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QUESTICA LTD
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Entry Properties
Last modified
9/20/2022 4:36:51 PM
Creation date
9/2/2021 2:14:20 PM
Metadata
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Template:
Contracts
Company Name
QUESTICA LTD
Contract #
A-2021-166
Agency
Finance & Management Services
Council Approval Date
8/17/2021
Expiration Date
1/15/2023
Insurance Exp Date
6/15/2023
Destruction Year
2028
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SCHEDULE OF UNDERLYING <br />INSURANCE POLICIES <br />POLICY NUMBER: 40 XHU CD8436 <br />This schedule forms a part of the policy designated herein. <br />Named Insured and Mailing Address: GTY TECHNOLOGY HOLDINGS, INC. <br />SEE IH1204 <br />418 N FAIR OAKS AVE STE 301 <br />PASADENA CA 91103 <br />(LOS ANGELES COUNTY) <br />Insurer, Policy Number and Period Type of Coverage Applicable Limits <br />(A) TWIN CITY FIRE INSURANCE COMPANY <br />40 WB AL4MYB <br />06/15/21 TO 06/15/22 <br />(g) TRUMBULL INSURANCE COMPANY <br />40 UEN CF0128 <br />06/1S/21 TO 06/15/22 <br />F F <br />Employers' Liability Bodily Injury Limit <br />$1, 000, 000 <br />Each accident <br />(by accident*) <br />$1, 000, 000 <br />Policy limit <br />(by disease*) <br />$1, 000, 000 <br />Each employee <br />(by disease*) <br />Commercial Auto Liability <br />Single Liability Limit <br />written to include all owned, <br />$1, 000, 000 Each accident <br />non -owned and hired autos, <br />Split Liability Limits <br />except as listed below: <br />Bodily injury <br />each person <br />Bodily injury <br />OWNED AUTO <br />each accident <br />Property damage <br />each accident <br />(C) HARTFORD FIRE INSURANCE COMPANY <br />40 UUN CF0154 <br />06/15/21 TO 06/15/22 <br />Commercial General Liability <br />$1, 000, 000 <br />Each occurrence <br />written to include all coverages of <br />limit <br />CG0001 or HG0001, except as <br />$1, 000, 000 <br />Personal and <br />listed below: <br />advertising injury limit <br />$2, 000, 000 <br />General aggregate limit <br />(other than products - <br />completed operations) <br />Products -completed <br />$2, 000, 000 <br />operations aggregate <br />limit <br />Form XL 00 05 05 02 PAGE 1 (CONTINUE <br />ltieleM�ugemml.D[wlan <br />RwEwED & A"Rovm By. <br />f�.l.w:n.t Z V:llVAt <br />® Risk Managem nl Malysl <br />
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