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�C_QRD CERTIFICATE OF LIABILITY INSURANCE ► D0A8/TE(04/22004 004MMID) PRODUCER (425)45S -5640 FAX (425)455 -6727 Baldwin Resource Group, Inc. PO Box 1848 Bellevue, WA 98009 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Technology Unlimited Inc 1179 Andover Park W Tukwila, WA 98188 INSURERA. Hartford Insurance Group INSURERB: Best Rating A+ XV GENERAL LIABILITY INSURER C. 08/04/2004 INSURER D' EACHOCCURRENCE INSURER E' A THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN, 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AM I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATR)N DAM IMMODIrrirl LIMITS GENERAL LIABILITY 52UUNUS3142 08/04/2004 08/04/2005 EACHOCCURRENCE E 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [X] OCCUR X WA Stop Gap DAMAGE TO RENTED $ 300,000 $ 10,00 MED EXP(My one Person) PERSONAL B ADV INJURY $ 1 0001 00( GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER POLICY PRO- JECT LOC PRODUCTS - COMPIOP AGG $ 2,000,00 AUTOMOBILE LIABILITY ANY AUTO 52UUNUS3142 08/04/2004 08/04/2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accdent) $ GARAGE LIABILITY ANY AUTO / AUTO ONLY - EA ACCIDENT $ THAN EA ACC AUTO ON AUTO ONLY AGG $ $ A EXCESSIUMBRELLALUUNUTY X OCCUR CLAIMS MADE S2XHUUS3401 08/04/2004 08/04/200,5 EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2, 000,OO $ 3 DEDUCTIBLE X RETENTION $ 10,00 $ $ WORKERS COMPENSATION AND EMPLOYER& LIABILITY WC STATU- OTH- E . EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE -EA EMPLOYEE $ If yea, descnbei w SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS he City of Santa Ana, Its officers, agents, volunteers and representatives are primary additional aspect to liability arising out of the operations by or on behalf of the named insured. OTE: Primary Additional Insured per Commercial General Liability form HC7001(1001) see page 12 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Santa Ana 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Mi rel l a Vargas BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 20 Civic Center Plaza OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE //. . ' ACORD25120011081 FAX: (714)647 -5304 1 "Yq-,"