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KINCA-1 OP ID: CW CERTIFICATE OF LIABILITY INSURANCE DATE(M 03/14/20YYY) /2022 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 endorsements . PRODUCER 314-7464700 Digital Insurance LLC formerly Huntleigh McGehee NAonNTACT Daniel L. Stevens PHONE 314-746-4700 FAX 314-889-3700 (A/C, No, Ext): (A/C, No); 8235 Forsyth Boulevard, #1200 Clayton, MO 63105 Daniel L. Stevens E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURERA:Service American Indemnity Co 39152 I�SUR D Kingg Om Causes Inc dba City Net 4508 Atlantic Avenue Long Beach, CA 90807-1502 INSURER B INSURERC: INSURER D ; INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: RFVISInN INIIIMRI-R• 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS, INSR L TYPE OF INSURANCE DDL g UBR D POLICY NUMBER POLICY EFF DIYYYYI POLICY EXP (MMIDDIYYYYI LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: POLICY JECT LOG _ GENERALAGGREGATE $ PRODUCTS - COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS HIRED NONED AUTOS ONLY LAUT5RLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION $ A ANDKERSCOMEN COMPENSATION A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBE EXCLUDED? (Mandatory In NH) f yes, describe under DESCRIPTION OF OPERATIONS below N/A Y SATYSO488700 03/01/2022 03/01/2023 X STATUTE ERH E.L. EACH ACCIDENT _ $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 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) Blanket Waiver of Subrogation applies where required by written contract. CITCA25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y ACCORDANCE WITH THE POLICY PROVISIONS, Risk Management Division 20 Civic Center Plaza, 4th FL AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 �hc+ Gym. �.en:.Ho R1ekManapmerttDivislan REVIEWED & APPROVED BY: ACORD 25 (2016103) © 1988-2015 ACORD I a Aiw4 The ACORD name and logo are registered marks of ACORD '— RiskManagcmentspcoalst