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DATE(MMIDDIYYYY) A�o CERTIFICATE OF LIABILITY INSURANCE 0412412025 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), AUTHORIzt=17 REPRESENTATIVE OR PRODUCER,ANDTHE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 ondorsement(s). coMAUI PRODUCER NAME: McGriff,a Marsh&McLennan Agency LLC Company PHONE 713-1377-8975 FAX 713 877 8974 10100 Katy Freeway,#400 d No Ext: AlC No Houston,TX 77043 EMAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Technology Insurance Company,Inc. 42376 INSURED INSURER B: eSentire America,Inc. One Penn Plaza,Suite 4501 INSURER C: New York,NY 101119 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:JTF7WECH REVISION NUMBER: THIS 15 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. 1LT TYPE OF INSURANCE I SO WVD POLICY NUMBER MMlDD1YYY MMIDLICY EFF DIIYYXYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ AGP T NTED CLAIMS-MADE OCCUR PREMISES Ea Dccurrenca $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS-COMP/OP AUG $ POLICY❑ LOG PRCOT- $ OTHER: AUTOMOBILE LIABILITY EOa accidentSINGLE LIMIT ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAII H OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION TWC4486819 0911412024 09114/2025 X srATUT OTH- ER- AND EMPLOYERS'LIABILITY Y 1,000,000 ANY PROPRIETORIPARTNERfEXECUTIVE ❑ N!A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED7 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,O00,000 Ifyes,describsunder E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more apace Is required) City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers is granted a wavier of subrogation in regards to the Workers Compensation policy as required by written contract subject to policy terms,conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana,its City Council,officers,officials,employees,agents,and AUTHORIZED REPRESENTATIVE Volunteers 20 Civic Center Plaza � � Santa Ana,CA 92701 Page 1 of 1 C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD Q5dr10I&Q&) The ACORD name and logo are registered marks of ACORD GMJNWCEV