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TECHNOLOGY UNLIMITED 4
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TECHNOLOGY UNLIMITED 4
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Last modified
7/8/2016 8:15:44 AM
Creation date
4/11/2003 3:58:44 PM
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Template:
Contracts
Company Name
Technology Unlimited, Inc.
Contract #
N-2003-038
Agency
Finance & Management Services
Insurance Exp Date
8/4/2005
Destruction Year
2008
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ACORP, CERTIFICATE OF LIABILITY INSURANCE OP ID <br />TECHN -1 <br />DATE(MMIDD/YYYV) <br />05/02/08 <br />PRODUCER <br />A -,;;-ct)3 -0% <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />R. C. Fischer fi Co. N- 0603 _ <br />2 <br />P.O. Box 8101 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />LIMITS <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Walnut Creek CA 94596 -8101 <br />Phone:925- 932 -7823 Fax:925- 932 -0962 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />INSURER A: Employers compensation ins Co <br />PREMISES(Ea occurence) <br />INSURER B'. <br />_ <br />$ <br />$ <br />Technology Unlimited, Inc. <br />Bill Vannet <br />INSURERC <br />INSURER D. <br />- <br />1179 Andover Park West <br />Tukwila WA 98188 <br />— <br />$ <br />NSURER E <br />r.nVFRAr FS <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />LTR NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICYEFFE TI <br />DATF MM/DD/YY <br />LI EXPIRATION <br />GATE MMIDD/YY <br />LIMITS <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />VGENE�L BILITY <br />RCIAL GENERAL LIABILITY <br />AIMS MADE � OCCUR <br />20 Civic Center Plaza <br />REPRESENTATIVES. <br />EACH OCCURRENCE <br />$ <br />PREMISES(Ea occurence) <br />$ <br />MED EXP (Any one person) <br />$ <br />$ <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />$ <br />EGATE LIMIT APPLIES PER'. <br />JECT r LOC <br />PRODUCTS- COMPIOP AGO <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />Ea accident) <br />$ <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Per accident) <br />$ — <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY AGO <br />$ <br />$ <br />EXCESWUMBRELLA LIABILITY <br />OCCUR L CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />- <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />$ <br />$ <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />GFFIQEWMEMBER EXCLUDED"+ <br />If yes. describe under <br />SPECIAL PROVISIONS below <br />FN030715606 <br />05/03/08 <br />05/03/09 <br />TORY LIMITS ER <br />EL EACH ACCIDENT <br />$ 1000_000 <br />— <br />S 106060040 <br />$16060606000 <br />E.L. DISEASE - EA EMPLOYEE <br />E. L. DISEASE - POLICY LIMIT <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES) EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />*10 day notice in the event of cancellation for non - payment of premium �L <br />,..,r,. a <br />CERTIFICATE HOLDER CANCELLATION <br />SANTA -8 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />City of Santa Ana <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Attn: Mirella Vargas <br />20 Civic Center Plaza <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 <br />ACORD 25 (2001108) © ACORD CORPORATION 1988 <br />
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