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Francine R. Digitally signed by FrancineR. <br />Villareal <br />Villareal Date: 2021.04.22 12:20:10-0700' <br />ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />04/21 /2021 <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 />Wright, Finnegan & Carter Insurance Associates <br />23001 La Palma Ave Ste 100 <br />Yorba Linda, CA 92887 <br />CONTACT <br />Rachelle Harman <br />PHONE FAX <br />AIc No): (714)283-1997 <br />ADDRESS: rachelleh@wfcinsurance.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />License #: Ok93616 <br />INSURERA: Continental Casualty <br />20494 <br />INSURED <br />Sierra Cybernetics Inc <br />INSURER B : <br />DBA Suite 201 <br />INSURERC: <br />INSURER D: <br />5140 E. La Palma Ave. <br />INSURERE: <br />Anaheim Hills, CA 92807-2069 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 00001561-680688 REVISION NUMBER: 14 <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 />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />1034949260 <br />04/20/2021 <br />04/20/2022 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE 1XI OCCUR <br />DAMAGE RENTED <br />PREM SESOEa occu Bnce <br />$ 300,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL &ADV INJURY <br />$ 2,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />GEN'L <br />X <br />POLICY PECT LOC <br />PRODUCTS - COMP/OP AGG <br />$ 4,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />1034949260 <br />04/20/2021 <br />04/20/2022 <br />CMBINEDA <br />Ee acciden SINGLE LIMIT <br />$ 1 000 000 <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 />X <br />HIRED NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/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 />I <br />I <br />I <br />I <br />I E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Bus Pers Property <br />1034949260 <br />04/20/2021 <br />04/20/2022 <br />Limit <br />1,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES ,AGENTS & REPRESENTATIVES ARE <br />ADDITIONAL INSURED & PRIMARY WORDING APPLIES PER THE BLANKET ADDITIONAL <br />INSURED ENDORSEMENT ATTACHED TO THE POLICY - AS REQUIRED BY WRITTEN <br />CONTRACT. 30 DAY WRITTEN NOTICE OF CANCELLATION WILL BE PROVIDED TO <br />THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CA 92701. 30 DAY <br />CERTIFICATE HOLDER CANCELLATION <br />THE CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />RISK MANAGEMENT DIVISION ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CIVIC CENTER DRIVE <br />4TH FLOOR AUTHORIZED REPRESENTATIVE <br />SANTA ANA, CA 92702 <br />(44 © 1988-2015 ACORD CO "BRA"`F RisleTAa�ag�rnentDiveaian <br />z REVIEWED & APPROVED BY.- <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Printed by I <br />Risk Management Analyst <br />