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DATE(MAUDD/YYYY) <br /> ACC OR CERTIFICATE OF LIABILITY INSURANCE <br /> 04/04/2024 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSIIRER(S),AUTHORIZED REPRESENTATIVE OR <br /> PRODUCER,AND THE CERTIFICATE HOLDER <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy-Des)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may <br /> require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). //yy <br /> PRODUCER • CONT.CT N 19 <br /> I y s I g rl e d-b y <br /> Millennial Specialty Insurance L t nun Sb I PHONE 4 C No.Ext):64 1058 a FAX(A/C No): <br /> 4211 West Boy Scout Blvd,Suit. <br /> Tampa,Florida,33607 E-MAIL 1DRE coi@foundershi d.com <br /> UntlArflr� CeA Rcreve •• O NAICI <br /> INSURE I A rtf n e✓ 1 ( .rtf. 30104 <br /> INSURED INSUY ,R B:. Isena Insurance Company Inc. 10200 <br /> INS' .[ERG:A 'a n an e C m <br /> Benevate <br /> 3423 Piedmont Rd NE,Suite 420 IA' JRER D <br /> Atlanta,Georgia,30305 ceve <br /> URER F: <br /> COVERAGES CERTIFICATE NUMBER: 09:,59•291070 'O O' <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR <br /> CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE LNSURA.NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO <br /> ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WYD (MM/DD/YYYY) (MM/DD/YYYY) <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S1,000,000.00 <br /> 'CLAIMS MADE �OCCUR DAMAGE TO RENTED S1,000,000.00 <br /> PREMISES(Ea occurrence) <br /> f MED EXP(Any one person) $10,000.00 <br /> A GEN'L AGGREGATE LIMIT APPLIES PER: i1/ i'f IBSBAAJIMSR 01/18/2024 01/18/2025 PERSONAL&ADV INJURY SI,000,000.00 <br /> POLICY PROJECT;-IfeLOC GENERAL AGGREGATE $2,000,000.00 <br /> PRODUCTS-COMP/OP AGG 32,000,000.00 <br /> 'OTHER <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000.00 <br /> (Ea accident) <br /> ANY AUTO <br /> BODILY INJURY(Per person) <br /> OWNED AUTOS SCHEDULED <br /> AONLY IOSBAAJIMSR 01/18/2024 01/18/2025 BODILY INJURY(Per <br /> accident) <br /> VIIIRED AUTOS ONLY NON-OWNED AUTOS PROPERTY DAMAGE(Per <br /> ONLY <br /> accident) <br /> UMBRELLA LIAB EXCESS LIAR Each occurence <br /> OCCUR CLAIMS-MADE Aggregate <br /> WORKERS COMPENSATION AND EMPLOYERS'LIABILITY PER STATUTE <br /> ANYP ROPRIETOR/PARTNER/EXECUTIV Y/N OTHER <br /> OFFICER/MEMBER EXCLUDED? N <br /> (Mandatory in NH) E.L.EACH ACCIDEN <br /> If yes,describe under DESCRIPTION OF OPERATIONS below N/A <br /> E.L.DISEASE-EA <br /> EMPLOYEE <br /> E.L.DISEASE-POLICY <br /> LIMIT <br /> P. GrimeffC-248-7441flc23 04H5/2023 07H5/2024 S-I;000;000-pet oec 59;000;000-n-agg <br /> C Cyber Liability and Errors&Omissions AB-6735816-01 01/18/2024 01/18/2025 S 5,000,000 perocc S5,000,000 in agg <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached if more space is required) <br /> The City of Santa Ana,its officers,officials,employees,and volunteers are included as Additional Insured on the above referenced policy where required by written contract.A Waiver of Subrogation applies in favor of the Certificate Holder. <br /> The Certificate Holder is included as an Additional Insured on the above referenced policy where required by written contract. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br /> THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> City of Santa Ana Risk Management Division <br /> 20 Civic Center Plaza <br /> Santa Ana,CA 92702 f <br /> AUTHORIZED REPRESENTATIVE Risk ManagementDiviaion <br /> REVIEWED&APPROVED 8Y: <br /> =mu-' Risk Management Spedalist <br /> 1988-2016 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and Togo are registered marks of ACORD <br />