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CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDrY(YY) 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 endorsement(s). PRODUCER Wright, Finnegan arter Insurance Asiociates Yorba Linda, CA 23001 LPalma A to qgie License #: 003 UUNrAUT NAME, D PHONE D N Ea f MAIL ADDRESS, _ � _ INSURERA: �I NSURED Sierra Cybernetics Inc 5140 E. La Palma Aye. Suite201 It Anaheim Hills, C 07 INSURER B INSURER IN RE' D: F IN .t F: COVERAGES 0 dkRWOWAI%bWMBM:6 s THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW P ,VE'.FEN ISSUED TO E 130AM i=1TABYE FORKFORKe POLI Y RIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITI JN' r 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 ADDLSUBR POLICY NUMBER POLICY EFF MMIDO POLICY EXP MMIDD[YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx] OCCUR y 1034949260 04/2012024 04/20/2025 EACH OCCURRENCE $ 2,000,000 PREMISES Me occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO ❑ JECT LOG GENERALAGGREGATE $ 4000000 PRODUCTS -COMPIOPAGG $ $ OTHER: A AUTOMOBILE LIABILITY 1034949260 04/2012024 0412012025 COMBINED SIRG—LE LIMIT $ 1 000 000 BODILY INJURY (Per Person) $ ANVAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( I $ X HIRED AUTOS ON AUTOS ONLY X AlR05 ONLYLY PROPERTY DAMAGE Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE OED I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER EL EACH ACCIDENT $ ANY PROPRIETORIPARTNETEXECUTIVE ❑ OFFICEWMEEXCLUDEDP NIA EL. DISEASE - EA EMPLOYE $ (Mandatary inn NH)NN) If yes, descrbe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Bus Pars Prop 1034949260 04/2012024 0412012025 Limit, 1,0 11 Deductible 500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES ,AGENTS & REPRESENTATIVES ARE ADDITIONAL INSURED Fa PRIMARY WORDING APPLIES PER THE BLANKET ADDITIONAL INSURED ENDORSEMENT ATTACHED TO THE POLICY - AS REQUIRED BY WRITTEN CONTRACT. 30 DAY WRITTEN NOTICE OF CANCELLATION WILL BE PROVIDED TO THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CA 92701. 30 DAY WRITTEN NOTICE OF CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER IN THE EVENT OF POLICY CANCELLATION. THIS CERTIFICATE OF INSURANCE SUPERSEDES THE ONE ISSUED ON 3131123. THE CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DES RTHE EXPIRATION DATE THEREOF, RISK MANAGEMENT DIVISION 20 CIVIC CENTER DRIVE ACCORDANCE W TH THE POLICY 4TH FLOOR AUTHORIZED REPR7TATIVE A— SANTA ANA, CA 92702 ©1988.2015 ACOI ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ItIRt managenolt umsion REVIEWED & APPROVED SY I Risk Management Specialist I CORPORATION. All rights reserved Printed by DLL on 07/02/2024 at 10:45AM