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Ra® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIpDIYYYY)
<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(tes) 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 endorsements .
<br />PRODUCER CONTACT
<br />NAME: Julio Noonan
<br />Embroker Insurance Services LLC PHONE FAx
<br />E ' AIC NO):
<br />5214E Diamond Heights Blvd.Unit 1261 appRless: certlftcates@embroker.com
<br />San Francisco CA 94131
<br />INSURED
<br />Graviton Consulting Services Inc.
<br />ff!`K S AFFORDING COVERAGE NAIC #
<br />Underwriters Insurance Company 30104
<br />Fire Insurance Co. 19682
<br />i Indemnity Insurance Company 16882
<br />8801 Folsom Blvd Suite 120 INSURER E :
<br />Sacramento CA 95826 INSURER F _
<br />COVERAGES t FRTIFIr ATR IUI IMRI=R- 2RAF4
<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 />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />IMMIDONYYYI
<br />POLICY EXP
<br />iMMIDDIMY)LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />CLAIMS -MADE X OCCUR
<br />DAMAO D
<br />RENTE
<br />PREMISES Ea occurrence
<br />$ 1,000,000
<br />MED EXP (My one person)
<br />$ 10,000
<br />PERSONAL$, ADV INJURY
<br />$ 2,000,000
<br />A
<br />Y
<br />Y
<br />575BABA5W2R
<br />04/22/2025
<br />04/22/2026
<br />GEN'LAGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />$ 4,000,000
<br />X POLICY :J
<br />JECT LUC
<br />PRODUCTS -GOMPIOPAGG
<br />$ 4,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COEaMINEUSINGLE LIMIT
<br />acctdent
<br />$ 2,000,000
<br />ANY AUTO
<br />BODILY INJURY (Per person)
<br />$
<br />A
<br />OWNED AUTOS ONLY AUTOSULED
<br />Y
<br />Y
<br />57SBABA5W2R
<br />04/22/2026
<br />04/22/2026
<br />BODILY INJURY (Per accldent)
<br />$
<br />X
<br />HIRED NON -OWNED
<br />AUTOS ONLY X AUTOS ONLY
<br />PROPERTY D
<br />Per acctdent
<br />$AMAGE
<br />$
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 8,000,000
<br />AGGREGATE
<br />$ 8,000,000
<br />A
<br />EXCESSLIAB
<br />CLAIMS -MADE
<br />Y
<br />Y
<br />57SBABA5W2R
<br />04/22/2025
<br />04/22/2026
<br />DED X RETENTION $ 10000
<br />_
<br />$
<br />WORKERS COMPENSATION
<br />PER OTH-
<br />AND EMPLOYERS' LIABILITY YIN
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$
<br />ANYPROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERIMEMBEREXCLUDED7 ❑
<br />NIA
<br />E.L. DISEASE - EA EMPLOYEE
<br />$
<br />(Mandatory in NH)
<br />B yes, descrlbo under
<br />E.L. DISEASE - POLICY LIMIT
<br />$
<br />DESCRIPTION OF OPERATIONS below
<br />B
<br />Tech E& y er Liability
<br />57TE026853524
<br />12/23/2024
<br />12123/2025
<br />Per Occurrence
<br />2,00 ,000
<br />B
<br />Tech E&O/Cyber Liability
<br />57TE026853524
<br />12/23/2024
<br />12/23/2025
<br />Aggregate
<br />3,000,000
<br />C
<br />Commercial Crime
<br />EM3EII-CR-000466-01
<br />08/25/2024
<br />08/25/2025
<br />Aggreg./ Per Claim
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 191, Additional Remarks Schedule, maybe attached if more space Is required)
<br />City of Santa Ana, Attention: Jack Ciulla, Chief Technology Innovations Officer Information Technology Department is included as an Additional insured on
<br />the General Liability, Umbrella Liability and Auto Liability policies as per written contract.
<br />A Waiver of Subrogation applies to the Additional Insured with respect to the General Liability, Umbrella Liability and Auto Liability policies as per written
<br />contract.
<br />City of Santa Ana, Attention: Jack Giulia, Chief Technology Innovations Officer Information Technology Department is included as an Additional Insured on
<br />a primary non-contributory basis on the General Liability, Umbrella Liability and Auto Liability policies as per written contract,
<br />Tl l I ra m by Tu Tran
<br />Tram
<br />Ng uyen
<br />City of Santa Ana, Attention: Jack Ciulla, Chief Technology
<br />Innovations Officer Information Technology Department
<br />20 Civic Center Plaza
<br />Santa Ana CA 92701
<br />l.AN%..GLLH I IUN -7u 1 -'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 PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE APPROVED
<br />(1 I11YI-1By Tu Tran Nguyen of 3:02 arm, Jun 10,
<br />V IVU5-2U15 ACORL) CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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