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ACQSQN CERTIFICATE OF LIABILITY INSUKANLt 1 Osl1Blm <br />•RODUCER (301)733-2S30 FAX (301)791-2478 THIS <br />CERTIFICATEISISSUED ASAMATTER OFINFORMATION <br />Keller-Stonebraker Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1120 C Professional Court A - 2W4- 0 ALTER THE COVERAGE AFFORDED BY THE PO CIES 8 L W. <br />PO Box 609 4- 2006 - 269 INSURERS AFFORDING COVERAGE NAIC r <br />itHagerstown, MD 21741-0609 <br />a sr e L vary Corporation, k -2 _JIJ INSURERA Hartford Casualty Insurance Co 29424 <br />CARL Corporation, Inc., A-2o0 -2.88 wluRERLc narcrorD rive <br />Tech -Logic Corporation, ETAL uRERc. Twin City Fire ws <br />Research Park A - oZC07-o`er wsuRERD: <br />Inwood, WV 25428 1 INSURER E. <br />rVERADES <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 MAYBE ISSUED OR <br />INS LIMITS SHOWN MAY HAVE HEN RES DESCRIBED <br />BY PAID CLAIMS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH <br />POLICIES.MAY RAGGTHE <br />V/R <br />TYPE Of INELLRANC! <br />POLICY NUMBER <br />PIx1CY EF ICTNi <br />►OUCYEXPSMATKfN <br />Ln11T9 <br />A <br />GENLML LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE QOCCUR <br />42UUNUA1381 <br />OS/26/2007 <br />OS/26/2008 <br />EACH OCCURRENCE <br />6 1,000,00 <br />DAMAGE TO RENTED <br />6 300,0 <br />PIED EXP(Amv one P, n) <br />S 10 <br />PERSONAL a ADV INJURY <br />S 1 OQQ <br />GENERAL AGGREGATE <br />6 3,000.00 <br />PRODUCTS •COMPlOPAGO <br />t 3 000 OO <br />GENL AGGREGATELIMITAPPLIES PER: <br />POLICY X 420TT' LOC <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED ALTOS <br />HIREDAUTOS <br />NON -OWNED AUTOS <br />42UENUA1452 <br />05/26/2007 <br />05/26/2008 <br />COMBINED SINGLE LIMIT <br />(Ea aaokAm) <br />6 <br />1,000, 0 <br />X <br />BODILY INJURY <br />fPN) <br />6 <br />BODILY INJURY <br />(PM awdwd) <br />6 <br />X <br />X <br />PROPERTY DAMAGE <br />(Pw acadam) <br />S <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY -EA ACCIDENT <br />6 <br />OTH£RTHAN EA ACC <br />AUTO ONLY: AGO <br />6 <br />6 <br />A <br />EXOSWUMBRSLIA LMSSAY <br />X OCCUR 17 CLAIMS MADE <br />DEDUCTIBLE <br />X RETENTION 6 10, <br />R <br />42RHUUA1427 <br />05/26/2007 <br />05/26/2008 <br />EACH OCCURRENCE <br />6 6,000.0001 <br />AGGREGATE <br />6 6.000, O <br />6 <br />S <br />6 <br />C <br />B <br />WORKEW COMPE„yM10M AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORMARTHERF.X.ECUTIVE <br />OFFICEWMEMSER EXCLUDED? <br />Dya e„e,IW„10af <br />SPECIAL PROVISN)!IS below <br />TN <br />roYessional Liab <br />,aims Made Form <br />42WEN36407 <br />OOTE0222619-06 <br />01/29/2007 <br />09/02/20DG <br />01/29/2008 <br />09/02/2007 <br />X I IMFLA" X on+- <br />E L EAAH ACCIDENT <br />6 11000.00( <br />E.L DISFA4E-EA EMPLOYE <br />S 1 000 OO <br />E.L. DISEASE - POLICY LIMIT $ 11000,00 <br />$2,000,000 Each Claim <br />$2,000,000 Aggregate <br />$25,000 Deductible <br />D PI OF OPLMTIONiIL�cATKw y�eLEaIEXCLU ONSADDlO BY WDORSENWT SPECW. S <br />Itt°y To Santa Ana, Its 0Vftcers, engioyees, agents, vollunteers an representatives are additional <br />nsured as respects the general liability policy <br />0 day cancellation except notice of cancellation for non-payment of the premium will be 10 days. <br />SHOULD ANY OF THE ABOVE DBBORIBEO POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEROF, THE ISSUING INSURER WILL ENDEAVOR TO AWL <br />City of Santa Ana (� 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />20 Civic Center Plaza M 0 BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE AIO OBUOATWN OR LIABILITY <br />P.O. Box 1998 - y "- T"Dy OFANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVE& <br />Santa Ana, CA 92701 AUTNOR�DREPRLSENTATV! / 'a� <br />ACORD 25 (2001108) <br />"CORD CORPORATION 1888 <br />