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A4C Rai CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDGMYY) <br /> 4/11/2026 4/17/2025 <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 Lockton Companies,LLC CUNTACT <br /> DBA Lock-ton Insurance Brokers,LLC in CA PHONE FAX <br /> CA license#OF7 5767 A Ex W I AIC No <br /> E-MAIL <br /> 8110 E union Ave.,Ste. 100 ADDRESS: <br /> Deriver CO 80237 INSURER S AFFORDING COVERAGE NAIC# <br /> doLlycr-corts@locklon.com INSURER A:Berkley National Insurance Company 38911 <br /> INSURED INVOICE CLOUD,INC INSURER B:Riverport InSUra_nCe Con an 36684 <br /> 1540728 30 Braintree hill Office Park Suite 303 & 101 INSURER C <br /> Braintree MA 02184 INSURER D <br /> INSURER E <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 20490044 REVISION NUMBER: XXXXXXX <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 ADDL SUER <br /> LTR TYPE OF INSURANCE INSD POLICY NUMBER POLICY EFF POLICY EXP <br /> _ MM1D6fYYYY MMfDDIYYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY Y N TCP 7025831-11 4/1 1/2025 4/11/2026 EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE ® OCCUR DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ 1 000 000 <br /> MED EXP(Any one person) $ 15,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY PRO- LOC <br /> JECT PRODUCTS-COMPIOP AGO $ 2 000 000 <br /> OTHER: <br /> A AUTOMOBILE LIABILITY N N TCP 7025831-11 4/11/2025 4/11/2026 Ea COMBINED <br /> I EDtSINGLE LIMIT $ 1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ XXXXXXX <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ XXXXXXX _ <br /> X HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident) $ XXXXXXX <br /> $ XXXXXXX <br /> A X UMBRELLA LIAB X OCCUR N N TCP 702583 1-1 1 4/1 112025 4/11/2026 EACH OCCURRENCE $ 15,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 15,000,000 <br /> DEQ I RETENTION$ $ XXXXXXX <br /> B WORKERS COMPENSATION _ <br /> AND EMPLOYERS'LIABILITY YIN N TWC 7025832-11 4/1 U2025 4/1I/2026 STATUTE ER" <br /> ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? 1 .,i� �7�1� N f R E.L.EACH ACCIDENT $ 1,000,000 <br /> Mandatory in NH)i E.L.DISEASE-EA EMPLOYEE$ 1,000,000 <br /> f yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1000 000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY 15SULD CERTIFICATES FOR THIS HOLDER,APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S)REFERENCED. <br /> RE:Agreement:A-2020-028. City of Santa Ana is/arc an Additional Insured to the extent provided by the policy language or endorsement issued or approved by the insurance <br /> carrier. <br /> t)Igrtal"ysigned <br /> TLI Tran bynrran <br /> Nguyen <br /> Ng APPROVED <br /> I V"Llyen�3:24:30?0700'� <br /> By Tu Tran Nguyen at 7:24 pm,May 07, 2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 20490044 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Risk Management Division <br /> 20 Civic Center Plaza,4th Floor AUTHORIZED REPRESENTATM <br /> Santa Ana CA 92701 <br /> O f988,20 a AA ROC ATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />