|
/
<br />A� " CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<br />O5/06/2025
<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
<br />CONTACT Nancy Stottlemyer
<br />NAME:
<br />Insurance Brokers of MD - Hagerstown
<br />HCNE. (240) 347-3905 q/c, (301) 790-0962
<br />Ext : No):
<br />13126 Pennsylvania Ave.
<br />E-MAIL nancy.stottlemyer@ibmofmd.com
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />PO Box 3767
<br />Hagerstown MD 21742
<br />INSURERA: Twin City Fire Ins. Co.
<br />29459
<br />INSURED
<br />INSURER B : Hartford A&I Co.
<br />22357
<br />The Library Corporation
<br />INSURER C : Hartford Casualty Ins. Co.
<br />29424
<br />Carl Corporation, Tech Logic Corporation
<br />INSURER D : Hartford Fire Ins. Co.
<br />19682
<br />1 Research Park
<br />INSURER E
<br />Inwood WV 25428
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: 2025-2026 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
<br />SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />INSD
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MWDD/YYYY
<br />POLICY EXP
<br />MWDD/YYYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO
<br />PRRETED
<br />SES Ea occurrrence
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />A
<br />Y
<br />Y
<br />30SBAVK5698
<br />05/08/2025
<br />05/08/2026
<br />LAGGREGATE LIMITAPPLIES PERGENERAL
<br />AGGREGATE
<br />$ 2,000,000
<br />POLICY ❑X PRO ❑X LOC
<br />JECT:
<br />MOTHER
<br />PRODUCTS-COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />ANYAUTO
<br />B
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />Y
<br />Y
<br />30UECFP3134
<br />05/08/2025
<br />05/08/2026
<br />BODILY INJURY (Pe r accide nt)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 6,000,000
<br />AGGREGATE
<br />$ 6,000,000
<br />A
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />Y
<br />Y
<br />30SBAVK5698
<br />05/08/2025
<br />05/08/2026
<br />DED I X1 RETENTION $ 10,000
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABI LI TY YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />Y
<br />30WECAD2KBN (MN Cov A)
<br />05/08/2025
<br />05/08/2026
<br />X1 STER ATUTE EORH
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />$
<br />D
<br />Tech E&O, Network Security/Info Risk
<br />Media Liability - Claims Made
<br />30TED336969-25
<br />05/08/2025
<br />05/08/2026
<br />Aggregate
<br />Each Wrongful Act
<br />$5,000,000
<br />$5,000,000
<br />Retention
<br />$ 25,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101,
<br />Additional Remarks Schedule, may be attached if more space is required)
<br />Library Solution Integrated Library System Hosted Contract
<br />for City of Santa Ana A Charter City and Municipal Corporation, A-2023-174.
<br />City of Santa Ana, It's Officers, employees, agents, volunteers and representatives are additional insured as indicated, and coverage is primary,
<br />non-contributory when required by written contract. Certificate
<br />of Insurance shall provide thirty (30) day prior written notice of cancellation.
<br />by Tran� TnNg
<br />T,a
<br />uy
<br />Date, 7'00' APPROVED
<br />Nguyen 12:39:49 -0T00'
<br />CERTIFICATE HOLDER
<br />CANCELLATION BY Tu Tran Nguyen at 12:39 pm, Sep 10, 2025
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
<br />IN
<br />City Of Santa Ana
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Risk Management Division
<br />AUTHORIZED REPRESENTATIVE
<br />�. d�
<br />20 Civic Center Plaza 4th FI
<br />Santa Ana CA 92702
<br />@ 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
|