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® CERTIFICATE OF LIABILITY INSURANCE DATE(MMDD/YYYY) 12/22/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 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 NAME, Carl Davidson Insurance Agency Carl Davidson Insurance Agency aCo IN (661)222-7319 a,Nc a (661)222-7212 25060 Avenue Stanford Ste.270 E-MAIL ADDRESS: carl@cdavidsoninsurance.com Valencia,CA 91355 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Kinsale Insurance Company 38920 INSURED INSURER B Vicon Enterprises Incorporated INSURER C: 5433 E Spyglass Way INSURERD: State Fund 3.5076 Anaheim,CA 92807 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS R ADDL SUBR POLICY EFF POLICY EXP LTR TYPEOFINSURANCE INSD POLICYNUMBER MMIDD MMIDD LIMITS XCOMMERCIALGEN ERALLIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Anyone person) $ A X 0100160438-0 8/19/2021 8/19/2022 PERSONAL B ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 LOC PRODUCTS- $ 2,000,000 POLICY ❑ PRO- ❑ OTHER' $ AUTOMOBILELIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANYAUTO BOD ILY INJU RV(Per person) $ OWNED SCHEDULED BOD ILY INJU RY(Per accident) $ AUTOS ON LY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLALIAB OCCUR EACH OCCURRENCE $ 2,000,000 A X EXCESSLIAB CLAIMS-MADE X 0100169118-0 11/3/2021 11/3/2022 AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION \/ PER OTH- AND EMPLOYERS'LIABILITY Y X STATUTE ER ANY PR OPRIETOR/PARTNER/EXECUTIVE ID N/A 9304121 8/21/2021 8/21/2022 E.L.EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Ifyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of Santa Ana,its officers,officials,employees,and volunteers are named as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials,parts,or equipment furnished in connection with such work or operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Clerk of the City Council ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVrilt- 20 Civic Center Plaza(M-30),P.O.Box 1988 Santa Ana,CA 92702-1988 ©1988-2016ACORDCORPORATION. All rights reserved. ACORD25(2016/03) The ACORDname and logo are registered marks ofACORD City Council 22 — 14 1/18/2022