|
./� SOCRCYB-01
<br />PDIMAR
<br />DATE 1
<br />3/110/2012025
<br />ACORO' 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 endorsemen s).
<br />PRODUCER
<br />CONTACT
<br />Wesfair Agency, Inc.
<br />PO Box 320
<br />Chappaqua, NY 10514
<br />PHONE FA%
<br />a/C, No, E:t : (914) 238-3734 AIc, Na :(914) 236-8402
<br />Ebm,&[LEss. contact@wesfair.com
<br />INSURE S AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A : The Hartford
<br />29424
<br />INSURED
<br />INSURER B:TrisuraSpecialty Insurance Company
<br />16188
<br />INSURER C :
<br />Socradar Cyber Intelligence Inc
<br />INSURER D :
<br />254 Chapman Rd Ste 20
<br />Newark, DE 19702
<br />INSURER E:
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: RFVISION NIIMRFR-
<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 CONTRACTOR 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 />INGR
<br />LTRTYPE
<br />OF INSURANCE
<br />ADOL
<br />9UBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ❑X OCCUR
<br />X
<br />X
<br />16SBMBM8WHU
<br />12116/2024
<br />1211612025
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGETOREMrED
<br />PREMI
<br />1000000
<br />10,000
<br />MED EXP LA.V onePerson)
<br />PERSONAL&ADV INJURY
<br />11000,000
<br />GEN'L
<br />X
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY ❑ jECT LOC
<br />GENERAL AGGREGATE
<br />11 21000,000
<br />PRODUCTS-COMP/OP AGG
<br />2,0001000
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />$ q,ggg ggg
<br />BODILY INJURY Per person)$
<br />ANY AUTO
<br />16SBMBM8WHU
<br />1211612024
<br />1211612025
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Per accident
<br />$
<br />X
<br />AMAGE
<br />ParracoRJYhy
<br />$
<br />AUTOS ONLY X NON -OWNED ONLY
<br />A
<br />X
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />AGGREGATE
<br />41000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />X
<br />X
<br />16SBMBMBWHU
<br />1211612024
<br />12/16/2025
<br />DEC X RETENTIONS 10,000
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILITY YIN
<br />ANY FFICERIMEI BER EXCLUO OXECUTIVE ❑
<br />PANandatory In NH)
<br />NIA
<br />PER OR
<br />E.L.EACH ACCIDENT'
<br />ELDISEASE EA EMPLOYE
<br />If Yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L DISEASE- POLICY LIMIT
<br />B
<br />Errors & Omissions
<br />X
<br />AT5662582001
<br />11/4/2024
<br />1114/2025
<br />ea. claimlaggreg
<br />3,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are to be added as additional insureds under General Liability,
<br />Umbrella Liability and Company's E&O/Cyber Liability policy, with respect to any liability arising out of work or operations performed by or on behalf of the
<br />Company including materials, parts, equipment, and personnel furnished in connection with such work or operations as required by written contract.
<br />Waiver of subrogation in favor of City of Santa Ana, and its City Council, its officers, officials, employees, agents, and volunteers as respects of job performed
<br />by SOCRadar Cyber Intelligence, Inc. as required by written contract.
<br />A 30 day notice of cancellation is endorsed to the policy for the City of Santa Ana. ""'"�°"" APPROVED
<br />Project: #14-6809 / Arterial Street Slurry Seal Tu TranrvT=•
<br />Nguyen
<br />By Tu Tran Nguyen at 9:24 am, Mar 11, 2025
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Administrative Sews Div. M-96
<br />Attn: Jeff Hiltbrand
<br />Santa Ana, CA 92701
<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 PROVISIONS.
<br />AUTHOI/��RIZED REP�RESSEENTTAATIVE
<br />_W � -4, r
<br />ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
|