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Policy Number: Date Entered: 8/12/2009 <br />CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) <br />1/26/2010 <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 INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br />RISKPRO Insurance Agency, LLC NAME: -,- <br />901 Waterfall Way, Suite 407 PHcN o • (972) 235-3030 A/C No): ( ) - <br />E-MAIL <br />Richardson, Texas 75080 ADDRESS: <br />PRODUCER <br />CUSTOMER ID X: <br />INSURED PDS Tech, Inc. <br />P.O. Box 619820 <br />Dallas, TX 75261-9820 <br />INSURER(S) AFFORDING COVERAGE NAIC p <br />INSURERA:Zurich American insurance Company 16535 <br />INSURER B: Steadfast Insurance Company 26387 <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />1 • V( L/Z> ' �VIL.V I INSURER F : <br />COVERAGES CERTIFICATE NIIMRFR- RGVICInu nit ItuaFis• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN <br />IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I <br />LTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP <br />IN SRPOLICY NUMBER <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGERENTED <br />PREMISESS ( (Ea occurrence) <br />50 000 <br />$ r <br />�/ <br />A CLAIMS -MADE X OCCUR GLO 9298949-09 9/l/2009 9/l/2010 <br />MED EXP (Any one person) <br />$2,500 <br />PERSONAL 8 ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2 , 000 , 000 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OPAGG <br />$2,000,000 <br />POLICY PRO LOC <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$1,000,000 <br />X <br />(Ea accident) <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />SCHEDULED AUTOS <br />PROPERTY AGE <br />A HIRED AUTOS BAP 9298947-09 9/l/2009 9/1/2010 <br />� <br />(Peraccident) <br />dent) dent) <br />$ <br />NON -OWNED AUTOS ApPRO V ED AS TO F O P M <br />$ <br />UMBRELLA LIAR OCCUR <br />EACH OCCURRENCE <br />$ <br />� � <br />EXCESS LJAB HCLAIMS-MADE---..._ <br />AGGREGATE <br />$ <br />Laura Stitt eedy <br />DEDUCTIBLE <br />$ <br />RETENTION $ Assistant City AtiorncA <br />$ <br />WORKERS COMPENSATION <br />WC STATU- OTH- <br />AND EMPLOYERS' LIABILITY <br />Y� <br />TORY LIMITS ER <br />A ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? N/p` WC' 9298950-09 9/l/2009 9/1/2010 <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />(Mandatory In NH) <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />It es, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />B Digital Tech EOC-5943050-01 1/l/2010 1/1/2011 <br />each claim <br />$1,000,000 <br />Professional <br />aggregate <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />Certificate holder as additional insured as may be required by written contract <br />but only as <br />respects <br />operations of the named insured. <br />Ull I It-IL:A I L r1ULULK CANCELLATION <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />20 Civic Center Plaza, M-36 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE Brunker <br />Attn: Taig Higgins <br />©1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />Produced using Forms Boss Plus software. www.FormsBoss.com, Impressive Publishing 800-208-1977 <br />