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EVIDENT ID, INC.
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EVIDENT ID, INC.
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Last modified
6/18/2026 10:43:02 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
7/12/2026
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(MMI <br /> A�® CERTIFICATE OF LIABILITY INSURANCE 7OT6 <br /> 2/202 DIYYYY) <br /> 2/20 2 6 <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 /> PHONE FAX <br /> FOUR EMBARCADERO CENTER,SUITE 1100 (A/C,No Ext: A/C,No <br /> CALIFORNIA LICENSE NO.0437153 E-MAIL <br /> SAN FRANCISCO,CA 94111 ADDRESS: <br /> Attn:Denver.CertRequest@marsh.com/FAX 212-948-4381 INSURER(S)AFFORDING COVERAGE NAIC# <br /> 118921369--GAUC-26-27 INSURERA: Berkley Regional Insurance Co. 29580 <br /> INSURED Evident ID,Inc. INSURER B: Mosaic Americas Insurance Services LLC <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: SEA-004218293-05 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 ADDLSUBRTYPE OF INSURANCE INSD WVD POLICY NUMBER <br /> POLICY EFF POLICY EXP <br /> LTR MM/DDIYYYYI iMMIDDIYYYYI LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY TCP 7023277-12 07/12/2025 07/12/2026 EACH OCCURRENCE $ 1,000,000 <br /> RENTEDDAMAGE TO <br /> CLAIMS-MADE X� OCCUR FIR SES(Ea."; <br /> Ea occrre... $ 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 /> POLICY❑ JECT PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,N <br /> 000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTYDAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> L $ <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N❑ NIA <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> B Cyber with Tech E&O PCY5388426AA 06/01/2026 06/01/2027 Cyber with Tech E&O 5,000,000 <br /> SIR:$100,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> City of Santa Ana,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 Tu Tran Nguyen at 7:12 am,Jun 18,2026 <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Attn:Julie Houng,Human Resources Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 20 Civic Center Plaza,M-40 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Santa Ana,CA 92701 <br /> AUTHORIZED REPRESENTATIVE <br /> 7 W-1t �rQle �ctotirnacue S�viee� <br /> @ 1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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