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Tori Pierson O9eally signed by Tori Pierson <br />Dale: 2021.09an 09:27:29U7n0' <br />III CERTIFICATE OF LIABILITY INSURANCE <br />L� <br />DATE/200/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 />Newfront Insurance Services, LLC <br />55 2nd Street <br />Floor 18 <br />CONTACT NAME: Jessica Thai <br />PHOINC.NE (415) 754-3635 ac No: <br />E-MAIL <br />ADDRESS: jessiGa.thai@newfront.com <br />San Francisco CA 94105 <br />INSURERS AFFORDING COVERAGE <br />NAIC If <br />INSURERA: Citizens Ins Cc of America <br />31534 <br />INSURED <br />INSURER B: Hartford Casualty Ins CO <br />29424 <br />HF&H Consultants, LLC <br />INSURER C: Gemini Insurance Company <br />10833 <br />INSURER D : <br />- <br />201 N Civic Dr Ste 230 <br />' <br />Walnut Creek CA 94596 <br />INSURER E : <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 />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MWDDIYYYY <br />POLICY UPLTR <br />MM/DDIYYYY <br />UNITS <br />X <br />COMMERCIALGENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea occwreue <br />$ 1.000.000 <br />MED EXP(MY one parson) <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 />X <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY E PET LOC <br />GENERALAGGREGATE <br />$ 4,000,000 <br />PRODUCTS-COMP/OP AGO <br />$ 3,000,000 <br />7- <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY(Perpemon) <br />$ <br />ANY AUTO <br />A <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />X <br />OBF-D681476-04 <br />09/06/2021 <br />09/06/2022 <br />BODILY INJURY(Peraccidenq <br />$ <br />NON -OWNED <br />HIRED AUTOS H AUTOS <br />X <br />-PROPERTY -DAMAGE <br />Per acatlerd <br />S <br />$ <br />X <br />UMBRELLALIAB <br />M <br />OCCUR <br />EACH OCCURRENCE <br />$ 3,000,000 <br />AGGREGATE <br />$ 3,000,000 <br />A <br />EXCESS LIAR <br />CLAIMS -MADE <br />OBF-D681476-04 <br />09/06/2021 <br />09/06/2022 <br />DIED I I RETENTIONS <br />$ <br />B <br />WORIERSCOMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />OF�ERPRIE EREXCWEWEXECUTIVE ❑ <br />(MandaRIME NH) <br />(Man describe H) <br />If <br />NIA <br />57WECZR5765 <br />09/O6/2021 <br />09/06/2022 <br />PER OTH- <br />x STATUTE ER <br />E.L. EACH ACCIDEW <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />C <br />Errors and Omissions <br />Claims -made <br />VNPLOO8121 <br />09/06/2021 <br />09/06/2022 <br />Each claim: $2,000,000 <br />General aggregate: $2,000,000 <br />Deductible: $10.000 <br />DESCRIPTION OFOPERAMONS/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 />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 />City of Santa Ana <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 />9)1988-2014 ACORD C( I-- """^""'9ee.nromraladr <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />