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oielulq:ignM by Freotlne R. Francine R. Villareal V IT-1l Date: 202aaev 10400 07'00' ACCW" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD YYV) 07/30/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 policy(ies) must have ADDITIONAL INSURED provisions or be 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 CONTACT MIS Bush NAME: Brown &Brown of Florida, Inc. PNONE (813) 226-1337 FAX (813) 226-1313 AIC No Ezt: FAXNo: P.O. Box 173086 a -MAIL mbush@bbtampa.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC M Tampa FL 33672 INSURERA: Great Northern Insurance Company 20303 INSURED INSURER B: Federal Insurance Company 20281 Holland & Knight LLP INSURER C : Sentry Insurance a Mutual Company 24988 524 Grand Regency Blvd INSURER D : INSURER E : Brandon FL 33510 INSURER F: COVERAGES CERTIFICATE NUMBER: 2D20 Standard REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 LTR TYPE OF INSURANCE ADDLISLUK INSO MD POLICVNUMBER POLICY EFF MMIDDNYYY POLICY EXP MMIDDII'1'YY LIMITS MERCIAL GENERAL LIABILITY CLAIMS -MADE �OCCUR T EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ 10,000 1 PERSONAL&ADV INJURY $ 1,000,000 A 35798711 08/01/2020 08/01/2021 GEN'L AGGREGATE LIMITAPPLIES PER: POLICY 0 jECOT X LOC GENERAL AGGREGATE $ 2,000,060 PRODUCTS-COMP/CPAGG $ Ind In GA $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 74986035 08/01/2020 08/01/2021 BODILY INJURY (Par accident) $ HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY X PROPERTY DAMAGE Peran (dent $ IS X UMBRELLA LIAR X OCCUR EACHOCCURRENCE IS 50,000,000 B EXCESS UAB CLAIMS -MADE 79818355 08/01/2020 08/0112021 AGGREGATE $ 50,000,000 DEO I I RETENTION $ $ C WORKERS COMPENSATION r AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE � OFFICERIMEMBER EXCLUDED? (Mandatory In NH) Ifyes, describe under DESCRIPTION OF OPERATIONS below NIA 901492301 08/01/2020 081011202, PER OTH- STATUTE ER E.L. EACH ACCIDENT I $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 110 001000 A Personal Property Data Proc Equipment 35798711 EO 020 08/01/2021 Personal Property Data Preto Equipment 149,879,125 32.550,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Sousse Is, may be attached If more space is required) City of Santa Ana Rlsk Management Division 20 Civic Center Plaza 4th Fir Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988.2015 ACORD ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD yy.-oe�, s A � 8l -l� Risk MRnagtmrnDiW Eslon rR�EVIEWED&APPtR'O}V�mBV�: IRkhE�t�C h, KaUfielaOiC Risk Management Analyst 14