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A-200- 01g -OD, <br />A` &?I& CERTIFICATE OF LIABILITY INSURANCE <br />DATE �" <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(les) 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 endoreement(s). <br />PRODUCER TechServe Alliance Services Corp. <br />1420 King Street; Suite 610 <br />Alexandria, VA 22314 <br />CONTACT <br />NAME' <br />PHONE Eau. 703-997-4271 FM 703-260-1000 <br />E-MAIL <br />ADDRESS: <br />INSUREIT(S) AFFORDING COVERAGE <br />NMCS <br />INSURER A: Star Insurance Company <br />18023 <br />Www.techwweallianm.org <br />_ _ _ <br />INSURED <br />The Comdyn Group, Inc. <br />569 Rustic Hills Dr <br />Simi Valley CA 93065 <br />INSURER B: ProCerrury Insurance Company <br />21903 <br />INSURER C: <br />assuRER o: National Specially Insurance Company <br />22608 <br />INSURER E: _ <br />INSURER F: <br />nnveewr_ee n=OTICIn ATR MINARP12• cIlArnA44 RFVIRIDN NIIMRFRI <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 />mSR <br />TYPE OF INSURANCE <br />POOLS <br />eR <br />POLICY NUMBER <br />MMIDDITYry <br />POI OYE P <br />LIMRe <br />D <br />COMMERCVILOENERAL LIABILITY <br />✓ <br />NDA0791984 <br />6/15/2019 <br />6/15/2020 <br />EACH OCCURRENCE_ <br />$1000000 <br />CLAIMS -MADE M OCCUR <br />PREM-OAx(mvs PNt,pccu rent <br />$1 000 000 <br />MED EXP (My ono arson) <br />$10 ODO <br />PERSONAL SADV INJURY <br />S1 000 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />52,000,000 <br />PRODUCTS• COMP/OP AGG <br />$2000000 <br />^ <br />✓ POLICY Ef JECT F-1LOC <br />S <br />OTHER: <br />D <br />AUTCHIOSILELIASIUTY <br />✓ <br />NDBO791984 <br />6/15/2019 <br />6/15/2020 <br />fEeMNIMMISINGLE LIMIT <br />$1000000 <br />BODILY INJURY (Par person) <br />$ <br />ANY AUTO <br />OWNED SRED CHEDULED <br />AUTOS ONLY AUTOS <br />✓ AUUTOS ONLY ✓ AUTOS ONLY <br />BODILY INJURY (Per eccden) <br />S <br />War PROPERTYll AA E <br />GUmdl <br />E <br />$ <br />D <br />✓ <br />UMBRELLALIAIS <br />�/ <br />GDCUR <br />✓ <br />NDC0791984 <br />6/15/2019 <br />6/15/2020 <br />EACH OCCURRENCE <br />$1000000 <br />AGGREGATE <br />_ <br />S11,000,000 <br />EXCESS LIAR <br />CLAIM&MADE <br />DED <br />I ✓ I RETENTION 1110,000 <br />S <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITYIN <br />ANYPROPRIETORIPARTNERiEXECUTIVE Y❑ <br />OFFICEIVMEMBEREXCLUDED9 <br />(Mandatory In NH) <br />NIA <br />WC0791984 <br />6/1512019 <br />6/1512020 <br />PT UTE nN <br />E.L.EACH ACCIDENT <br />E100000O <br />E.L. DISEASE -EA EMPLOYEE <br />E OQMo <br />E.L, DISEASE •POLICY LIMIT <br />$1000,000 <br />OESOF OPERATIONS helow da p,now <br />D <br />A <br />E&O/Professional Liab <br />Crime - 3rd Party Blanket <br />✓ <br />NDA0791984 <br />CRO791984 <br />6/15/2019 <br />6/15/2019 <br />6/15/2020 <br />6/15/2020 <br />$1,000,000 Ea Claim/$2,000,000 Aggregate <br />$100.000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule. maybe ellachad it Moro space v required) <br />City of Santa Ana, Its Officers, Agents and Employees are Additional Insured as rospocts to General Liability <br />per attached CG2010 1093 Additional Insured Endorsement. Should any of the above described PPolicies be Cancelled or reduced before the expiration <br />dale thereor, the issuing Insurer and/or agent will endeavor to mall 30 days written notice the the Cerliticale, Holder, but failure to do so shall <br />impose no obligation or liability of any kind upon the Insurer. Its agents or representatives. All policies referenced above are primary and <br />non-contributory by policy language. <br />City of Santa Ana REVIEWED & APPROVE D SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Risk Management Division BY Risk MANAGEMENT DiVisiONI <br />THE EXPIRATION <br />TH THEP LICY DATE THEREOF,PRONOTICE WILL BE DELIVERED IN <br />ACCORDANCE W20 Civic Center Plaza, 4th Floor <br />Santa Ana CA 92702 16 pig <br />AUTHORIZED REPRESENTATIVEFRAN <br />Mark B. Roberts <br />cM 19AR_21115 ACORD CORPORATION. All Fichte reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />50459012 1 CoOdyn Inc 19-20 Appravnl Certificate I Jill Norton 1 a/l/2019 12:02;99 PM IsOTI I rage 1 of 2 <br />