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711/3/2025 <br /> E(MM/DD/YYYY) <br /> A�" CERTIFICATE OF LIABILITY INSURANCE <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 <br /> NAME: Ashley Allen <br /> American Ins. & Investment PHONE FAX <br /> 448 S 400 E A/C No Ext: 801-364-3434 A/C,No <br /> E-MSalt Lake City UT 84111 ADDRESS: ashley.allen@american-ins.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA: Underwriters at Lloyds London 15642 <br /> INSURED ALTERTE-01 INSURERB:WCF Mutual Insurance Company 10033 <br /> AlterTech Solutions, LLC <br /> 6185 S mount Vernon Dr INSURERC: <br /> Murray UT 84107 INSURERD: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:863428138 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 EFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICY NUMBER MM/DD MM/DD <br /> A X COMMERCIAL GENERAL LIABILRY Y Y ESN0240283635 3/24/2025 3/24/2026 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE � OCCUR PREMISES DAMAGE TO <br /> PREMISES Ea occurrence) <br /> ccurrence $250,000 <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY D PRO- <br /> JECT LOC PRODUCTS-COMP/OP AGG $1,000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY ESN0240283635 3/24/2025 3/24/2026 COMBINED SINGLE LIMIT $1,000,000 <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED X NON-OWNED FIR ERTYDAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> B WORKERS COMPENSATION Y 4101201 10/28/2025 10/28/2026 X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE FN] N/A E.L.EACH ACCIDENT $1,000,000 <br /> OFFICE R/M EMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> A Tech E&O Professional Liability ESN0240283635 3/24/2025 3/24/2026 Limit of Liability 1,000,000 <br /> Cyber Liability Aggregate 1,000,000 <br /> Retro Date:03/24/2023 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> The City of Santa Ana, its officers,officials,employees,and volunteers are additional insureds in respect to the general liability per written contract which is <br /> Primary and contributory.Waiver or subrogation applies to the general liability and workers compensation per written contract. Endorsement form to be added <br /> for Ten(10)days prior written notice for non-payment and Thirty(30)days prior written notice for policy cancellation shall be provided to City <br /> Tu Tran Digitally signed by <br /> Tu Tran Nguyen <br /> Date:2025.11.03 APPROVED <br /> Nguyen 11:54:45-08-00' <br /> By Tu Tran Nguyen at 11:54 am,Nov 03,2025 <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 /> City Of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attn: Heidi Chou <br /> 215 S. Center St. M-85 AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92701 <br /> USA <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />