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DATE(MM/DD/YYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 04/03/2026
<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.If
<br /> SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this
<br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME:
<br /> Aon Risk Insurance Services West, Inc. PHONE (866) 283-7122 FAX (800) 363-0105
<br /> Los Angeles CA Office (A/C.No.Ext): A/C.No.: -a
<br /> 707 Wilshire Boulevard E-MAIL p
<br /> Suite 2600 ADDRESS: _
<br /> Los Angeles CA 90017-0460 USA
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A: Valley Forge Insurance Co 20508
<br /> Iteris, Inc. INSURER B: The Continental Insurance Company 35289
<br /> 1700 Carnegie Avenue
<br /> suite 100 INSURERC: AIG Specialty Insurance Company 26883
<br /> Santa Ana CA 92705 USA INSURER D:
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: 570119278205 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. Limits shown are as requested
<br /> LTR TYPE OF INSURANCE INSD WVD I POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE X❑OCCUR PREMISES Ea occurrence) $1,000,000
<br /> MED EXP(Any one person) $15,000
<br /> PERSONAL&ADV INJURY $1,000,000 0
<br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> X POLICY ❑PRO-
<br /> El LOC PRODUCTS-COMP/OP AGG $2,000,000 rn
<br /> OTHER: o
<br /> A 8018834790 04/01/2026 04/01/2027 COMBINED SINGLE LIMIT `n
<br /> AUTOMOBILE LIABILITY $1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) 0
<br /> Z
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) 0
<br /> AUTOS ONLY AUTOS R
<br /> HIRED AUTOS NON-OWNED PROPERTY DAMAGE V
<br /> ONLY AUTOS ONLY Per accident
<br /> B X UMBRELLALIAB X OCCUR 8018834742 04/01/2026 04/01/2027 EACH OCCURRENCE $25,000,000 U
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $2 5,000,000
<br /> DED RETENTION
<br /> B WORKERS COMPENSATION AND 8018835079 04/01/2026 04/01/2027 X I PER STATUTE I OTH-
<br /> EMPLOYERS'LIABILITY Y/N AOS ER
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> B OFFICER/MEMBER EXCLUDED? N/A 8018834966 04/01/2026 04/01/2027
<br /> (Mandatory in NH) CA E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000-
<br /> C E&O - Technology 060789708 12/31/2025 12/31/2026 Tech/E&O & A&E E&O $10,000,000—
<br /> claims Made SIR $294,078
<br /> SIR applies per policy terns & conditions
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> RE: On-Call IT I5 Agreement. City of Santa Ana, its City Counsel, officers, officials, employees, agents and volunteers are
<br /> included as Additional insureds per the terms of the General Liability policy. A waiver of subrogation is granted in favor of
<br /> the City of Santa Ana, its City Counsel, officers, officials, employees, agents and volunteers per the terms of the General
<br /> Liability, Auto Liability, and Workers Compensation policy.
<br /> APPROVED
<br /> By Tu Tran Nguyen a[8:14 am,May 04,202
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br /> POLICY PROVISIONS.
<br /> City of Santa Ana AUTHORIZED REPRESENTATIVE
<br /> Attn: Zed Kekula
<br /> 20 Civic Center Plaza, M-43 _ An � WIM Y�� � ?11
<br /> Santa Ana CA 92702 USA e�(s�/a e/S!�
<br /> ©1988-2015 ACORD CORPORATION.All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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