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CERTIFICATE OF LIABILITY INSURANCE 1osiioizoiil 1 <br />AC.UKU CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMDD"YYY) <br />05/10/2011 <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 terns and conditions of the policy, certain pollcles may require an endorsement. A statement on this certificate does not confer rights to the <br />Certificate holder in lieu of such endoreement(s). <br />PRODUCER <br />Insurance Brokers of MD - Hagerstown <br />Insurance <br />13126 Pennsylvania Ave. <br />PO Box 3767CUSTOMER <br />Hagerstown, MD 21742 <br />TA <br />NAME; Nancy Stottlemyer <br />a "„ E,,;301.790.0652 A" <br />a� LREgs, ; <br />ID d, <br />INSURERS AFFORDING COVERAGE <br />NAM <br />INSURED <br />The Library Corporation, Carl Corporation <br />Tech -Logic Corporation <br />1 Research Park <br />Inwood, WV 25429 <br />INSURER A: One Beacon America Ins. Co. <br />20621 <br />INSURERB: One Beacon insurance Co. <br />18458 <br />INSURERC: <br />NSURERD: <br />INSURERS: <br />INSURER F : <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />ILTN <br />TYPE OF INSURANCE <br />INSF <br />MD <br />POUCY NUMBER <br />MMDD1YYYY <br />MWOONYW <br />LIMITS <br />GENERAL LIABILITY <br />711011330-0002 <br />0612612011 <br />0512612012 <br />EACHOCCURRENCE <br />S 1,000,00 <br />X COMMERCIAL GENERAL LIABILITY <br />TO RENTED <br />PREM ES a <br />OOO OO <br />8 1( <br />MED E%P(my ona wwn) <br />$ 10,00( <br />CLAIMSMADE OOCOUR <br />PERSONAL S ADV INJURY <br />$ 1,000 00 <br />AT—_ <br />GENERALAGGREGATE <br />$ 2,000.00 <br />GENL AGGREGATE LIMIT APPLIES PER, <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,00 <br />$ <br />POLICY M dERCT LOG <br />AUTOMOBILE <br />LIABILITY <br />711011330-0002 <br />0512612011 <br />06/2612012 <br />COMBINED SINGLE LIMIT <br />Ilia Accident <br />N 1,000,000 <br />X <br />ANYAVTO <br />BODILY INJURY(Pa,Paw) <br />S <br />ALLOWNEDAUTOS <br />BODILY INJURY (Po <br />a!!d f) <br />$ <br />A <br />X <br />SCHEOULEDAUTOS <br />HIRED AUTOS <br />PROPERTY DAMAGE <br />(Pe, ami&0) <br />S <br />3 <br />X <br />NON -OWNED AUTOS <br />S <br />UMBRELLA LIAB <br />X <br />OCCUR <br />711011330-000 <br />0512612011 <br />06/2612012 <br />EACH OCCURRENCE <br />Is 6,000,000 <br />AGGREGATE <br />S 61000 00 <br />A <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEDUCTIBLE <br />S <br />S <br />X <br />RETENTION $ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS LWBIDTY y/N <br />ANYPROPRIETORIPARTNEREXECUTIVE❑ <br />OFFICERIMEMBER E%CLUDEOT <br />(Mandatory In NH) <br />Il yea dear+ib under <br />DESCRIPTION OF OPERATIONS "I. <br />NIA <br />40602873 <br />0612612011 <br />0512612012 <br />X wcyrATu. TR _ <br />JL <br />E.L. EACH ACCIDENT <br />$ 1, 000 00 <br />E.L DISEASE - EA EMPLOYEE <br />S 1 000,00 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1.000.001 <br />A <br />ro essiona L a T ity-Cl <br />de <br />Tms <br />711011330-00020512612011 <br />05/2612012 <br />$5,000,000 Each Wrongful Act <br />$5,000,000 Aggregate <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES(Attack ACORD 101.AMUma1 RemaMa Sehedula, Nmonapes» Ie mulr ) <br />City of Santa Ana, Its Officers, Employees, Agents, Volunteers and representatives are additional <br />insured as respects the general liability policy if required by written contract CG2010 (07/04) <br />nd CG2037 (07/04) attached. Coverage is primary and non- contributory per form VCG207 (0709) <br />: ':<', , /%'J 1 0 <br />City of Santa Ana <br />20 Civic Center Plaza M-30 <br />P.O. Box 1988 <br />Santa Ana, CA 92701 <br />ACORD 25 (2009109) <br />I <br />I CiNv Attorney <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCENDANCE WITH THE POLICY PROVISIONS. <br />The ACORD name and logo are registered marNs Or AWKO <br />rights <br />