APPLIED TECHNOLOGY GROUP, INC. (2)

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ACORO® CERTIFICATE OF LIABILITY INSURANCE `�/3012020 OAT61301DONIYYI 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 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). PRODUCER (BK) Heffernan Insurance Brokers 1675 Chester Avenue, Suite 310 Bakersfield CA 93301 CONTACT PHONNAMEE IM - 661-327-3321 Ne:661-344-4132 wvL INSURMS)A OROING COVERAGE NAILS INSURER A: Federal Insurance Company 20281 ❑cen e 0564249 INSURED APPLTEC43 Applied Technology Group Inc 4440 Easton Drive INSURER B: Insurance Company of the West 27847 INSURER c :Scottsdale Insurance Company 41297 LNSURER O: Bakersfield CA 93309 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 802520440 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. MR TYPE OFIN9VRANCE ADD. SUER POLICY NUMBER POLICYEFF POUCYEXPLM 1J11ffS A X COMMERCIALGENERALUABILITY Y 36025222ACE 7/1/2020 7/V2021 EACH OCCURRENCE $1.000.000 CLAIMS -MADE XI OCCUR PREMISES Eaoaurrerce $1,000,000 MED EXP (Any one parson) S 10,D00 PERSONAL S ADV INJURY $1,000.000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2.000,000 %t POLICY PECOT1:1 LOC PRODUCTS-COMP/OP AGG $2,000.000 S OTHER: I I A AUTOMOBILELMBILITY 2073594639 7/1/2020 7/1/2021 EO.M..den31NGLE LIMIT S1,000,000 X BODILY INJURY Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accitlen0 S X PROPERTY DAMAGE Par accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY S A X UMBRELLALIAB X OCCUR 79894822 7/1/2020 7/12021 EACH OCCURRENCE S5,000.000 AGGREGATE S 5,000,000 EXCESS LUIB nuliMADE DED I I RETENTIONS S e WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN WPL503611803 3/22/2020 3/22/2021 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000.000 ANYPROPRIETOWPARTNERIEXECUTIVE OFFICER/MEMBEREXCLUDED? NIA E.L. DISEASE -EA EMPLOYEEI S1,000,000 (Mnldetory In NH) K we describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -PODGY LIMIT $1,000,000 C Pmlesuonal Lab. EKS3312214 11/1/12019 11/19/2020 Per Claim S A99 2.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD HIT, Additional Ramarka Schaduk. may Ire anached it more autos is rsqulrsd) ReAs Per Contract or Agreement on File with Insured. The CIry of Santa Ana its officers, employees, agents. volunteers and representatives are included as an additional insured (primary and non-contributory) on General Liability policy per the attached endorsements, if required. Cancellation notice endorsement for General Liability is attached. if required, REVIEWED & APPROVED By Risk MANAGEMENT DIVISION ,III Am n1n FI2A 4 NE R. VILCARgA4HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE HE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS, Risk Management Division, 4th Floor AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana, CA 92702 t719811-2015 ACORD CORPORATION. All A.hts resew. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD