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AC Ro® CERTIFICATE OF LIABILITY INSURANCE DATE(MMl°DfYYYY) `� r 06/05/2025 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 CONTACT NAME: Julie Noonan Embroker Insurance Services LLC PHONE FAX 5214E Diamond Heights BIvd.Unit 1261 ADaRREssr certificates@embroker.com _ INSURER(S)AFFORDING COVERAGE NAIL# San Francisco CA 94131 INSURER A: Hartford Underwriters Insurance Company 30104 INSURED INSURER B: Hartford Fire Insurance Co. 19682 Graviton Consulting Services Inc. INSURERC: Everspan Indemnity Insurance Company 16882 INSURER D: 8801 Folsom Blvd Suite 120 INSURER E: Sacramento CA 95826 INSURERF: COVERAGES CERTIFICATE NUMBER: 36863 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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, ILTR I TYPE OF INSURANCE INSID VD POLICY NUMBER POLICY EFF IPo1LDC YYW LIMITS X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 2,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ 10,000 A Y Y 57SBABA5W2R 04/22/2025 04/22/2026 PERSONAL&ADV INJURY s 2T0001000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s 4,000,000 X POLICY❑PEC LOG PRODUCTS-COMPIOPAGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2 dQ{),fl 00 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED A A TOSONLY AUTOSULED Y Y 57SBABA5W2R 04/22/2025 04/22/2026 BODILY INJURY(Per accident) $ M HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMB:RELLALIAB ^ OCCUR EACH OCCURRENCE $ 8,000,000 A EXCESS LLIA13 CLAIMS-MADE_ Y Y 57SBABA5W2R 04/22/2025 04/22/2026 AGGREGATE $ 8,000,000 DED X I RETENTIONS 10000 $ WORKERS COMPENSATION PER R OTH- : STATUTEE AND EMPLOYERS'LU1B[LnY Y I N ANYP ROPR I ETO RI PA RTN E R IEX EC UTIV E OFFICERfMEMBER EXCLUDED? N 1 A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ V yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Tech E&O Cyber is illty 57TE026853524 12/23/2024 12/2312025 Per Occurrence 2,000,000 B Tech E&OlCyber Liability 57TE026853524 12/23/2024 12/23/2025 Aggregate 3,000,000 C Commercial Crime EM3EII-CR-000466-01 08/2512024 08/25/2025 Aggreg.l Per Claim 1,0()0,()00 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana,Attention:Jack Ciulla,Chief Technology Innovations Officer Information Technology Department is included as an Additional Insured on the General Liability, Umbrella Liability and Auto Liability policies as per written contract. A Waiver of Subrogation applies to the Additional Insured with respect to the General Liability,Umbrella Liability and Auto Liability policies as per written contract. City of Santa Ana,Attention:Jack Ciulla, Chief Technology Innovations Officer Information Technology Department is included as an Additional Insured on a primary non-contributory basis on the General Liability,Umbrella Liability and Auto Liability policies as per written contract. Digitally Sig d TU Tra n by Tu Tran Nguyen CERTIFICATE HOLDER CANCELLATION rpa e: ,10 _ o. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana,Attention:Jack Ciulla,Chief Technology ACCORDANCE WITH THE POLICY PROVISIONS. Innovations Officer Information Technology Department AUTHORIZED REPRESENTATIVE. APPROVED 20 Civic Confer Plaza Santa Ana CA 92701 a gy 7u Tran Nguyen at 3:02 pm,Jun 10,2025 wi7tzilf t O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD