY: <br /> 20 Civic Center Plaza <br /> 4th Floor 9.!. r"n rs: Aiu Aav <br /> pmFn;4.4 CI'. 3 ` <br /> Santa Ana, CA 92701 fit' Risk Management Specialist <br /> ©1988-2016 ACORD/ <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> SR 00: 26031478 BATCH: 3506727 <br />