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NAYAX-1 <br />OP ID: BE <br />ACORO� CERTIFICATE OF LIABILITY INSURANCE <br />�� <br />DATE(MM/DD/YYYY) <br />06/06/2024 <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 410-561-8280 <br />Gorges & Co., Inc. <br />2345 York Road <br />Dave McNamara, IIIi <br />Timonium, MD 21093-Ana <br />CONTACT Ben Hartka <br />NAME: <br />PHONE 410- -8280 FAX 410-561-9728 <br />No, Ext). (A/C, No): <br />I <br />s <br />INSUR R S AFFORDING COVERAGE <br />NAIC # <br />AAJ~ <br />PpqerPriJW§4*f9q.A30104 <br />INSURED <br />Nayax, LLC <br />Executive Plaza 1 <br />11350 McCormick Road S .1004 <br />Hunt Valley, MD 21031 <br />U R <br />RER <br />s :�. <br />vpdo <br />INSURER tcp . <br />COVERAGES <br />CERTIFICATE NUMBER: 1 1 •✓ 1 •✓ V v REVrOfOWNUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS- cD BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, T _R' , 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 />LTR <br />TYPE OF INSURANCE <br />DDL <br />INSD <br />UBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />B <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE OCCUR <br />30SBAAG4MGN <br />06/06/2024 <br />06/06/2025 <br />DAMAI ES ( RENTED <br />PREMISES Ea occurrence)$ <br />1,000,000 <br />X <br />MED EXP (Any oneperson) <br />$ 10,000 <br />B <br />Crime <br />30SBAAG4MGN <br />06/06/2024 <br />06/06/2025 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />X <br />POLICYEl PRO LOC <br />JECT <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />Crime <br />$ 100,000 <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />1,000,000 <br />$ <br />BODILY INJURY Perperson) <br />$ <br />ANY AUTO <br />30SBAAG4MGN <br />06/06/2024 <br />06/06/2025 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />B <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />30SBAAG4MGN <br />06/06/2024 <br />06/06/2025 <br />AGGREGATE <br />$ 5,000,000 <br />DED X RETENTION $ 10,000 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />N / A <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />B <br />Property <br />30SBAAG4MGN <br />06/06/2024 <br />06/06/2025 <br />Blanket <br />4,478,300 <br />Ded <br />1,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Certificate holder is included as additional insured with respect to general <br />liability when required by written contract. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF <br />City of Santa Ana Risk ACCORDANCE WITH THE POLICY PRC RA Mougmumt DMsIan <br />Manag <br />ement Division 20 Civic Center Piz AUTHORIZED REPRESENTATIVE REVIEWED & APPROVED BY: <br />Santa Ana, CA 92701 Dave McNamara, III 4z Aav44 <br />®' Risk Management Specialist <br />ACORD 25 (2016/03) © 1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />