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DATE (MM/DD/YYYY)
<br />ACOR" CERTIFICATE OF LIABILITY INSURANCE
<br />`� 08/29/2025
<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 Julie Noonan
<br />NAME:
<br />Embroker Insurance Services LLC a/coNN E : (844) 436-2765 FAX No
<br />5214F Diamond Heights Blvd.\nUnit #1261 E-MAIL
<br />ADDRESS: certificates@embroker.com
<br />San Francisco
<br />INSURED
<br />Graviton Consulting Services Inc.
<br />8801 Folsom Blvd
<br />Suite 120
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />CA 94131 INSURERA: Hartford Fire Insurance Company 19682
<br />INSURERS: SENTINEL INS CO LTD 11000
<br />INSURERC: EVERSPAN IND INS CO 16882
<br />INSURERD: HARTFORD UNDERWRITERS INS CO 30104
<br />Sacramento CA 95826 1 INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: 04c67350-84da-11f0-933 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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICYNUMBER
<br />POLICY EFF
<br />MM/DD
<br />POLICY EXP
<br />MM/DD
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />CLAIMS -MADE LX OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES (Ea occurrence)
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />$ 2,000,000
<br />D
<br />Y
<br />Y
<br />57SBABA5W2R
<br />04/22/2025
<br />04/22/2026
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />%<
<br />POLICY PRO ❑ LOC
<br />JECT
<br />PRODUCTS-COMP/OPAGG
<br />$ 4,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 2,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />D
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />Y
<br />Y
<br />57SBABA5W2R
<br />04/22/2025
<br />04/22/2026
<br />BODILY INJURY (Per accident)
<br />$
<br />✓
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY ✓ AUTOS ONLY
<br />UMBRELLA LIAB
<br />�/
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 8,000,000
<br />AGGREGATE
<br />$ 8,000,000
<br />D
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />Y
<br />Y
<br />57SBABA5W2R
<br />04/22/2025
<br />04/22/2026
<br />DED ✓ RETENTION$ 10,000
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N
<br />OFFICER/MEMBEREXCLUDED? Fy]
<br />(Mandatory in NH)
<br />NIA
<br />Y
<br />57WECGI2855
<br />12/23/2024
<br />12/23/2025
<br />PER
<br />✓ STATUTE EORH
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />A
<br />Technology Errors And Omissions
<br />57TE026853524
<br />12/23/2024
<br />12/23/2025
<br />Aggregate
<br />3,000,000
<br />C
<br />Employee Theft of Insured Property
<br />EM3EII-CR-000466-02
<br />08/25/2025
<br />08/25/2026
<br />Aggregate
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />City of Santa Ana, Attention: Jack Ciulla, Chief Technology Innovations Officer Information Technology Department is included as an Additional Insured on the
<br />General Liability, Auto Liability and Umbrella Liability policies as per written contract.
<br />A Waiver of Subrogation applies to the Additional Insured with respect to the Workers Compensation, General Liability, Auto Liability and Umbrella Liability
<br />policies as per written contract.
<br />City of Santa Ana, Attention: Jack Ciulla, Chief Technology Innovations Officer Information Technology Department is included as an Additional Insured on
<br />a primary non-contributory basis on the General Liability, Auto Liability and Umbrella Liability policies as per written contract.
<br />CERTIFICATE HOLDER CANCELLATION APPROVED
<br />By Tu Tran Nguyen at 12:16 pm, Sep 02, 2025
<br />City of Santa Ana, Attention: Jack Ciulla, Chief Technology SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Innovations ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Officer Information Technology Department Digitally signed b,.
<br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE u Tran Nguyen
<br />Date2025.09.02
<br />Santa Ana, CA, 92701 Nguyen 12:1709-07'00'
<br />12:17:09-07'00'
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<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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