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Digitally signed by Francine R. <br />Francine R. Villareal Villareal <br />Date: 2021.02.2417.08.13-08'00' <br />1 0 <br />ACOR" CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/°D/YYYY) <br />F 12/15/2020 <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 <br />Pacific Diversified Insurance Services <br />363 Civic Dr. Suite 100 <br />Pleasant Hill CA 94523 <br />CONTACT <br />NAME: CertlflCate department <br />PHONE FAX <br />A/c No Ext :925-686-2860 A/c, No : 925-686-6118 <br />ADDE-MRESS: certificates@pdins.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: Massachusetts Bay Insurance Company <br />22306 <br />License#: OK07568 <br />INSURED JAVACON-01 <br />Java Connections, LLC dba Laptops Anytime <br />17304 Preston Rd Ste 800 <br />INSURERB: The Hanover Insurance Company <br />22292 <br />INSURERC: <br />INSURER D <br />Dallas TX 75252 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 1190242501 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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />ODF D785344 <br />12/15/2020 <br />12/15/2021 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 300,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />POLICY ❑PRO ❑ <br />JECT LOC <br />X <br />PRODUCTS - COMP/OP AGG <br />$ 4,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />B <br />Technology E&O <br />LHF H446344 02 <br />12/15/2020 <br />12/15/2021 <br />Per Claim/Aggregate: <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />As required by written contract, the following endorsements apply to the Certificate Holder and/or any other entity named in this section: General Liability <br />Additional Insured 391-1006 08-16, Primary Wording & Non -Contributory 391-1003 08-16. <br />City of Santa Ana, Risk Management, it's officers, employees, agents, representatives, and volunteers <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, <br />NOTICE WILL <br />BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 Civic Center Plaza, 4th floor <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />u" cF <br />ILLi3R M&T7Agt'.Ih12t'lt DrViBlOrt <br />REVIEWED & APPROVED BY.- <br />@ 1988-2015 ACORD Cl�,' <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />_ _— <br />task Mran gement Analyst <br />