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DATE(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE
<br /> 01/23/2025
<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 CONTACT Gillian Baker
<br /> NAME:
<br /> M&G Insurance PHONE FAX
<br /> A/C No Ext: A/C,No):
<br /> 7150 SW Hampton St. E-MAIL certs@mymgteam.com
<br /> ADDRESS:
<br /> Suite 140 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> Tigard OR 97223 INSURERA: Sentinel Insurance Company,Ltd 11000
<br /> INSURED INSURER B: Hartford Accident and Indemnity Company 22357
<br /> Selectron Technologies,Inc. INSURER C: The Hartford Rated by Multiple Companies 00914
<br /> Selectron Enterprise Services LLC INSURER D:
<br /> 13535 SW 72nd Ave,Ste 200 INSURER E:
<br /> Portland OR 97223 INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 25/26 GL BA CYB XS WC 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAYBE 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 TYPE OF INSURANCE POLICY EFF POLICY EXP
<br /> LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
<br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDrence $ 1,000,000
<br /> MED EXP(Any one person) $ 10,000
<br /> A Y 52SBAAF5779 01/31/2025 01/31/2026 PERSONAL&ADV INJURY $ 1,000,000
<br /> MOTHER
<br /> LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000
<br /> JECT: $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> Ea accident
<br /> X ANYAUTO BODILY INJURY(Per person) $
<br /> B OWNED SCHEDULED Y 52UECPT5600 01/31/2025 01/31/2026 BODI LY I NJ U RY(Pe r accide nt) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
<br /> A EXCESS LAB CLAIMS-MADE 52SBAAF5779 01/31/2025 01/31/2026 AGGREGATE $ 5,000,000
<br /> DED I X1 RETENTION $ 10,000 $
<br /> WORKERS COMPENSATION ER/� STATUTE EORH
<br /> AND EMPLOYERS'LIABI LI TY YIN 1,000,000
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
<br /> C OFFICER/MEMBER EXCLUDED? ❑ N/A 52WBCGI3039 01/31/2025 01/31/2026
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> Professional Liability,Data Privacy, Each wrongful act 1,000,000
<br /> A Network Security Liability-claims made 52SBAAF5779 01/31/2025 01/31/2026 Aggregate limit 2,000,000
<br /> retro date 1/14/2014
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers are named as additional insured provided this is required by prior
<br /> written contract per the attached endorsement.
<br /> 30-day notice of cancellation applies. Digitally signed by
<br /> Tu Tran Tu Tran Nguyen
<br /> Date:202111.24 APPROVED
<br /> Nguyen 13:41:11-0s'00' By Tu Tran Nguyen at 1:40 pm,Nov 24,2025
<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 /> City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Risk Management Div,4th FI
<br /> AUTHORIZED REPRESENTATIVE
<br /> 20 Civic Center Plaza
<br /> Santa Ana, CA 92701
<br /> @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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