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ACX>R©0 CERTIFICATE OF LIABILITY INSURANCE
<br />d#TEtMMlDDIYYYY)
<br />P
<br />-'
<br />6/7/2017
<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 />PRODUCERABD Insurance & Financial Services
<br />CertificaRequest
<br />NAME....._. te
<br />CONTACT .. . ... ..� _ m .... -_.....-4-15-483-7769
<br />450 Sansome Street, #300
<br />...
<br />PRONE FAX
<br />AAic, No, eXLI 415-483-7770 tats NnI. 4.1 5 4$3
<br />Sawn Francisca, CA 94111
<br />_7769
<br />E-MAIL.
<br />ADDRESS: CertReuesY theabdteam.com
<br />INSURER S. AFFORDING COVERAGE
<br />NAIC #
<br />_...
<br />$ 800,000
<br />INSURERA: Hartford Fire Insurance Company —
<br />19682
<br />www.theabdteam.com
<br />.. .... .......... .... -
<br />INSURED
<br />Govern mentjobs.com, Inc. N1 OGOV)
<br />INSURER, B_ .....____.
<br />... ..
<br />C: Trumbull Insurance CoTpAQy
<br />27120m
<br />222 N Sepulveda Blvd., #2000
<br />INSURER
<br />EI Segundo, CA 90245
<br />INSURER D: Illinois Union Insurance Company
<br />27960__
<br />INSURER E
<br />INSURER F:
<br />GENT. AGGREGATE LIMIT APPLIES PER:
<br />...$... 2,000„000
<br />COVERAGES CERTIFICATE NUMBER: 36049819 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE. BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER, DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR, ADOLSt18Ft. POLICYEFF POLICYEXP .-_...., ......-.
<br />LTR TYPE, OF INSURANCE.. POLICY NUMBER MMIDDNYYY MMIDD/YYYY LIMITS
<br />A
<br />COMMERCIAL GENERAL LIABILITY
<br />4.6 UUN KQ5028
<br />8/25/2016
<br />8/25/2017 EACH OCCURRENCE;
<br />$ 1,000,000
<br />�
<br />CLAIMS -MADE, 1 � OCCUR
<br />-- 1
<br />.
<br />DAMAGE TO RENTED
<br />PREMISES IEa occurrence
<br />_...
<br />$ 800,000
<br />$ ^....._ 10,000
<br />MED EXP (Any one person)
<br />$ 1,000,000
<br />PERSONAL 8 ADV INJURY
<br />'
<br />GENT. AGGREGATE LIMIT APPLIES PER:
<br />...$... 2,000„000
<br />'..... GENERAL AGGREGATE
<br />POLICY, JECT El LOC
<br />PRODUCTS-COMPIOPAGG
<br />$ 2,000000
<br />OTHER:
<br />$
<br />A
<br />AUTOMOBIILELIABILITY......
<br />46 UUN KQ5028
<br />8/25/2016 8/2512017
<br />OMIEaeBINE�DLSINGLELIMIT $ m,....,1._0d0..000
<br />''...... BODILY INJURY (Per person) $
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />BODILY INJURY (Per accident) $
<br />AUTOSONLY AUTOS
<br />PROPERTY DAMAGE $
<br />Per accident
<br />HIRED NON -OWNED
<br />L�_
<br />AUTOS ONLY AUTOS ONLY
<br />$
<br />UMBRELLA LIAR
<br />OCCUR
<br />EACH OCCURRENCE. $
<br />EXCESS i
<br />CLAIMS -MADE
<br />AGGREGATE $
<br />OED ''., RETENTION $
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />46 WE AR6243'
<br />8/25/2016
<br />8125/2017
<br />s"E�ARTUTE oTnH-
<br />EMPLOYERS'AND LIABILITY YIN
<br />-_- ..__....._....
<br />- -
<br />ANYPROPRIETORIPARTNERlEXECUTIVE
<br />E L EACH ACCIDENT $ 1,000,000
<br />OFFICER/MEMBER EXCLUDED”? ❑
<br />NTA-
<br />._. ._......
<br />(MandatoIn NH)
<br />EA LYE 000 000
<br />EIOMIT
<br />er
<br />OF
<br />DESCRIPIf yes, TION ribe undOPERATIONS below
<br />E1, DISEASE - PO CYP L$� ,000,000
<br />D
<br />Errors & Omissions/Cyber Terrorism/
<br />G28209964001
<br />1/25/2017
<br />1/25/2018
<br />Per Occurence : $5,000,000
<br />Hacking, Data Breach
<br />I
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 904., Additional Remarks Schedule, may be attached If more space is required)
<br />The City of Santa Ana, its Officers„ 'Employees, Agents, and Representative are additional insureds to General Liability where required
<br />by written contract or agreement per attached endorsement. Primary warding applies to General Liability where required by written
<br />contract or agreement per attached endorsement. >
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />Rod Sockolov
<br />1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />36049819 1 16-17 OL,.AU„Urb,WC, S+BEO/Cy^laa=.r,hacking I Fatra 41) II £i'7/201.7 10.57:20 AM ttri I Page. 1 of 19
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