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,..�� VENTTEC-02 SENGUPTASU
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE 711 212 01 6 MMIDDIYYYY)
<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 BYTHEPOLICIES
<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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Willis Of Texas, Inc.
<br />c/o 26 Century Blvd
<br />P.O. Box 305'191
<br />CONTACT Willis Towers Watson Certificate Center
<br />PHONEFAX
<br />AIC No E,):(877)946-7378 AIC No): (888) 467-2378
<br />ADDRESS: certlficateS OCWIIIIs.COm
<br />Nashville, TN 37230.5191
<br />INSURER(S)AFFOROING COVERAGE
<br />NAICa
<br />INSURER A: Great Northern Insurance Company
<br />20303
<br />INSURED
<br />INSURER B: Federal Insurance Company
<br />20281
<br />Ventiv Technology, Inc.
<br />227 W. Monroe Street
<br />INSURERC:Chubb Indemnity Insurance Company
<br />12777
<br />INSURER D: Illinois Union Insurance Company
<br />27960
<br />INSURERE:Continental Casualty Company
<br />20443
<br />Chicago, IL 60606
<br />NSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 />/LTR
<br />TYPE OF INSURANCE
<br />INSO
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MMIDDIYVYY
<br />LIMITS
<br />A
<br />X COMMERCIALGENERALLIABILITV
<br />EACH OCCURRENCE $ 1,000,000
<br />CLAIMS -MADE T OCCUR
<br />X
<br />X
<br />36033592
<br />0511112016
<br />0511112017
<br />PREMISES Ea occurff rence $ 1,000,00
<br />MED EXP (Any one person) $ 10,000
<br />PERSONAL &ACV INJURY $ 1,000,000
<br />GENL AGGREGATE LIMIT APPLIES PER
<br />GENERAL AGGREGATE $ 2,000,000
<br />X POLICY ❑ JECT LOC
<br />PRODUCTS -COMPIOPAGG $ 1,000,000
<br />$
<br />OTHER
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT $ 1,000,000
<br />Ea accident
<br />BODILY INJURY (Per person) $
<br />AANY
<br />AUTO
<br />73593885
<br />05/11/2016
<br />05/11/2017
<br />BODILY INJURY (Per accident) $
<br />ALL OWNED SCHEDULED
<br />AUTOS AU 0
<br />NON -OWNED
<br />X HIRED AUTOS X AUTOS
<br />PROPERTY DAMAGE
<br />Per accident $
<br />X
<br />4
<br />UMBRELLA LIAB X
<br />OCCUR
<br />EACH OCCURRENCE $ 10,000,000
<br />AGGREGATE $ 10,000,000
<br />B
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />79895906
<br />05/1112016
<br />05/11/2017
<br />DED RETENTION$
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERIMEMBER EXCLUOED4
<br />(Mandatory In NH)
<br />NIA
<br />71754946
<br />0511112016
<br />05/11/2017
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />EL.DISEASE - POLICY LIMIT $ 1,000,000
<br />D
<br />Primary Cyber E&O
<br />G25643518001
<br />05/11/2016
<br />05/11/2017
<br />Limits: 15,000,000
<br />E
<br />Excess Cyber E&O
<br />596694963
<br />05/1112016
<br />05111/2017
<br />Limit: 10,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be allached If more space Is required)
<br />City of Santa Ana and its officers, employees, agents and volunteers are included as additional insureds in regards totheir eneral Liability policy as
<br />required by written contract. A Waiver of Subrogation applies in favor of City of Santa Ana and its officers, xPlovangVV0tTP(3T(Vespect to
<br />the General Liability policy, as required by written contract, YYlt1
<br />Additional Named Insured:
<br />Ventiv Technology, Inc.
<br />7nra
<br />Ventiv SEE ATTACHED ACOR10Companies, Inc. M.Sc arzmann
<br />CFRTIFICATE HOLDER CANCELLATION
<br />©1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />Y7'
<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
<br />City of Santa Ana
<br />n
<br />20 Civic Center Plaza, M-30
<br />/Santa Ana CA 92701
<br />©1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />Y7'
<br />
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