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EVIDENT ID, INC.
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EVIDENT ID, INC.
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Last modified
5/5/2026 8:43:07 AM
Creation date
5/5/2026 8:42:37 AM
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Contracts
Company Name
EVIDENT ID, INC.
Contract #
N-2026-092
Agency
Human Resources
Expiration Date
4/30/2027
Insurance Exp Date
6/1/2026
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A DATE(MMIDDIYYYY) <br /> /`\ CERTIFICATE OF LIABILITY INSURANCE o412or2o2s <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 /> MARSH RISK&INSURANCE SERVICES NAME: <br /> PHOE <br /> FOUR EMBARCACERO CENTER,SUITE 1100 A1CNNo Ext: FA c No): <br /> CALIFORNIA LICENSE NO.0437153 E-MAIL <br /> SAN FRANCISCO,CA 94111 ADDRESS: <br /> Atari:IJenver.CertRequcst@marsh.ccm 1 FAX 212-948-4381 INSURER 5 AFFORDING COVERAGE NAIC# <br /> 118921369--GAUG25-26 _ - _ INSURER A: Berkley Reg oval Ir suranee Co. 29580 <br /> INSURED Evident ID,Inc. INSURER B: Mosaic Americas Insurance Services I <br /> 945 East Paces Ferry,Suite 1700 INSURER C, <br /> Atlanta,GA 30326 <br /> INSURER D <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: SFA-004218293-02 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 EFF POLICY EXP I LIMITS LTR D1YYW POLICY NUMBER MMfD MMfDD1YYYY <br /> A X COMMERCIAL GENERAL LIABILITY TOP 7023277-12 07/1212025 07112/2026 EACH OCCURRENCE $ 1,000.000 <br /> �� DAMAGE TO RENTED <br /> CLAIMS-MADE 1 ' OCCUR PREMISES Ea occurrence $ 1,000,000 <br /> MED EXP(Any one person) $ 15,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY PRO- <br /> JECT [] LOC PRODUCTS-COMPIOP AGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Par accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Par accident _ <br /> $ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR HCLAIMS-MADE AGGREGATE $ <br /> DE❑ 1 I RETENTION$ <br /> WORKERS COMPENSATION PER I OTH <br /> AND EMPLOYERS'LIABILITY ,YIN STATUTE I ER <br /> ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? N I A <br /> (Mandatory in NH] E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S <br /> B CyberI Tech nologyE&O POY5388425AA 0610112025 961011202E Limit 5,000,000 <br /> SIR:$50,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD tot,Additional Remarks Schedule,may he attached if more space is requrred) <br /> City of Santa Al its City Council,its officers,officials,employees,agents,and volunteers are included as additional insured where required by written contract with respect to General Liability. <br /> APPROVED <br /> By Tv Tran!Nguyen at 10.36 am,Apr 21,2026 <br /> CERTIFICATE HOLDER CANCELLATION <br /> Oily of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Attn:Julie HOnng,Human Resources Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 20 Civic Center Pala,M-40 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Santa Ana,CA 92701 <br /> AUTHORIZED REPRESENTATIVE <br /> gold dale �l�tau�aee S <br /> b 1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />
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