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COMPULINK MANAGEMENT CENTER INC 3E-2012
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COMPULINK MANAGEMENT CENTER INC 3E-2012
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Entry Properties
Last modified
6/9/2014 12:54:28 PM
Creation date
5/22/2012 5:00:48 PM
Metadata
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Template:
Contracts
Company Name
COMPULINK MANAGEMENT CENTER INC
Contract #
A-2005-122-04
Agency
FINANCE & MANAGEMENT SERVICES
Expiration Date
6/11/2014
Insurance Exp Date
2/13/2014
Destruction Year
2019
Notes
A-2004-004, A-2005-122; 01; 02; 03
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Client #: 1258425 <br />304COMPUMGM <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM /DD/YYYY) <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />2120/2012 <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 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 <br />CONTACT <br />NAME: <br />BB &T Insurance Services <br />PHONE 949 833 -2462 FAX 8772971094 <br />A/C No Ext : A/C, No <br />of Orange County <br />E -MAIL <br />ADDRESS: msuarez- zarate @bbandt.com <br />19100 Von Karman Ave. Ste 900 <br />2/13/2012 <br />02/13/2013 <br />EACH OCCURRENCE <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Irvine, CA 92612 <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 />PREMISESOEa occur ante <br />$1,000,000 <br />dba Laserfiche <br />INSURER C: <br />$10,000 <br />PERSONAL & ADV INJURY <br />3545 N. Long Beach Blvd. #110 <br />INSURER D: <br />Long Beach, CA 90807 <br />INSURER E: <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />INSURER F <br />$2,000,000 <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 CONTRACTOR 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 />MM /DD/YYYY <br />POLICY EXP <br />MM /DD/YYYY <br />LIMITS <br />⢠<br />GENERAL <br />LIABILITY <br />7110103310005 <br />2/13/2012 <br />02/13/2013 <br />EACH OCCURRENCE <br />$110001000 <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE Lx OCCUR <br />PREMISESOEa occur ante <br />$1,000,000 <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 />$2,000,000 <br />POLICY Fâ] PRO- LOC <br />JECT <br />$ <br />⢠<br />AUTOMOBILE LIABILITY <br />7110103310005 <br />2/13/2012 <br />02/13/2013 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />1,000000 <br />BODILY INJURY (Per person) <br />$ <br />X ANY AUTO <br />_ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X HIRED AUTOS X NON -OWNED <br />AUTOS <br />$ <br />I <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />1 <br />7110103310005 <br />2/13/2012 <br />02113/2013 <br />EACH OCCURRENCE <br />$20 000 000 <br />AGGREGATE <br />$20 000 000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER /EXECUTIVE <br />OFFICER /MEMBER EXCLUD ED? <br />NIA <br />406020072006 <br />1/01/2012 <br />01/01/201 <br />X WCSTAT T OTH- <br />- <br />E.L. EACH ACCIDENT <br />- -- <br />$110001000 <br />E.L. DISEASE - EA EMPLOYEE <br />- - -- <br />E.L. DISEASE - POLICY LIMIT <br />-- <br />$1,000,1000 <br />â <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />$1,000,000 <br />A <br />Professional Liab <br />71101033100005 <br />2/13/2012 <br />02/13/2013 <br />imit $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 > <br />Policy# 711010331005 - : Laserfiche 401 k Plan <br />Policy# 711010331005 - : Compulink International <br />(See Attached Descriptions) L. <br />GtK I IhIGA I t HULUII CANCELLATION <br />City of Santa Ana <br />Attn: Bruce Fruchter <br />24 Civic Center Plaza M -42 <br />Santa Ana, CA 92702 <br />ACORD 25 (2010/05) 1 of 2 <br />#S8208620/M8206308 <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 />e ZZ <br />©1988 -2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />MASUA <br />
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