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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMMD/YYYY) <br />1 /25/2024 <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 enHnrsemcnflel <br />PRODUCER <br />Acrisure Partners West Coast Insurance Services, LLC <br />900 E. Hamilton Ave. kite 500 <br />Campbell CA 95008 /J <br />INSURED / ` ■ JAVACON-01 9 <br />Java Connections, LLC dba Laptops e <br />17304 Preston Rd Ste 800 Nsc <br />Dallas TX 75252 <br />COVERAGES <br />ER71 HAT C IN N E EE IS D T �N UR <br />Y R IREMENT, TE O�. C rDITION F ANY 0 OT <br />E POLICY PERINOTWITHSTANDING <br />CT TO WHICH THIS <br />MAY BE ISSUED OR MAY PERTAIN, THE INSUr ANr' .AFFORDED BY 7HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />AND CONDITIONS OF SUCH POLICIES. LIMITS SI .OV'' ,MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILADOL SUBRLYPE OF INSURANCE POLICY NUMBER MMIUDY EFF MMIO�Y/YEYYYLIMITS <br />q777 <br />RCIAL GENERAL LIABILITY Y Y ODF D785344-OS 12/15/2023 12/15/2024EACH <br />OCCURRENCE $2,000,000 <br />IMS-MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES Eaoccuoence $300,000 <br />MED EXP (Any one person) $10,000 <br />PERSONAL &ADV INJURY $2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER:POLICY <br />X <br />❑ PET LOC <br />GENERALAGGREGATE $4,000,000 <br />PRODUCTS - COMP/OP AGG $4,000,000 <br />OTHER, <br />OTHER: <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />ODE D785344-05 <br />12/15/2023 <br />12/152024 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 2.000,000 <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />OWNED SCHEDULED <br />BODILY INJ (Pera¢itlent) <br />$ <br />AUTOS ONLYHAUTOS <br />X <br />HIRED NON N <br />DA <br />FFROPERTY GE <br />Per amitlent <br />$ <br />AUTOS ONLYAUTOS ONLY <br />S LY <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />ODE D785344-05 <br />12/15/2023 <br />12/15/2024 <br />EACH OCCURRENCE <br />$5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />$5,000,000 <br />OEO RETENTION$ <br />WORKERS COMPENSATION <br />$7-POLICY <br />AND EMPLOYERS' LIABILITY Y/N <br />OR <br />ANYPROPRIETORIPARTNEWEXECUTIVE <br />OFFICERIMEMBEREXCLUDED7 <br />NIA <br />DENT <br />$ <br />(Mandatory In NH) <br />antler <br />EA EMPLOYEE <br />$ <br />Dyes, IPTION <br />DESCRIPTION OF OPERATIONS below <br />POLICY LIMIT <br />$B <br />Technology E&O <br />LHF H44634405 <br />12/15/2023 <br />12/15/2024 <br />ate: <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) <br />As required by written contract, the following endorsements apply to the Certificate Holder and/or any other entity named in this section: General Liability <br />Additional <br />Insured 391-1006 08-16, Primary Non -Contributory including Waiver of Subrogation (pg.81) 391-1003 08-16. <br />RE: Project Numbers: A-2020-249AA & A-2020-249B City of Santa Ana, Risk Management, it's officers, employees, agents, representatives, and volunteers <br />rvo-rrnrarc .n. --- <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 PRC <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th floor <br />Santa Ana, CA 92702 <br />©1988.2015 AD <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />li6kMnmgemmLDtlidwt <br />r� IW:tD dAPPROV@BY: <br />Risk Management Speaalist <br />