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Client #: 1258425 <br />304COMPUMGM <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM /DD/Y YYY) <br />2/20/2012 <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 1$$UINq 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 n this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />BB &T Insurance Services <br />of Orange County <br />CONTACT <br />NAME: <br />PHONE 949 833 -2462 FAX 8772971094 <br />A/C No Ext : A/C No <br />ADDRESS: msuarez- zarate @bbandt.com <br />19100 Von Karman Ave. Ste 900 <br />Irvine, CA 92612 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: OneBeacon America Insurance Com <br />20621 <br />INSURED <br />INSURER B: OneBeacon Insurance Company <br />21970 <br />Compulink Mgmt Center Inc <br />dba Laser-fiche <br />INSURER C : <br />X COMMERCIAL GENERAL LIABILITY <br />3545 N. Long Beach Blvd. #110 <br />Long Beach, CA 90807 <br />INSURER D: <br />INSURER E: <br />$1,000,000 <br />INSURER F: <br />CLAIMS -MADE 7 OCCUR <br />COVERAGES CERTIFICATE NUMBER: 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MM /DD /YYYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />7110103310005 <br />2/13/2012 <br />02/13/2013 <br />EACH OCCURRENCE <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />PREMISES ERENTED <br />nce <br />$1,000,000 <br />CLAIMS -MADE 7 OCCUR <br />MED EXP (Any one person) <br />$10,000 <br />PERSONAL & ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$2,000,000 <br />POLICY PRO LOC <br />JECT <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />7110103310005 <br />2/13/2012 <br />02/13/201 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />1 ,000 r 000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />A <br />X <br />UMBRELLA LIAB I <br />X <br />OCCUR <br />7110103310005 <br />2/1312012 <br />02/13/2013 <br />EACH OCCURRENCE <br />$20 000 000 <br />AGGREGATE <br />$20 000 000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />D RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR /PARTNER /EXECUTIVE �Y / N <br />OFFICERIMEMBER EXCLUDED? l -`J <br />(Mandatory in NH) <br />N / A <br />406020072006 <br />01/01/2012 <br />01101/2013 <br />X I WC STLAIk OTH- <br />E.L. EACH ACCIDENT <br />$110001000 <br />E.L. DISEASE - EA EMPLOYEE <br />-- <br />$1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />1$1,000,000 <br />A <br />Professional Liab <br />71101033100005 <br />2/13/2012 <br />02113/201 <br />Limit $5,000,000 <br />Ded $25,000 <br />Retro Date: 02 -13 -2004 <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) <br />** Supplemental Name ** <br />First Supplemental Name applies to all policies - Compulink Management Center Inc dba Laserfiche <br />Policy# 711010331005 - : Accu -flex, Inc °'/ 1 TO _.,° iA <br />Policy# 711010331005 - : Laserfiche 401k Plan <br />Policy# 711010331005 - : Compulink International <br />(See Attached Descriptions) "` -" <br />3Uf£; `'ft si, C y <br />City of Santa Ana <br />Attn: Bruce Fruchter <br />24 Civic Center Plaza M -42 <br />Santa Ana, CA 92702 <br />ACORD 25 (2010105) 1 of 2 <br />#S8208620/M8206308 <br />,%`, IS U-, �, l,U.`/ /1e. ❑,I. - " <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1988 -2010 ACORD CORPORATION. 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