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�i ACC LI® CERTIFICATE OF LIABILITY INSURANCE DATE (MMfD-1YYYY) 04/22/2024 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER Jose Arriaga 26212 Dimension Dr. Suite 240 Lake Forest, CA 92630 License #OF94546 RAMEACT Jose Arriaga PHONE , 949-713-5790 FAX nooaless: carriaga@farmersagent.com INSURERS AFFORDING COVERAGE NAIC 1f INSURERA: State Compensation Insurance Fund of California 35076 INSURED SIERRA CYBERNETICS INCORPORATED 5140 E. LA PALMA AVE, #201 ANAHEIM, CA 92807 INSURER B: Lloyd's 15792 INSURER C: INSURER D: INSURER E: INSURER F: rERTrerrnre NUMBER: REVISION NUMBER: YwwC ��a �rr.� .• vim ..... .. �...��... 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 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS. LTR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER MMIDDYEl F IYYYY MMIDU UCY EXP YYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Es occurrence $ MED EXP (Any one person) $ -PERSONAL &ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMP/OPAGG $ POLICY ❑ jE' 11 LOG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Es emident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY(Peracddenl) $ ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS HAUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LWB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION ST TUTE EORH _ A ANDEMPLOYERS'LIABILITY Y/N ANY PROPRIETORIPARTNEWEXECUTNE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA x 1627635-24 04I3012024 0413012025 E.L. EACH ACCIDENT $ 1000000 E.L. DISEASE - EA EMPLOYE $ 1000000 E.L. DISEASE - POLICY LIMIT $ 1000000 If yes, deacons under DESCRIPTION OF OPERATIONS below B Professional & Cyber Liability X ESM0339733072 OB/14I2023 OW14MO24 Each Claim $ 2000000 Aggregate $ 2000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Finance & Management Services Agency THE EXPIRATION DATE THEREOF- NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza, M-16 ACCORDANCE WITH THE POLICY PR( Santa Ana, CA 92702 admae AUTHORIZED REPRESENTATIVE REAEWEDSAPFROV®BY' ie Arno Risk Management Specialist @ 1988-2014 ACORD ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD