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r`IinnH!• 19r,AA91; <br />305COMPUMGM <br />ACORDT. CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM /DDIYYYY) <br />1 02/14/2013 <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? SURED, 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 />BB$T Insurance Services <br />of Orange County [ <br />680 Langsdorf Drive Suite 100 _Z_0t �j _ 1 2 Z _(� �`/ <br />"J t <br />CONT <br />NAMEA T Aide Radilla <br />I"V8 r o Et): 714 578 -7050 aC, No): 877 297 -9245 <br />ADDRESS: aradilla @bbandt.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Atlantic Specialty Insurance Co <br />27154 <br />Fullerton, CA 92831 <br />INSURED <br />Compulink Mgmt Center Inc <br />dba Laserfiche <br />3545 N. Long Beach Blvd. #110 <br />Long Beach, CA 90807 <br />INSURER B <br />PREMISE;?RENTED <br />n. <br />INSURER C <br />INSURER D: <br />INSURER E <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />v 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 />TRR <br />TYPE OF INSURANCE <br />NSR <br />WVD <br />POLICY NUMBER <br />MM/uDDY/YYYY <br />MM /DDY/YWY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />711010331006 <br />2/13/2013 <br />02/13/2014 <br />EACH OCCURRENCE <br />$1,000,000 <br />PREMISE;?RENTED <br />n. <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one person) <br />$10,000 <br />CLAIMS -MADE I—XI OCCUR <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 />$2,000,000 <br />$ <br />POLICY JE LOC <br />• <br />AUTOMOBILE LIABILITY <br />711010331006 <br />2/1312013 <br />02/13/201 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />1 000,000 <br />s <br />BODILY INJURY (Per person) <br />$ <br />X ANY AUTO <br />BODILY INJURY (Per accident) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />X HIRED AUTOS X AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />• <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />711010331006 <br />2/13/2013 <br />02/13/2014 <br />EACH OCCURRENCE <br />s201000,000 <br />AGGREGATE <br />$20 000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN <br />OFFICER /MEMBER EXCLUDED? <br />(Mandatory In NH) <br />N / A <br />4060200]2000] <br />1/01/2013 <br />01/01/201 <br />1 WC <br />X TORYLI T OTH- <br />E.L. EACH ACCIDENT <br />$1 OOO 000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$1 ,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />A <br />Professional Liab <br />711010331006 <br />2/13/2013 <br />02/13/201 <br />Limit: $5,000,000 <br />Ded. $25,000 <br />Retro Date: 02/13/2004 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) <br />Evidence of Insurance. TO <br />APPROVED AS <br />LISA E. S -TORCK <br />assistant City Attorney <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />24 Civic Center Plaza M-42 ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />/!4 G4J�/61ty' <br />©1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#S9967801/M9967768 <br />AFRAID <br />Off` <br />