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. kl O CERTIFICATE OF LIABILITY INSURANCE <br />�� <br />DATE19/202'YY) <br />01 /19/2021 <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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endomement(s). <br />PRODUCER 866-591-5050 866-791-2715 <br />OIAInsurance Services <br />1510 Park Avenue Unit C <br />Long Beach, CA 90815 <br />CNAME:ONTACT Hal Reniff <br />PNG"E 866-591-5050 nc.Na1:866-791-2715 <br />no Ales hal oiainsuranceservice.com <br />INSURE S AFFORDING COVERAGE <br />NAICN <br />INSURERA:Oak River Insurance Company <br />34630 A++ <br />INSURED 800-599-7385 <br />Card Integrators Corporation <br />3625 Serpentine Drive <br />Los Alamitos, CA 90720 <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: RFVISION NIIMRFR- <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 />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F-IOCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any we arson) <br />$ <br />PERSONAL B ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS-COMPIOPAGG <br />$ <br />POLICY <br />PRO- LOD <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />We accident <br />$ <br />BODILY INJURY (Per person) <br />S <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident ) <br />$ <br />NON-0WNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per actidant <br />$ <br />8 <br />U MBRELLA LWB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION <br />$ <br />WORKERS COMPENSATION <br />WC STATU- OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />12/20/2020 <br />12/20/2021 <br />E.L. EACH ACCIDENT <br />$ 1 OOO OOO <br />A <br />ANY <br />OFFICER/MEMBER EXCLUDED ECUTIVE ❑ <br />NIA <br />CAWC144334 <br />E.L. DISEASE -EA EMPLOYE <br />$1000000 <br />(Mandatory in NHl <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OFOPERATIONSILOCATIONSIVEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />/ of Santa Ana -Risk Management <br />Civic Center Plaza, 4th Floor <br />1ta Ana, CA 92706 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />M <br />©1988-2010 ACORD C <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />_ RiAMarogemodD[tivlm <br />`e eREVIEWED&APPRMEDBY: �°; <br />Il1131' FdA� P V lfF1u1 <br />Risk Management Analyst <br />