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A� o® CERTIFICATE OF LIABILITY INSURANCE <br />DAovzs/zozna ) <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 />CONTNAME ACT Automatic Data Processing Insurance Agency, Inc. <br />Automatic Data Processing Insurance Agency, Inc. <br />alco N Eat), 1-800-524-7024 ac No <br />E-MAIL <br />ADDRESS: <br />1 Adp Boulevard <br />INSURER(S) AFFORDING COVERAGE <br />NAICp <br />INSURERA: Travelers Property Casualty Company of America <br />25674 <br />Roseland NJ 07068 <br />INSURED Java Connections, LLC <br />INSURER B: <br />INSURER C : <br />INSURER D : <br />17304 Preston Rd <br />INSURER E: <br />Ste 800 <br />1 INSURER F: <br />Dallas TX 752525645 <br />COVERAGES CERTIFICATE NUMBER: 3497170 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 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 />S BR <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />MWOD <br />POLICY EXP <br />Mh1/DD <br />LIMITS <br />COMMERCIALGENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />PREMISES Ea occurrence <br />$ <br />MED EXP(Any one person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PRO-JECT LOC <br />OTHER: <br />GENERALAGGREGATE <br />$ <br />PRODUCTS-COMP/OP AGO <br />S <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />Per accitlent <br />BODILY INJURY ( ) <br />$ <br />I PROPERTY DAMAGE <br />Per accitlent <br />$ <br />UMBRELLA UAB <br />EXCESS LAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED <br />RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNER)EX <br />OFFICERIMEMBER EXCLUDED?ECUTIVE YINNIA <br />(Mandatory In NH) <br />If yam, describe uad. <br />DESCRIPTION OF OPERATIONS Immer <br />N <br />UB-7P272097-24-42 <br />03/15/2024 <br />03/15/2025 <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />if 1,000,000 <br />E.L. DISEASE - EA EMPLOYE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br />City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PR( <br />20 Civic Center Plaza —� RWrMnMg011odDhWon <br />4th Floor AUTHORIZED REPRESENTATIVE„o.w \' REVIEWED&APPROV®BY: <br />AAcwrte <br />Santa Ana CA 92702 't�'W-.- k�� <br />Risk Management Specialist <br />01988-2015 ACORD , <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />