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2022/07/01 StreetLight Data, Inc. (2)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME: CONTACT (A/C, No): FAX E-MAIL ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endorsement(s). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT ER OTH- STATUTE PER LIMITS(MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) POLICY EFF POLICY NUMBERTYPE OF INSURANCELTR INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY WLR C6891453A (AOS) WCU C68914577 (OH)* SCF C68914619 (WI) LIC #0437153 A 66163813 66163813 2,000,000 CYBER LIABILITY PROFESSIONAL LIABILITY A A 2,000,000 A 2,000,000 N San Francisco, CA 94107 29844 Haun Road 1-212-948-1306 07/01/22 X X 5,000 2,000,000 X 07/01/23 EON G71083330 001 EON G21655065 013 City of Menifee Menifee, CA 92586 ACE AMER INS CO 2,000,000 USA HDO G72496176 ISA H25568230 2,000,000 X 677 Harrison Street 2,000,000 CONTRACT.* INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE 2,000,000 holder under contract for captioned work. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF liability & auto liability as respects the negligence of the insured in the performance of insured's services to cert includes Data Breach, Tech E&O, and Network Security. City of Menifee is added as an additional insured for general PROJECT MGR: Brenden Byard. CONTRACT MGR: Brenden Byard. CONTRACT END DATE: 7/11/2023. Professional Liability Los Angeles, CA 90071 X nyumdo_newgalexy 22667 07/01/22 07/01/22 07/01/22 CIRTS_Support@jacobs.com 07/01/23 Marsh Risk & Insurance Services 07/01/23 CONTRACTUAL LIABILITYX 633 W. Fifth Street 07/01/23 07/01/23 07/01/23 07/18/2022 2,000,000 07/01/23 A A 07/01/22 07/01/22 500,000 2,000,000 A Subsidiary of Jacobs Engineering Group Inc. StreetLight Data, Inc. A PER CLAIM/PER AGG PER CLAIM/PER AGG 1-212-948-1306 07/01/22 DocuSign Envelope ID: 87AD5890-BB23-4450-B180-59E0642065CD SUPP (05/04) SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE NAME OF INSURED: Additional Description of Operations/Remarks from Page 1: Additional Information: 07/18/2022 A Subsidiary of Jacobs Engineering Group Inc. StreetLight Data, Inc. *$2,000,000 SIR FOR STATE OF: OHIO DocuSign Envelope ID: 87AD5890-BB23-4450-B180-59E0642065CD DocuSign Envelope ID: 87AD5890-BB23-4450-B180-59E0642065CD DocuSign Envelope ID: 87AD5890-BB23-4450-B180-59E0642065CD