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Policy Number: <br />Date Entered: 8/10/2009 <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDNYYY) <br />1710/ 2/2009 <br />PRODUCER RISKPRO Insurance Agency, LLC <br />901 Waterfall Way, Suite 407 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Richardson, Texas 75080 <br />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 />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED PDS Tech, Inc. <br />INSURERAZurioh American Insurance Company <br />16535 <br />INSURER B: <br />P.O. Box 619820 <br />Dallas, TX 75261-9820 <br />INSURERC: <br />INSURER., <br />INSURER E <br />COV <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 />ADIA <br />POLICY NUMBER <br />11PAOILENYMENTMB <br />0110 CY EXPI TION <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />PREMISEI r c* <br />$50, 000 <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMSMADE M OCCUR <br />GLO 9298949-09 <br />9/l/2009 <br />9/l/2010 <br />MEDEXP (Any one erg <br />$2,500 <br />PERSONAL& ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2, 000, 000 <br />GENL AGGREGATE <br />POLICY <br />LIMITAPPLIES PER: <br />PRO- LOC <br />jEG <br />PRODUCTS -COMPIOPAGO <br />$2,000,000 <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />(E ecmee9D1� SINGLE LIMB <br />$1,000,000 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BAP 9298947-09 <br />9/1/2009 <br />9/1/2010 <br />BODILYINJURY <br />(Par accident) <br />S <br />PROPERTYDAMAGE <br />(Per aecldenl) <br />$ <br />GARAGE LIABILITY <br />Npyltovgo AS <br />J. <br />AUTO ONLY -EA ACCIDENT <br />$ <br />OTHERTHAN EAACC <br />AUTOONLY: AGO <br />3 <br />ANYAUTO <br />`_ <br />$ <br />EXCESS I UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />- t' t Sh <br />f aUTO <br />A$sistan ,lty <br />edy <br />lOTtlCy <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />S <br />DEDUCTIBLE <br />_ <br />_ <br />$ <br />RETENTION S <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPTNERIE0 FK ICERIMEM ER EXCLUDED?XECUTIVE ❑IL <br />(MandaloryInNH) <br />9298950-09 <br />9/1/2009 <br />9/1/201Q <br />WC STATU• OTH- <br />A I ER <br />E,LEACHACCIDENT <br />$1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />Nyyeass descrlbeunder <br />SPECUALPROVISIONSWow <br />E.L. DISEASE -POLICY LIMIT 1$1,000,000 <br />OTHER <br />DESCRIPTION OF OPORATIONS I LOCA11ONS I VBMCLES I EXCLUSIONS ADDED 13Y ENDORSSMENT I 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 />L;r_KI1FIUAIC HULUEK CANCELLATION <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BEOANCELLEDBEFORE THE EXPIRATION <br />DATE THEREOF, THE ISBU1Ne INSURER WILLW9WMM MAI 3L, 0 DAYS WRITTEN <br />20 Civic Center Plaza, M-36 NOTICE TO THE CERTIFICATE HOLDER HAM90 TO THE LEFT <br />Santa Ana CA 92701 <br />Attn: Taig Higgins <br />AUTHORIZED REPRESENTATIVE uruaxer <br />WORD 25 (2009101) 01988-2009 ACORD CORPORATION. AN rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />Produced using Forms Bose Plus software. www.FonnsBoss.com; Impressive Publishing WO-209.1977 <br />