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,—. <br />DATE (MM/DD/YYYY) <br />CERTIFICATE OF LIABILITY INSURANCE <br />03/20/2024 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br />subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does <br />not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT NAME: <br />AUTOMATIC DATA PROCESSING INS AGCY <br />PHONE (800) 524-7024 <br />(A/C, No, Ext): <br />FAX <br />(A/C, No): <br />76250875 <br />1 ADP BLVD M/S 625 <br />E-MAIL ADDRESS: <br />ROSELAND NJ 07068 <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURERA: Hartford Fire and Its P&C Affiliates <br />00914 <br />INSURED <br />INSURER B : <br />NAYAX LLC <br />INSURER C : <br />11350 MCCORMICK RD <br />INSURERD: <br />HUNT VALLEY MD 21031-1002 <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 <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />LTR <br />INSR <br />WVD <br />MM/DD/YYYY <br />MM/DD/Y <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />CLAIMS -MADE ❑OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />POLICY PRO LOC <br />JECT <br />PRODUCTS - COMP/OPAGG <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />BODILY INJURY (Per person) <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />HIRED NON -OWNED <br />PROPERTY DAMAGE <br />AUTOS AUTOS <br />(Per accident) <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB <br />CLAIMS- <br />MADE <br />AGGREGATE <br />DED <br />RETENTION $ <br />WORKERS COMPENSATION <br />X <br />PER <br />OTH- <br />AND EMPLOYERS' LIABILITY <br />STATUTE <br />ER <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />ANY Y/N <br />A <br />PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />76 WEG AF5B2N <br />03/01/2024 <br />03/01/2025 <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Those usual to the Insured's Operations. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />City of Santa Ana Risk Management <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />Division <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />20 CIVIC CENTER PLZ <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />© 1988-2015 ACORD CO <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />oR.N a Risk ManagmumtDMslcrn <br />f ° REVIEWED & APPROVED BY: <br />Rem <br />1" Risk Management Specialist <br />