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ACC>R" CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMRaNYYY1 <br />`�' <br />8I72019 <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 Tech Serve Alliance Services Corp. <br />1420 King Street- Suite 610 <br />Alexandria, VA 21514 <br />CONTACT <br />PHONE _ 703-997-4271 FAC Nei: 703-260-1000 <br />EMA L <br />ADORESS <br />INSURERHU AFFORDING COVERAGE <br />NAIC3 <br />INSURER A: Star Insurance Company <br />18023 <br />www.techservealllance.org <br />INSURED <br />The Comdyn Group, Inc. <br />569 Rustic Hills Dr <br />Simi Valley CA 93065 <br />INSURERS: ProCentury Insurance Company <br />21903 <br />INSURER C: <br />WSURER D: National Specialty Insurance Company22606 <br />INSURER E: <br />WSURER F: <br />rMICRAfl= PPRTIPMATF NIIMRFR- R Arnnda REVISION NUMLiEK: <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 />L711 <br />OF INSURANCE <br />VD-OTYPE <br />a <br />$ an <br />POLICY NUMBER <br />POLICY EFF <br />PO CYEXP <br />LINIT9 <br />D <br />,/ <br />COMMERCUILGENERALLUBILITY <br />F-vI OCCUR <br />✓ <br />NOA0791984 <br />W1512019 <br />6/15/2020 <br />EACHb� HOOCCURRREENCE <br />$1000000 <br />NI <br />MAGECLAIMS-MADE <br />EMIS S EEA.UU n.. <br />$1 000 000 <br />MED EXP (Anyone arson) <br />$10 000 <br />PERSONAL 3 AOV INJURY <br />51000000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />s2,000,000 <br />PRODUCTS-COMPIOP AGO <br />$2000.000 <br />✓ POLICY, ❑JECO. <br />TT F-1LOc <br />3 <br />OTHER: <br />D <br />AUTOMOSILELIABILITY <br />✓ <br />NDS0791984 <br />6/15/2019 <br />611512020 <br />EOMDINEDISINDLE LIMIT <br />$1090000 <br />BODILY INJURY tPr perm) <br />$ <br />✓ ANY AUTO <br />BODILY INJURY (Per enrkimr) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />✓ AUTOS ONLY ✓ AUTOS ONLY <br />PROPERTY DAMAGE <br />lPr aaNu Iqf__ <br />$ <br />S <br />D <br />umBREiJw LIAS <br />OCCUR <br />,/ <br />NDC07919M <br />61152019 <br />6/15/2020 <br />EACH OCCURRENCE <br />$1000000 <br />AGGREGATE <br />$1000000 <br />EXCESS LAS <br />N <br />CWM&MADE <br />CEO <br />✓ RETENTION$10.000 <br />3 <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETOWARTNERIEXECUTYVE YIN <br />OFFN:Elm in EREXCLUDEOI <br />(Mandatory In NH) <br />NIA <br />WC0791984 <br />6/1512019 <br />6/152020 <br />z IMm L J �r- <br />E.L. EACH ACCIDENT <br />$1000000 <br />E.L DISEASE -EA EMPLOYE <br />E <br />E.L. DISEASE -POLICY LIMIT <br />$1000000 <br />Mae, dravil a under <br />0ESCRIMON OF OPERATIONS below <br />D <br />A <br />E&O/Professional Llab <br />Crime - 3rd Party Blanket <br />✓ <br />NDA0791984 <br />CRO791984 <br />6/15/2019 <br />6/1512019 <br />6/1512020 <br />61I M020 <br />$1,000,000 Ea CIaiM52,000,000 Aggregate <br />$100,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLE$ (ACORO 107, Addi11ma10.emBrks BCAadula, may M Beached Ilmore epau M required) <br />City of Santa Ana, Its Officers, Agents and Employees are Additional Insured as respects to General Liability <br />per attached CG2010 1093 Additional Insured Endorsement. Should any of the above described policies be Cancelled or reduced before Ore expiration <br />dale lhereor, the issuing insurer and/or agent will endeavor to mail 30 days written notice the the Certificate 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 />�roT,�,r-Arm "^ oco reur.F1 I ATTnN <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana CA 92702 <br />REVIEWED &APPROVE <br />gY Risk MANAGEMENT DIVISI <br />16 ups <br />IEWILL CANCELLED <br />TUH HE EXPIRATIONDATE VTHEREOF, DESCRIBEDPOLICIESBEFORE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />— <br />AUTHOPMEDREPRESENTATIVE i / <br />Mark B. Roberts V r%A//L,/i�/ <br />V 19BB-ZU1b AGUKU cUKPUKA I IUN. All rignm rese"Im. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />50459011 1 an=ial Ioc 1940 Approval Certificate I dill Norton I B17/2019 12:0::49 Pm (Eun) I Page i of 2 <br />