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<br />A!2°® CERTIFICATE OF LIABILITY INSURANCE
<br />Dnr6/25/2014 (MMIDDNWY)
<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 TechServe Alliance Services Corp.
<br />1420 King Street; Suite 610
<br />Alexandria, VA 22314
<br />CONTACT
<br />NAME
<br />PHONE FA%
<br />(A/C, No Ext: 703- 997 -4271 A/C No: 703.997.7727
<br />E -MAIL
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAIC N
<br />INSURER A: Star Insurance
<br />CP0791984
<br />www.techseNeallianw.org
<br />INSURED
<br />Comdyn Group Inc., The
<br />100 E. Thousand Oaks Blvd.
<br />INSURER B: ProCentu Ins
<br />$ 1,000,000
<br />INSURER c: Travelers Casualty & Surety Cc of Amer
<br />CLAIMS -MADE ❑✓ OCCUR
<br />INSURER D:
<br />Suite 284
<br />Thousand Oaks CA 91360
<br />INSURER E:
<br />INSURER F:
<br />$ 1,000,000
<br />COVERAGES CERTIFICATE NUMBER: 20635571 REVISION NUMBER:
<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 IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />ILTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUn
<br />POLICY NUMBER
<br />POLICY I"YY
<br />POLICY INYYPV
<br />LIMITS
<br />A
<br />�/
<br />COMMERCIAL GENERAL LIABILITY
<br />CP0791984
<br />611512014
<br />6/15/2015
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE ❑✓ OCCUR
<br />PREMISES (Es ocED
<br />PREMISE Ea occurrence )
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />AGGREGATE LIMIT APPLIES PER
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L
<br />✓
<br />POLICY 11 PRO-
<br />JECT ❑ LOG
<br />PRODUCTS - COMP /OP AGO
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />CA0791984
<br />6/1512014
<br />6/15/2015
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000 000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUT05
<br />BODILY INJURY (Per accident )
<br />$
<br />✓
<br />NON WINED
<br />HIREDAUTOS ✓ AUTOS
<br />PROPERTY DAMAGE
<br />Peraccident
<br />$
<br />A
<br />✓
<br />UMBRELLA UAB
<br />,/
<br />OCCUR
<br />UM0791984
<br />6/15/2014
<br />6/15/2015
<br />EACH OCCURRENCE
<br />$ 1000000
<br />AGGREGATE
<br />$ 1,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />TIED ✓ RETENTIONS10,000
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNERIEXECUTIVE ❑
<br />OFFICERIMEMBER EXCWDEDP
<br />NIA
<br />WC0791984
<br />6/15/2014
<br />6/15/2015
<br />✓ STATUTE ERH
<br />E. L. EACH ACCIDENT
<br />S 1,000,000
<br />E. L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />(Mandatary in NH)
<br />If yes, Epson be under
<br />DESCRIPTION OF OPERATIONS below
<br />EL DISEASE - POLICY LIMIT
<br />1 $ 1,000,000
<br />A
<br />E &O /Professional Liab Claims Made
<br />CP0791984
<br />6/15/2014
<br />6/15/2015
<br />$1,000,000 Ea Claim /$1,000,000 Aggregate
<br />C
<br />ERISABond
<br />105021689
<br />10/1/2013
<br />10/1/2014
<br />$350,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is mqulmd)
<br />City of Santa Ana, is Additional Insured as respects to General Liability
<br />per attached CG2010 1185 Additional Insured Endorsement.
<br />City f Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />yCivic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20
<br />Santa Ana Center 92702 ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />i aaa�L Q Onhn No
<br />ACORD 25 (2014/01)
<br />©1988 -2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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