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Policy Number: Date Entered: 8/10/2009 <br />CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br />10/ 2/2009 <br />PRODUCER RISKPRO Insurance Agency, LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />901 Waterfall Way, Suite 407 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Richardson, Texas 75080 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Phone: (972) 235-3030 <br />Fax: ( ) - <br />INSURED PDS Tech, Inc. <br />P.O. Box 619820 <br />Dallas, TX 75261-9820 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURERA:Zurich American Insurance Company 16535 <br />INSURER B: <br />INSURER C: <br />R E: <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 <br />LTR <br />ADD' <br />IN <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />/ <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1 r 000 r 000 <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADEFX OCCUR <br />GLO 9298949-09 <br />9/1/2009 <br />9/1/2010 <br />(RENTED <br />PREM DAMAGEREMISES <br />PREMEa occurrence <br />$ 50 , 000 <br />MED EXP (Any one person) <br />$2,500 <br />PERSONAL&ADV INJURY <br />$ 1 , 000 r 000 <br />GENERAL AGGREGATE <br />$ 2 , 000 r 000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 2 , 000 r 000 <br />POLICY PRO F LOC <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />(Ea acccdent)INED INGLE LIMIT <br />$1 000 , 000 <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BAP 9298947-09 <br />9/l/2009 <br />9/1/2010 <br />PROPERTYDAMAGE <br />(Per accident) <br />$ <br />T-dNv AA <br />GARAGE LIABILITY <br />EI) A <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />ANYAUTO <br />APP 'OV <br />J <br />_„, <br />$ <br />EXCESS /UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />t. t Sh <br />,�` Laura <br />Assistan ity <br />edy <br />tOrne� <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION <br />X I WC STATU- OTH- <br />FR <br />A <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N <br />OFFICER/MEMBEREXCLUDED7 ❑ <br />(Mandatory in NH) <br />C 9298950-09 <br />9/l/2009 <br />9/1/2010 <br />E.L. EACH ACCIDENT <br />$ 1 , 000 , 000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1 000 000 <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1 00� 00� <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Certificate Holder as additional insured as may be required by written contract but only as respects <br />operations of the named insured. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL DO MAIL30 DAYS WRITTEN <br />20 Civic Center Plaza, M-36 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />Santa Ana CA 92701 <br />Attn: Taig Higgins <br />AUTHORIZED REPRESENTATIVE run er <br />ACORD 25 (2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />Produced using Forms Boss Plus software. www.ForTnsBoss.com, Impressive Publishing 800-208-1977 <br />