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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />DATEIMMIOOIYYYV) <br />04/11/2024 <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 Christine McCrary <br />Closson Insurance Agency, LLC <br />PHONEAIC) 898-2211 FAX <br />(q07(407) 898-1850 <br />o Ext <br />No,: A/C No: <br />1201 S. Orlando Avenue <br />nooaess: CMcCmryl@Clossonlnsurance.com <br />Suite 200 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC N <br />Winter Park FL 32789 <br />INSURERA: Technology Insurance Company <br />42376 <br />INSURED <br />INSURER B: TTI$Ura Specialty Insurance CO <br />16188 <br />Hera Property Registry LLC <br />INSURER C: <br />19011 S Harbor City Blvd <br />INSURER D: <br />Ste 211 <br />INSURER E <br />Melbourne FL 32901 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 7.18.23 Master REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADUL <br />INSD <br />Bush <br />WVD <br />POLICYNUMBER <br />P LI YEFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FOCCUR <br />EACH OCCURRENCE <br />$ <br />D <br />PREMISES Eaeccupence <br />$ <br />MED EXP (Any one erson) <br />$ <br />PERSONAL S AOV INJURY <br />$ <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />POLICY E PRO JECT ❑ LOC <br />GENERALAGGREGATE <br />$ <br />PRODUCTS-COMPIOPAGG <br />IS <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accitlent <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />80DILV INJURY (Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Peraociderd <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />OEO <br />I I RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPWETORIPARTNEWEXECUTIVE <br />OFFICEWMEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, descnlm under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />Y <br />TWC4295350 <br />07/12/2023 <br />07/12/2024 <br />X/ PER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />S 1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />B <br />Cyber Liability <br />ATB-6740289-01 <br />07/18/2023 <br />07/18/2024 <br />Technology Liability <br />Network Security <br />$1,000,000 <br />$1,000,000 <br />Information Privacy Liabili <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 />A Blanket Waiver of Subrogation applies to the Workers Compensaiton as required by contract <br />City of Santa Ana, Risk Management Division its officers, officials, <br />and volunteers <br />20 Civic Center Plaza <br />Santa Ana <br />CA 92702 <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 PRO) <br />AUTHORIZED REPRESENTATIVE <br />©1988.2015 ACOF <br />RiskmosigmadDhision <br />REVIEWED 6 APPROVED Sr <br />®'. <br />® Risk Management Spedahst <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />