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Client#: 1258425 304COMPUMGM I " Z004/ °DCāœ“ <br /> ACQRDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)62/12/09 <br /> PRODUCER A _ 0rel. _122_0--, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> BB&T Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> of Orange CountyHOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 9 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 19100 Von Karman Ave. Ste 900 <br /> Irvine, CA 92612 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: OneBeacon Insurance Company 21970 <br /> Compulink Management Center INSURER B: Trans Pacific Insurance Company 41238 <br /> Accuflex, Inc. & Laserfiche <br /> INSURER C: <br /> 3545 Long Beach Blvd#110 <br /> INSURER D: <br /> Long Beach, CA 90807 INSURER E: <br /> COVERAGES <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 /> INSR ADD' POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY1 DATE IMM/DD/YYI LIMITS <br /> A GENERAL LIABILITY 711010331 01/06/09 02/13/10 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY <br /> DAMAGE TO <br /> $1,000,000 <br /> CLAIMS MADE X OCCUR MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY PRO- <br /> n JECn LOC <br /> T <br /> A AUTOMOBILE LIABILITY 711010331 01/06/09 02/13/10 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $1,000,000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> A EXCESS/UMBRELLA LIABILITY 711010331 01/06/09 02/13/10 EACH OCCURRENCE $5,000,000 <br /> X OCCUR CLAIMS MADE AGGREGATE $5,000,000 <br /> DEDUCTIBLE $ <br /> X RETENTION $10000 $ <br /> B WORKERS COMPENSATION AND 4.06020072 01/01/09 01/01/10 XE <br /> VJCSTATU- OTH- <br /> TQRYIIMITS <br /> EMPLOVERS'LIABILITY E.L.EACH ACCIDENT $1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> OTHER <br /> APPROVE AS TO FORM <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS A <br /> Certificate Holder is additional insured as respects to general liability, 7-. <br /> as required by written contract per attached wording from policy form <br /> VCG205 0205 attached. Laura Syr; <br /> q y SheAttoredyney <br /> CERTIFICATE HOLDER CANCELLATION Ten Day Notice for Non-Payment of Premium <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> City of Santa Ana DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL RD DAYS WRITTEN <br /> Attn: Pat Healy, M/SM-30 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> 20 Civic Ctr Plaza IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> Santa Ana, CA 92701 REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> k wt fit.< . $g __.., <br /> ACORD 25(2001/08)1 of 2 #M3204358 MASUA © ACORD CORPORATION 1988 <br />