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ACCW" CERTIFICATE OF LIABILITY INSURANCE FDATEIMMIDDNYYY)
<br /> �� 06/05/2025
<br /> THIS CERTIFICATE 15 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 pollcy(les)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: Julie Noonan
<br /> Embroker Insurance Services LLC PHONE FAX
<br /> C o 'c No:
<br /> 5214F Diamond Heights Blvd.Unit 1261 E-MAIL certificates embroker.com
<br /> g ADDRESS: CO'
<br /> INSURER(S)AFFgRDINGCOVERAGE _NAIC#
<br /> San Francisco CA 94131 INSURER A: Hartford Underwriters Insurance Company 30104
<br /> INSURED INSURERB: Hartford Fire Insurance Co. 19682
<br /> Graviton Consulting Services Inc. INSURER C: Everspan Indemnity Insurance Company 16882
<br /> INSURER D:
<br /> 8801 Folsom Blvd Suite 120 INSURERE:
<br /> Sacramento CA 95826 1 INSURERF:
<br /> COVERAGES CERTIFICATE NUMBER: 36863 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 ADD SUBR POLICY EFF I POLICY EXP
<br /> LTR TYPE OF INSURANCE POLICY NUMBER MMIDI,YW MMlDq LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE N, OCCUR DAMAGE TO RENTED
<br /> PREMISES Ea occurencel $ 1,000,000
<br /> MEP EXP(Any one person) $ 10,000
<br /> A Y Y 57SBABA5W2R 04/22/2025,I04/2212026 PERSONAL&ADV INJURY $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> V
<br /> X POLICY PRo-
<br /> JEGT LOC PRODUCTS-COMPlOPAGG $ 4,000,000
<br /> OTHER: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000
<br /> Ea accident
<br /> ANY AUTO i BODILY INJURY(Per person) $
<br /> A OWNED SCHEDULED Y Y 57SBABA5W2R 04/22/2025 1 04/22/2026 BODILY INJURY(Per accident) S
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTY➢AMAGE
<br /> AUTOS ONLY /� AUTOS ONLY Per accident $
<br /> $
<br /> X UMBRELLA LIAB X OCCUR I EACH OCCURRENCE $ 8,000,000
<br /> A EXCESS
<br /> LLIAB CLAIMS-MADE Y Y 57SBABA5W2R 04/22/2025 04/22/2026 AGGREGATE $ 8,000,000 _
<br /> RETENTION$ 10000
<br /> $
<br /> WORKERS COMPENSATION ; PER 'ER
<br /> EMPLOYERS'LIABILITY YIN STATUTE ER
<br /> ANYPROPRIETORIPARTNERIEXECUTIVE ❑ E.L.EACH ACCIDENT $
<br /> OFF ICERIMEMBEREXCLUDED? NIA'
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
<br /> If yes,describe under
<br /> RESCR€PTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> B Tech E&O Cyber Liability 57TE026853524 12/23/2024 12/23/2025 Per Occurrence 2,060,000
<br /> B Tech E&01Cyber Liability 57TF026853524 12/2312024 12/23/2025 Aggregate 3,000,000
<br /> C Commercial Crime i
<br /> EM3EII-CR-000466-01 08/2512024 08/25/2025 Aggreg.l Per Claim 1,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe 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
<br /> the General Liability, Umbrella Liability and Auto Liability policies as per written contract.
<br /> A Waiver of Subrogation applies to the Additional Insured with respect to the General Liability,Umbrella Liability and Auto Liability policies as per written
<br /> 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, Umbrella Liability and Auto Liability policies as per written contract. Digitally51g d
<br /> Tu Tran by Tu Tran
<br /> Nguyen
<br /> CERTIFICATE HOLDER CANCELLATION �ae: _' o0
<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,Attention:Jack Ciulla,Chief Technology ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Innovations Officer Information Technology Department
<br /> AUTHORIZED REPRESENTATIVE APPROVED
<br /> 20 Civic Center Plaza !'Ihr�1 V Y iJ
<br /> Santa Ana CA 92701 i'�+t By Tu Tran Nguyen at 3:02 pm,Jun 10,2025
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
<br />
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