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Digitally signed by Tori Pierson <br />Tori Pierson Date: 2021.09.01 09:27:29 -07'00' <br />ACORN® <br />AC� CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />08/30/2021 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Jessica Thai <br />NAME: <br />Newfront Insurance Services, LLC <br />PHONE 415 754-3635 FAX <br />A/C No Ext : ( ) A/C, No): <br />E-MAIL ADDRESS: jessica.thai@newfront.com <br />55 2nd Street <br />Floor 18 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />San Francisco CA 94105 <br />INSURERA: Citizens Ins Co of America <br />31534 <br />INSURED <br />INSURERB: Hartford Casualty Ins Co <br />29424 <br />INSURERC: Gemini Insurance Company <br />10833 <br />HF&H Consultants, LLC <br />INSURER D <br />201 N Civic Dr Ste 230 <br />INSURER E <br />Walnut Creek CA 94596 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 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 />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE X OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 1 000 000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />A <br />X <br />OBF-D681476-04 <br />09/06/2021 <br />09/06/2022 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ 4,000,000 <br />POLICY ❑ PRO- <br />JECT LOC <br />❑ <br />X <br />PRODUCTS - COMP/OP AGG <br />$ 3,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />A <br />ALL <br />AUTOS OWNED AUTOSSCHEDULED <br />X <br />OBF-D681476-04 <br />09/06/2021 <br />09/06/2022 <br />BODILY INJURY (Per accident) <br />$ <br />X <br />PROPERTYDAMAGE <br />Per accident <br />$ <br />HIREDAUTOS X NON -OWNED <br />AUTOS <br />X <br />UMBRELLA LAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 3,000,000 <br />AGGREGATE <br />$ 3,000,000 <br />A <br />EXCESS LAB <br />CLAIMS -MADE <br />OBF-D681476-04 <br />09/06/2021 <br />09/06/2022 <br />DED RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBEREXCLUDED? ❑ <br />(Mandatory in NH) <br />N/A <br />57WECZR5765 <br />09/06/2021 <br />09/06/2022 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />C <br />Errors and Omissions <br />Claims -made <br />VNPL008121 <br />09/06/2021 <br />09/06/2022 <br />Each claim: 0 <br />General aggregate: $2$2,000,000 <br />Deductible: $10,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />D: Cyber. Policy Number: CYB-3015118-00. Effective date: 03/31/2021-03/31/2022. Each Claim: $1,000,000 <br />----------------------------------------------------------------------------------------------------------------------- <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are listed as additional insured on the General Liability with respect to <br />services provided by the Named Insured. Coverage is Primary & Non -Contributory. 30 Days Notice of Cancellation with 10 Days Notice of Non -Payment of <br />Premium in accordance with the policy provisions. <br />CERTIFICATE HOLDER CANCELLATION <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 />© 1988-2014 ACORD C( v Risk nRanayemc„r �l enral /ode <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />