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page 2 of 11 <br />Client#: 1258425 305COMPUMGM <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE DTE 2/151115l(MMIDDlYYYY) <br />2018 <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 INSUREII 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 any rights to the certificate holder in lieu of such endorsement(s), <br />CONTACT <br />PRODUCER NAME: Aide Radilla <br />BB&T Insurance Services PHONE 714 941-2850 (Alc, No}: $77 297-9245 <br />(AlC, No, E,). <br />of Orange County a DRESS: aradilla@bbandt.com <br />2400 E Katelia Ave. Suite 1100 INSURER(S) AFFORDING COVERAGE NAIC# <br />Anaheim, CA 92806 INSURER A : Atlantic specialty Insurance Company 27154 <br />INSURED <br />Compulink Mgmt Center Inc <br />dbe Laserfiche <br />3545 N. Long Beach Blvd_ #110 <br />Long Beach, CA 90807 <br />COVERAGES CERTIFICATE NUMBER,. <br />INSURER a : 'travelers Property casualty Cool Am- 25674 <br />INSURER C : ACE AmaMeen Insurance Co 22667 <br />INSURER D: <br />INSURER E:_— <br />INSURER F : <br />REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISbUtu lu IHt Ilvourir U ilm wcu r Vo <br />TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />INDICATED- NOTWITHSTANDING ANY REQUIREMENT, <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THL 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 />ILTR <br />TYPE OF INSURANCE INSR <br />ADD <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDlYYY <br />POLICY EXP <br />MM1tltllYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />X <br />7110103310011 <br />02/13/2018 <br />02/13/201 <br />EACH OCCURRENCE <br />$1,000,000 <br />PREMII ESTO (Ea occurrence <br />�— <br />$1 000,000 <br />- <br />n <br />CLAIMS MADE �J OCCUR <br />MFD EXP (Any one person) <br />$10 000 <br />PERSONAL&ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMPlOPAGG <br />$2,000,000 <br />PRa <br />❑ <br />POLICY JECT LOC <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />7110103310011 <br />2/13/2018 <br />02/13/2019 <br />C MBINED SINGLE LIMIT <br />Ea accident)_ <br />$1,000,000 <br />BODILY INJURY (Per person) <br />S <br />X ANY AUTO <br />BODILY INJURY (Per aECidenl) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />X X <br />(P PERTY DAMAGE <br />Per accident <br />$ <br />AUTOS ONLY AUTOS ONLY <br />A <br />X <br />UMBRELLA LlAB <br />X <br />OCCUR <br />7110103310011 <br />2l1312018 <br />02/13/201 <br />EACH OCCURRENCE <br />$20000.000 <br />AGGREGATE <br />$20 000 000 <br />EXCESS LIAR <br />CLAIMS -MADE <br />B <br />DED RETENTION $ <br />WORKERS COMPENSATION <br />U84KO64827 <br />1/01/2018 <br />01/01/201 <br />ER <br />X STATUTE EHH <br />E.L. EACH ACflDENT <br />$1, 000�000 <br />AND EMPLOYERS' LIABILrrY <br />ANY PROPRIETORIPARTNERIEXECUTIVE Y J N <br />E.L.DISEASE EA EMPLOYEE <br />$1,000,000 <br />OFFICER/MEMBER EXCLUDEDI <br />NIA <br />(Mandatory In NH) <br />II descrtie under <br />E.L. nISEASE - POLICY LIMIT <br />$1,000,000 <br />as, <br />DESCRIPTION OF ORERA71ONS below <br />- <br />G46867580001 <br />21113/2018 <br />02/13/2019 <br />$15,000,000 Agg Limit <br />C <br />Technology <br />$15,000,000 Each Claim <br />E & O - <br />Retro 2/13/2004 <br />$ 50,000 detention <br />DESCRIPTION OF OPERATIONS ! LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached (I mere spare Is required) <br />RE: Contract agreement with insured. <br />Certificate holder is included as Additional Insured, as respects to General Liability, as required by <br />written contract, per form #VCG207 0709 attached. <br />�ut'PKC ��y 1/ 5 <br />CERTIFICATE HOLDER <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza M-42 ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />P 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />694 <br />#S195372471M19537241 A FI3 A D <br />