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PERETEC-01 MSARRACINO
<br /> ,d►coRo CERTIFICATE OF LIABILITY INSURANCE FDATE 12/15/2025Y)
<br /> 12/15/2025
<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
<br /> NAME:
<br /> Kore Insurance Holdings, LLC PHONE FAX
<br /> P.O. Box 473 (A/C,No,Ext):(973)994-3131 (A/C,No):(973)996-3161
<br /> 354 Eisenhower Parkway, Plaza 1 E-MAIL
<br /> Livingston, NJ 07039
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURERA:Hartford Underwriters Insurance Company 30104
<br /> INSURED INSURER B:The Hartford* 19682
<br /> Peregrine Technologies,Inc. INSURERC:Beazley Insurance Corn pany, Inc. 37540
<br /> 71 Stevenson St
<br /> Ste 700 INSURER D:Scottsdale Insurance Company 41297
<br /> San Francisco,CA 94105 INSURER E 7
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD MM/DD/YYYY MM/DD/YYYY
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE Xrl
<br /> OCCUR 46SBABF4FW2 3/29/2025 3/29/2026 DAMAGE TO RENTED 1 000,000
<br /> X X PREMISES Ea occurrence $
<br /> MED EXP(Any oneperson) $ 10,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
<br /> POLICY X 71 PEA LOC PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 2,000,000
<br /> Ea accident $
<br /> ANY AUTO X X 46SBABF4FW2 3/29/2025 3/29/2026 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> X HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident)
<br /> ccident $
<br /> A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000
<br /> EXCESS LIAB CLAIMS-MADE 46SBABF4FW2 3/29/2025 3/29/2026 AGGREGATE $ 3,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> B WORKERS COMPENSATION X PER STATUTE E ERR
<br /> AND EMPLOYERS'LIABILITY
<br /> 13WECAC3TVE 12/4/2025 12/4/2026 1,000,000
<br /> ANY PROPRIETOR/EXCLUDED?
<br /> R/EXECUTIVE N/A X E.L.EACH ACCIDENT $
<br /> OF EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,UOU
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> C E&O,Cyber-Lead X VG00006652AA 3/8/2025 3/8/2026 Each Claim 2,000,000
<br /> D E&O,Cyber Liab-XS X EKS3565008 3/8/2025 3/8/2026 Each Claim 3,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> If required by written contract,the following is included as additional insured:
<br /> City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteers are to be covered as additional insureds,under Company's CGL
<br /> and AL policies,with respect to any liability arising out of work or operations performed by or on behalf of the Company including materials,parts,
<br /> equipment,and personnel furnished in connection with such work or operations.
<br /> Company's Insurance companies agree to waive all rights of subrogation against City of Santa Ana,its City Council,its officers,officials,employees,agents,
<br /> SEE ATTACHED ACORD 101
<br /> CERTIFICATE HOLDER �AP_
<br /> PROVED CANCELLATION
<br /> u Tran Nguyen at 10:43 am,Jan 08,2026
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Digitally signed THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana
<br /> City
<br /> Civic Center Plaza TU Tran byTuNguy ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Santa Ana,CA 92701 Nguyen Date:2026.01.0
<br /> 10.43:23-OB'00'
<br /> AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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