Item 37 - Agreement with COMPULINK Management Center Inc

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Client#: 1258425 A-Z_o1,-(-1L44 305COMPUMGM ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 312015 (MM10DlYYYY} 212(MM 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 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 endorsennent(s). PRODUCER BB&T Insurance Services NAM�A Aide Radilla PHONE 714 941-2850 877 297-9245 AIC Na Ext ; AfC, No of Orange County ADDRESS, aradilla@bbandt.com 2400 Katella Avenue Ste 1100 Anaheim, CA 92806 1N5URER(5)AFFORDING COVERAGE NAIC 9 wSURERA:Atlantic Specialty Insurance Co 27154 INSURED Compulink Mgmt Center Inc dba Laserfiche INSURER B ; INSURER C 3545 N. Long Beach Blvd. #110 Long Beach, CA 90807 INSURER D : INSURER B : INSURER F COVERAGES CERTIFICATE NUMBER: 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. LTRR TYPE OF INSURANCE NSR WVD POLICY NUMBER MMILD�Y� POLICY LIMITS A GENERAL LIABILITY x 7110103310008 02113/2015 02113/2016 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAiMS�MADE F) OCCUR PREMISS Ea occurrence $1,000,000 MED EXP (Any ore person) $1 O 000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE g2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 I POLICY JE� I $ A AUTOMOBILE LIABILITY 7110103310008 02/13/2015 02/13/201 CO(Ea accidenntsNGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS i BODILY INJURY (Par accident) $ PROPERTY DAMAGE Per accident $ A X mm UMBRELLA LAB Lx_1 OCCUR 7110103310008 02/13/2015 02/1312016 EACH OCCURRENCE $20 OOO OOO AGGREGATE $20OOO OOO EXCESS LIAB CLAIMS -MADE FED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNER/EXECUTIVIz OFFICERfMEMBER EXCLUDED? 7 (Mandatory in NH) N 1 A 4060200720009 01/01/2015 01/01/201 X T O Y LI T JOT ERH- i EACH ACC0ENT $11000 000 E.L. DISEASE - EA EMPLOYEE $1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 A Technology 7110103310008 02/1312015 02113/201 Limit: $5,000,000 E & O Ded. $50,000 Retro Date: 02/13/2004 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) R£: Contract agreement with insured. Certificate holder is included as Additional Insured, as respects to General Liability, as required by written contract, perform #VCG207 attached. *THIS CERTIFICATE SUPERSEDES & REPLACES THE CERTIFICATE PREVIOUSLY ISSUED ON 2116115. City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza M-42 ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVES c01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks I CORD #5137466211M13718087 [;] vi `r W k� (� 7, PW �A w.- � / AFRAD