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Digitally signed by <br />Samantha Samantha M. <br />A��q b® g210°006 <br />DAT51412022YYY) <br />CERTIFICATE OF LIABILITY INSURAI�itlE°,bert16 <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 />Cothrom Risk & Insurance Services <br />440 N Andrews Ave <br />Fort Lauderdale FL 33301 <br />CONTAC <br />NAME: <br />PNONE g54-368-2191 ac No: <br />EMAIL <br />AODREss: certificates oothrom.com <br />INSURERS AFFORDING COVERAGE <br />NAIL# <br />INSURER A: ACE Property And Casualty Insurance Company <br />20699 <br />INSURED JDIDATA-01 <br />JDI Data Corporation <br />100 W Cypress Creek Rd Ste 1052 <br />INSURERS: Chubb Indemnity Insurance Company <br />12777 <br />INSURER C : Ace American Insurance Company <br />22667 <br />INSURER D : Federal Insurance Company <br />20281 <br />Fort Lauderdale FL 33309 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 1819351635 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 />ADDLSUBR <br />INSD <br />MID <br />POLICYNUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MM/OD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />� OCCUR <br />Y <br />Y <br />D52792757 <br />1/31/2022 <br />1/31/2023 <br />EACH OCCURRENCE <br />$2,000,000 <br />MA ESTO RENTED <br />-bTCLAIMS-MADE <br />PREMISES (Ea occurrence) <br />$1,000,000 <br />MED EXP (Any one person) <br />$10,000 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JECT FX7 LOC <br />GENERALAGGREGATE <br />$4,000,000 <br />PRODUCTS - COMP/OP AGG <br />$4,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOSILELMILITY <br />D52792757 <br />1/31/2022 <br />1/31/2023 <br />COMBINED SINGLE LIMIT <br />Ea stormt <br />$2,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY d <br />Per accident) <br />( ) <br />$ <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTYDAMAGE <br />Per accident <br />$ <br />UMBRELLALIAB <br />OCCUR <br />occ,uR-MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />DED RETENTION$ <br />IS <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LWBILITY YIN <br />2271761180 <br />1/31/2022 <br />1/31/2023 <br />1 PER <br />EORH- <br />E.L. EACHACCIDENT <br />$1,000,000 <br />ANVPROPRIETORIPARTNERIEXECUTIVE ❑ <br />OFFICERIMEMBEREXCLUDED4 <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />(Mandatory in NH) <br />If yes, interim under <br />DESCRIPnON OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />C <br />D <br />C <br />Emors and Omissions <br />Cnme[Hducia%ry liability <br />Network Secudty(Cyber) <br />D52792836 <br />82509628 <br />D52792836 <br />1/31/2022 <br />1/31/2022 <br />1/31/2022 <br />1/31/2023 <br />1/31/2023 <br />1/31/2023 <br />E&O Limit <br />Crime&ED Limit <br />Cyber Limit <br />3,000,000 <br />1,000,000 <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana, officers, agents, employees, and volunteers are included as an additional insured under the general liability policy per form BOP-47675a <br />(0716) pursuant to written agreement, subject to the terms and conditions of the policy. The general liability policy is primary and any insurance carried by City <br />shall be excess and noncontributory. <br />A waiver of subrogation is provided in favor of the City of Santa Ana under the general liability per form BOP-47675a (0716) when required by written <br />agreement, subject to the terms and conditions of the policy. <br />Certificate Holder is an additional insured under the auto liability policy subject to the terms and conditions of the policy. <br />City of Santa Ana <br />20 Civic Center Plaza <br />P.O Box 1988 <br />Santa Ana CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBEC <br />THE EXPIRATION DATE THEREOF, N <br />ACCORDANCE WITH THE POLICY PROVISI <br />AUTH°RIZE°REPRESENT <br />ah <br />:1 <br />REVIEWED•• APPR bhlrin <br />( U01W <br />JA�FAMF% rMh <br />�'.. <br />® <br />Risk ManagementSupervisor <br />11988.2015 ACORD CORPORATION. <br />reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />