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CI SOLUTIONS
JAN 10 Z022 INSURANCE ON FII F N-2022-002 �y WORK MAY PRO( C I, of utions UNTIL Ii SUAN ORES Card Integrators 7orporalion © 616 6 (. / -C.6 7,7, 3625 Serpentine Drive, Los Alamitos, CA 90720 www.cardintegrators.com 1 LICENSE AND SERVICE O. �OI,� CGf, �ILVv$en) CS3A)AGREEMENT DETAILS PROVIDED BY Cl SOLUTIONS Please sign and submit the completed form to ericaa@cardintegrators.com or by fax to (562) 493-2714. This agreement provides technical support of your CI Solutions software or ID card system hardware for one year or as indicated on your sales order. Support is provided by Cl Solutions (Card Integrators) Monday — Friday 8:30 AM — 5:00 PM, P.S.T. Terms of Software Service Aereement: Cl Badge. Cl Badee 8.31. Campus Safetv Suite and Cl Verif 1) Be prepared to communicate your customer number and software type. 2) Cl Solutions (Card Integrators) provides telephone support during its normal hours of operation, 8:30 a.m. to 5:00 p.m. P.S.T. 3) Technical support conforms to operating specifications of all software systems as originally provided. 4) Cl Badge 8.31 API is a licensed product and requires an annual subscription fee. Subscription fees are billed in advance of the applicable subscription period. 5) License/Service agreement contract holds for term indicated on sales order. 6) Additionalcardlayouts for Cl Badge are subject to a custom design and installation fee. 7) Parts, labor and loaner printer is covered under a separate printer service agreement available through CI Solutions (Card Integrators). 8) Cl Solutions software reinstallation: Cl Solutions includes the reinstallation of Cl Badge vx.x, Campus Safety Suite and CI Verify only if the software ceases to function due to programming issues and file corruption not related to computer viruses, malware and ransomware attacks. We do not support the reinstallation when the host computer stops functioning or needs to be moved to a new location/computer. You will be charged our standard technical service fees to move systems. 9) Installation files: If you lose your installation files, we will provide you with a USB or File Transfer Service for a nominal fee of $75. Please keep in mind this will only include the configuration from the time the system was set up. If you have made additional customizations they will not be included. 10) All minor patch software releases are provided at no charge with a current license or service agreement. Cl Solutions version upgrades are not included. Conditions of Software Service Agreement: 1. Register a system administrator for the annual term. This person serves as the point of contact for all support requirements between CI Solutions (Card Integrators) and the customer. 2. Provide direct access to phone support at the physical placement of the ID System and be at your ID system when you place the support call. 3. Provide internet remote access for system. 4. Before installi.ig any additional software or hardware to your system, notify Cl Solutions (Card Integrators). Any damage, misuse or corruption of software or hardware due to the addition of software or hardware without prior notification to CI Solutions (Card Integrators) will void maintenance protection. S. Ensure that operating environment is clean and do not attempt to operate the system in any extreme environmental conditions. Terms of Limited Service Agreement: ID Card Printer 1) Be prepared to communicate your customer number and printer serial number. 2) Includes unlimited telephone and/or internet remote access support, printer parts and labor only. 3) Limited service agreement excludes loaner printer, contact sales for price on a loaner unit. Page 1 solutions Card Intagrators Corporation 3625 Serpentine Drive, Los Alamitos, CA 90720 www.cardIntegrators.com Terms of Full Service Agreement: ID Card Printer 1) Includes unlimited telephone and/or Internet remote access support, parts and labor. A loaner printer will be provided to the customer if problem cannot be resolved over the phone and with initial remote support. 2) Loaner printer will be same or like model and shipped within 24 hours via UPS ground. Other shipment methods are available at additional cost to customer. 3) The unit must be packaged and shipped to the destination provided by the technician with the RMA number labeled clearly on the outside of the box. 4) Printer must be shipped in its original printer box or the customer is held liable for any damages during shipping. Replacement box costs will depend on your printer model. 5) Loss or damage to Loaner/Rental equipment: By accepting the loaner/rental equipment, customer agrees to return the loaner/rental equipment in the original condition as upon delivery/pick-up and assumes full responsibility for loss, damage resulting from the improper usage of the equipment up to the full replacement value thereof. 6) There may be minor color variation as all printers print slightly differently. 7) Customer will pay the cost of shipping to repair destination; Cl Solutions will pay shipping to customer. 8) Customer will pay the cost of shipping loaner printer back to CI Solutions within 5 working days after receipt of customers repaired unit or a $50 per day charge will apply. 9) Onsite service Is available within a 50 miles radius of Cl Solutions headquarters, 3625 Serpentine Drive, Los Alamitos, CA 90720. 10) One Preventative maintenance visit is available by request for customers within a 30-mile radius of headquarters. 11) Custom service agreements are available, please call for details. Conditions of ID Card Printer Service Agreement: 1) For your service agreement to be valid, you must maintain your printer by performing recommended cleaning procedure using approved cleaning materials. 2) Maintenance service is contingent upon proper use and care and does not cover printers that have been modified, subjected to unusual physical or electrical stress, abuse, damage or have been operated in extreme environmental conditions. 3) Cl Solutions (Card integrators) shall be under no obligation to furnish any service agreement service if repair or replacement parts are required because of the customer's use of unapproved card stock or consumable ribbon. 4) Cl Solutions (Card Integrators) shall be under no obligation to furnish a loaner printer if the customer does not maintain the printer by performing recommended cleaning procedures. Proper maintenance and cleaning of printers will preserve print quality and expected life of the printer. Refer to the product user's manual for complete maintenance and cleaning information or call CI Solutions (Card Integrators) for information. Our Service agreements are intended to provide a high level of service to our customers. All support provided outside of purchase service agreement is billed at a service rate of $175 per hour with a one -hour minimum. Attached hereto is Exhibit 1 identified as Invoice #00004738 in the amount of $1,990. The total amount to be expended under this Agreement shall not exceed $25,000. Insurance requirements for any on -site visits are provided under Exhibit 2, attached hereto. Please sign here to Indicate that you have read and agree to the terms of the service and license agreement provided by Cl Solutions. Customer Signature_ seeattached Print Vendor Signature �`�'++eac Print Erica Andrade Erica Andrade Office: (562) 431-2594 Direct: (562) 449-2495 FricaA@cardintegratars.corn Date Page 2 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: AISY GOMEZ*A" Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: 2aL-- Tamara Bogosian Senior Assistant City Attorney RECOMMENDED FOR APPROVAL: FL)!L CHIEF l(►�L.[4.y'11J, L` David Valentin Chief of Police CITY OF SANTA ANA K//�,�Jj��' ✓ RIv STITINE RIDGE City Manager Company Address 3625 Sorpentine Drive Created Date 10/27/2021 Los Alamitos, CA 90720-2440 Expiration Date 2/1/2022 US Quote Number 00004738 Terms Net 30 Prepared By Erica Andrade Contact Name Lourdes Ferrer Phone (562) 449-2495 Phone (714) 245-8670%. Email ericaa@cardintegrators.com Email Iferrer@santa-ana.org Bill To Name City of Santa Ana - Police Dept Ship To Name City of Santa Ana - Police Dept Bill To 20 Civic Center Plaza, Run 429 Ship To 60 Civic Center Plaza, M-97 Purchasing Division M-16 Santa Aria, CA 92703 Santa Ana, CA 92701 US u5 Service agreement for Service Agreement Renewal Date: 12/2/2021 - 12/1/2022 $795.00 1.00 I $795.00 Cl Badge softwaro. Limited service - -- agreement for ID card- - printer. Serial:Number: DU10000250369- Service Agreement Renewal Date:12/2/2021- Includesparts and 12/1/2022 There is a printer upgrade available for your Dualys printer: Please - $1;195.00 1.00 $1,195.00' labor. Excludes contact :Sales@Cardintegrators.com,for more information. printhead'and loaner printer..` Sales Tax Sales Tax $0.00 1.001 $0.00 Subtotal $1,990.00 Discount 0.00% Total Price $1,990.00 Grand Total $1,990.Oo Thank you for considering Cl Solutions! Your order will be subject to local and slate tax rates. If your organization is tax-oxernpt, please submit the proper exemption details to accounting a�cardintegr tt om. Payment options: httos'/lwww cardintWrament-options/ Purchase orders may be submitted by email to nxdersCo�.cardintegrators com. Cl Solutions is unable to accept returns on custom materials, software, or services. L:01 113 Y 1111 E3i1101 l 1011 M INSURANCE REQUIREMENTS Consultant shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance of the work hereunder by the Consultant, its agents, representatives, or employees. MINIMUM SCOPE AND LIMIT OF INSURANCE Coverage shall be at least as broad as: Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $1,000,000 per occurrence. If a general aggregate limit applies, either the general aggregatelimit shall apply separately to this project/location (ISO CG 25 03 or 25 04) or the generalaggregate limit shall be twice the required occurrence limit. 2. Automobile Liability: Insurance Services Office Form Number CA 0001 covering, Code1 (any auto), or if Consultant has no owned autos, Code 8 (hired) and 9 (non -owned), with limit no less than $1,000,000 per accident for bodily injury and property damage. (Not required if consultant does not require a vehicle to perform services) 3. Workers' Compensation insurance as required by the State of California, with Statutory Limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per accident for bodily injury or disease. (Not required if consultant provides written verification it has no employees) 4. Professional Liability (Errors and Omissions) Insurance appropriates to the Consultant's• profession, with limit no less than $2,000,000 per occurrence or claim, $2,000,000 aggregate. If the Consultant maintains broader coverage and/or higher limits than the minimums shown above, the City requires and shall be entitled to the broader coverage and/or the higher limits maintained by the contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the City. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions Additional Insured Status The City, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Consultant including materials, parts, or equipment furnished in con.nectionwith such work or operations. General liability coverage can be provided in the form of an endorsement to the Consultant's insurance (at least as broad as ISO Form CG 20 10 11 85 or bothCG 20 10, CG 20 26, CG 20 33, or CG 20 38; and CG 20 37 forms if later revisions used). Primary Coverage For any claims related to this contract, the Consultant's insurance coverage shall be primary insurance primary coverage at least as broad as ISO CG 20 01 04 13 as respects the City, its officers, officials, employees, and volunteers. Any insurance or self-insurance maintained by the City, its officers, officials, employees, or volunteers shall be excess of the Consultant's insuranceand shall not contribute with it. Notice of Cancellation Each insurance policy required above shall state that coverage shall not be canceled, except with notice to the City. Waiver of Subrogation Consultant hereby grants to City a waiver of any right to subrogation which any insurer of said Consultant may acquire against the City by virtue of the payment of any loss under such insurance. Consultant agrees to obtain any endorsement that may be necessary to affect this waiverof subrogation, but this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. Self -Insured Retentions Self -insured retentions must be declared to and approved by the City. The City may require the Consultant to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. The policy language shall provide, or be endorsed to provide, that the self -insured retention may be satisfied by either the named insured or City. Acceptability of Insurers Insurance is to be placed with insurers authorized to conduct business in the state with a current A.M. Best's rating of no less than A:VII, unless otherwise acceptable to the City. Verification of Coverage Consultant shall furnish the City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage required by this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to City before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive the Consultant's obligation to provide them.The City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. Subcontractors Consultant shall require and verify that all subcontractors maintain insurance meeting all the requirements stated herein, and Contractor shall ensure that City is an additional insured on insurance required from subcontractors. Special Risks or Circumstances City reserves the right to modify these requirements, including limits, based on the nature of therisk, prior experience, insurer, coverage, or other special circumstances. Francine R. Villareal oiniuiN naea h, P—me n. 1111n. Hale; 3011A6.1516:)a91.7re CARDINT-01 VSUNDIN . la Q CERTIFICATE OF LIABILITY INSURANCE �� °ATE,MMI°° YYY) 618/2021 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), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 endorsements . PRODUCER License 00767776 c CT Long Beach, CA-HMBD Ins Services -HUB International Insurance Services Inc. 3633 E Broadway Suite 200 Long Beach, CA 90803 CAI° Na, Eat: (562) 439-9731 ac , No: E- INSURERS AFFORDING COVERAGE NAIC N INSURER A:Philadelphia lndemni Insurance Company 18068 INSURED INSURER B : INSURER C : Card Integrators Corporation INSURER D: 3625 Serpentine Drive Los Alamitos, CA 90720 INSURER E ; INSURER F COVERAGES CERTIFICATE NUMBER! RFVISInN NHMRFR- THIS IS 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. INSR LTR TYPE OFINSURANCE ADDLSUBR INSD MIDpOLICYNUMBER POLICY EFF POLICY EXP LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X X PHPK2280816 6/612021 6/612022 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 900000 MED EXP (Any one p erson $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT ]LOG OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 A AUTOMOBILE IxANY LIABILITY AUTO OWNED SCHEDULED AUTOS ONLY AUOTOGU Ep 278S ONLY X AUTOS ONNLV PHPK2280816 6/6/2021 616/2022 COMBINED SINGLE LIMIT arrIdarh $ 1,000,000 BODILY INJURY Par eson) S BODILY INJURY Perecddenl Pe�accleent AMAGE UMBRELLA LIAB EXCESS LIAR I OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICER/MEMBEER EXCLUDED4 ECUTIVE ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA IPER OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE E.L. DISEASE- POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) City of Santa Ana, officers, employees, agents, volunteers, and representatives are Inclued as Additional Insured per attached Primary and Non -Contributory per form PI-GL-005 (07112). Cancellation endorsement form PI-CANXAICH-002 (05111) attached. City of Santa Ana Risk Management Division 20 Civic Center Plaza, Floor 4 Santa Ana, CA 92701 ACORD 25 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE R1�EP-R1ESENTATIVE 4*'1 ©1988-2015 ACORD The ACORD name and logo are registered marks of ACORD T rA§YM Z t4C€N14/,L. Risk MAR$gement Analyst PI-CANXAICH-002 (05/11) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTICE TO SCHEDULED ADDITIONAL INSURED OR CERTIFICATE HOLDER This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROFESSIONAL LIABILITY COVERAGE PART COMMERCIAL CRIME COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART SCHEDULE OF ADDITIONAL INSUREDS OR CERTIFICATE HOLDERS AI or CH Additional Insured or Certificate Holder Address AI City of Santa Ana 20 Civic Center Plz F1 4 Risk Management Division Santa Ana, CA 92701 The following is added to A. CANCELLATION of the Common Policy Conditions of the above applicable coverage part: A. In the event we cancel the policy in accordance with the policy's terms and conditions, we will endeavor to mail written notice of cancellation to Additional Insureds or Certificate Holders, shown in the above SCHEDULE within the time frame listed below. However, failure to mail such notice shall impose no obligation of any kind upon us, our agents or representatives. 1. 30 days before the effective date of cancellation if we cancel for any reason other than for non - payment of premium. As respects Additional Insureds, the above cancellation provision applies only when the Additional Insured shown in the above SCHEDULE is added to the policy by a separate additional insured endorsement as the CANCELLATION NOTICE TO ADDITIONAL INSURED OR CERTIFICATE HOLDER does not provide additional insured coverage. "MouganadD sim (N REVIEWED&APPROVEDBY Page 2 of 5 ''-- RI3H YSTanl�cn�4nl AnnlYst. PI-GL-005 (07/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Effective Date: 12/04/2019 Name of Person or Organization (Additional Insured): City of Santa Ana SECTION II — WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the endorsement Schedule, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" arising out of or relating to your negligence in the performance of "your work" for such person(s) or organization(s) that occurs on or after the effective date shown in the endorsement Schedule. This Insurance is primary to and non-contributory with any other insurance maintained by the person or organization (Additional Insured), except for loss resulting from the sole negligence of that person or organization. This condition applies even if other valid and collectible insurance is available to the Additional Insured for a loss or "occurrence" we cover for this Additional Insured. The Additional Insured's limits of insurance do not increase our limits of insurance, as described in SECTION III — LIMITS OF INSURANCE. All other terms, conditions, and exclusions under the policy are applicable to this endorsement and remain unchanged. Page 3 of 8 nw. Includes copyrighted material of Insurance Services Office, Inc., with its pe ReneweoM 6Ar�aaov®sv: f(� V;Ltaaucl � filsk M.magement Anatt 3625 Serpentine Drive Los Alamitos, CA 90720 www.cardintegrators.com City of Santa Ana Risk Management Division 20 Civic Center Plaza, Floor 4 Santa Ana, CA 92701 Date: January 19, 2020 RE: Request to Waive Insurance Requirements Dear Sir or Madam, Please accept this letter as a request to accept lower limits on our auto insurance policy numbered PHPK2137107. We do carry coverage of up to 1,000,000 for a combined single limit (each occurrence) on all hired autos and non -owned autos. The reason (s) being A, As a contractor, Cl Solutions will do no driving on behalf of the City of Santa Ana. B. As a supplier of products, our goods are delivered by common carrier or contract carrier. Thank you for your consideration. Should you require additional information or supporting documents, please don't hesitate to make the request using any of the contact points below. Amanda Lenton Customer Service, CI Solutions Direct: (562) 735-0530 amandal@cardintegrators.com www.cardi ACOR"® 11 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYVY) 1 01/19/2021 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), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 endomement(s). PRODUCER 866-591-5050 866-791-2715 CIA Insurance Services 1510 Park Avenue Unit C Long Beach, CA 90815 NAME:CONTACT Hal Reniff nIc°NN E.1:866-591-5050 aIc Na:866-791-2715 a oaess: hal oiainsuranceservice.com INSURERS AFFORDING COVERAGE NAICA INSURERA: Oak River Insurance Company 34630 A++ INSURED 800-599-7385 Card Integrators Corporation 3625 Serpentine Drive Los Alamitos, CA 90720 INSURER B: INSURER C: INSURER D: NSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS 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, ILTR TYPE OF INSURANCE ADDLSUBR INSR Me POLICYNUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIODIYYYV LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea oecurnmoe $ MED EXP(Anyone person) $ PERSONAL A ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE POLICY LIMIT APPLIES PER: PROI LOC PRODUCTS - COMPIOP AGO $ $ AUTOMOBILE _ LIABILITY ANYAU70 ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accMenl BODILY INJURY (Par person) $ BODILY INJURY (Par e.. mmt) $ PROPERTY -DAMAGE Per accMent $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' UABIDTY YIN OFFICERIMEMBEEREXCLUDEDRANY PRO ECUTIVE❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA CAWC144334 12/20/2020 12/20/2021 I WCSTATU- OTH- LIM E.L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $ 1 00O 000 E.L. DISEASE -POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach AC ORD 101, Additional Remarks Schedule, It more space is required) City of Santa Ana -Risk Management 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92706 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988.2010 ACORD Cl ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ear. s WakMaMgtmentDiviaim _ s �4 gREVIEWED&pAPPRcvmaY:: _ RBS ManYgcinNrll AnB4yst