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ACOR®' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODNM) �'' 9/1/2016 6/1/2016 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 policyfies) must he 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 Lockton Insurance Brokers, LLCT•CT CA License#OF15767 Two Embarcadero Center, Suite 1700 San PranDIBDD OA 94111 POafawroonlyyy LIICC XP P N �Fnn. Not;; a No Ext): E MAIES$: v A E NAI (415) 5684010 INSURER A: Valley Forge Insurance Company 20508 6016940273 INSURED Active Network, LLC 1394474 717 North Harwood SC, Suite 2500 Dallas TX 7520135289 INSURER B: National Fire Insurance Co of Ilartford 20478 INSURER C : The Continental Insurance Company INsUI D : National Union Fire Ins Cc Pitts. PA 19445 _ �•'t n rV {... —.CI 1'�IJOi INSURE Columbia Casual Col an 31127 OR RF: COVERAGES 1084882 CERTIFICATE NUMBER: 12901237 REVISION NUMBER' XXXXXXX 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. INSR Im TYPE OF INSURANCE IDD SUBPOLICY NUMBER POLICY EFF POafawroonlyyy LIICC XP OMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Ir N 6016940273 6/1/2016 6/1(2017 EACHOCCURRENCE1,000,000 PREMG ES Ea oN�o ren • I OQO OQO MED EXP ifty 0 amen 15 000 Most Cmror Liab. Included PERSONAL A ADV INJURY $ 1,000,000 CENT AGGREGATE LIMIT APPLIES PER: POLICY❑ JECT ❑ LOC GENERA -AGGREGATE $2000OOO PRODUCTS-COMP/OP AGO s 2,000,000 $ OTHER _ A AUTOMOBILE LIABILITY N N 6016940239 6/1/2016 6/1/2017 1,000,000N OaBI�IED INGLELIMIT $ 1000000 X ANY AUTO ANY AUTOS NEO SUTESULED AANON--OWNED BODILY INJURY (Per Psrson) $ xxxxxxx pODiLY INJURY (Per accident $ XXXXXXX HIRED AUTOS AUTOS ROPERTV DAMAGE en $ XXXXXXX $500 X Coll $500 $ 7CXX7CX3CX B X UMBRELLALIAB X OCCUR N N 6016940287 6/112016 6/1/2017 EACH OCCURRENCE $ 25,000,000 EXCE35 LIAR CLAIMS -MADE AGGREGATE S 2S OQO,OOO DED RETENTION$ $ XXXXXXX C WOREERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYCER(M"ETOREXCLUDE EXECUTIVE ❑ ANYOFFPROIMEMBER ARTNERAE N (Mantlatory In NH) fESCRIPTI NOFO DESCRIPTION OF OPERgt10NS below NIA N 60169402$6 6/112616 6/1/2017 p7 . X STATUTE ElEACHACCIDENT $ 1,000,000 E.L e1SEASE- EA EMPLOYEE Is I000000 e.L. DISEASE - POLICY LIMY 1000000 D E D Cruse Tech E&O/Cyber Liability Claims Made N N 01-368-t2-18 59657/163 01-261-3048 6/1/2016 4/30/2015 4/30/2015 9/1/2016 9/1/2016 9/1/2016 55,000,000 Limit $10,000,000 Limit DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached If more space is required) 1Vp� City of Santa Ana Parks, Recreation and Community Services Agency, its officers, agents and employees are included as Additional Insured t ek'fe t provided by the policy language or endorsement issued or approved by the insurance carrier, Insurance provided to Additional Insured(s) j,X•L$ and non-contributory as per the attachedcudmsculows or policy language. G�e`v��' .,io . lad SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12901237 City of Santa Ana Attn: Silvia Cuevas Parks, Recreation and Community Services Agency 26 Civic Center Plaza Santa Ana CA 92701 The ACORD name and logo are registered marks of ACORD 000