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R CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM2019 ) <br />61. <br />�-� 10/20/2019 <br />U24/2019 <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. <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 endorsement(s). <br />PRODUCER Lockton Insurance Brokers, LLC <br />CA License#CF15767 <br />Three Embarcadero Center, Suite 600 <br />San Francisco CA 94111 <br />ME: <br />AIC No,,.t: FAX <br />(AC, No: <br />E-MAIL <br />ADDRESS: <br />E s AFFORDING COVERAGE <br />NAIC n <br />(415) 568-4000 <br />INSURER A: National Fire Insurance Cc of Hanford <br />20478 <br />INSURED Granicus, LLC <br />1418581 Granicus, Inc 70717th Street, Suite 4000 <br />INSURER B: Valley For e Insurance Continuity <br />20508 <br />INSURERC: The Continental Insurance Com anv <br />35289 <br />INSURER D <br />Denver CO80202 <br />INSURER <br />INSURER F: <br />COVERAGES GRAM CERTIFICATE NUMBER: 14322949 REVISION NUMBER' XXXXXXX <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 />ADOL <br />SD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYri <br />POLICY EXP <br />Y <br />LIMITS <br />A <br />X. <br />COMMERCIAL GENERAL LIABILITY <br />y <br />N <br />6043664103 <br />10/20/2018 <br />10/20/2019 <br />EACH OCCURRENCE <br />$ 1,000 000 <br />CLAIMS-MADEFX—1 OCCUR <br />PREAG ESOEa occur ance <br />1,000,000 <br />MED END (Any oneperson) <br />15,000 <br />PERSONAL &ADV INJURY <br />$ 1,000000 <br />GENT AGGREGATE LIMIT APPLIES PER <br />POLICY JECT LOC <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMPIOPAGG <br />$ 2,000,000 <br />OTHER', <br />B <br />AUTOMOBILE <br />LIABILITY <br />1V <br />1V <br />6043664084 <br />10/20/2018 <br />10/20/2019 <br />COMBINED SINGLE LIMIT <br />Ea acmtleng_ <br />$ 1 000 000 <br />ANY AUTO ry <br />AUTOEONLY AUTOSULED <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />BODILY INJURY (Paraccltlent <br />$ XX}{}{Xj{}{ <br />X <br />J( <br />AUTOS ONLY X AUTOS ONLB <br />Comp $100 D X Coll $1,000 De <br />1 <br />PeUaccRd DAMAGE <br />$XXXXXXX <br />$ XXXXXXX <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />NOT APPLICABLE <br />EACH OCCURRENCE <br />$ XXXXXXX <br />AGGREGATE <br />$ XXXXXXX <br />DED I I RETENTION $ <br />$ <br />C <br />C, <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICEWMEMBER EXCLUDED? ® <br />NH) <br />V yes describe <br />DESCRIPTION <br />DESCRIPTION OF OPERATIONS belam <br />N1A <br />N <br />6043364067 IAOS) <br />6N43364e%t)(C'4) <br />10/20/2019 <br />ID/2N/2QI8 <br />10/20/2019 <br />1D/2D/2DI9 <br />X STATUTE H. <br />E,L, EACH ACCIDENT <br />$ 1,000,000 <br />ELDISEASE - EA EMPLOYEE <br />1,000000 <br />ELDI5EASE-POLICY LIMIT <br />1000000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. <br />The City of Santa Ana, its officers, officials, employees, agents and volunteers is/are an Additional Insured with respect to liability arising out of the <br />operations of the insured and to the extent provided by the policy language or endorsement Issued or approved by the insurance carrier <br />REVIEWEUr <br />.. .v�.r..vrvr.� wnrrwo wr rr.�a wrrrr JOff [VIa - YMn[Y GLLM I JUIN JGG PuLLUC INCHL <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 />14322949 AUTHORIZED REPRESENTATIVE <br />City of Santa Ana <br />20 Civic Center Plaza <br />8th Floor <br />Santa Ana CA 92701 <br />ACORD 25 (2016103) ©9 8.2015 ACORD CORPORATI O . All rights reserved <br />The ACORD name and logo are registered marks of ACORD <br />�s6 <br />