Laserfiche WebLink
A4C9W0,. CERTIFICATE OF LIABILITY INSURANCE OP ID MEDATE(MM/DD/YYYY) <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />TECHN-1 <br />04/30/07_ <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />R. C. Fischer 6 Cc,. <br />P. O'Box 8101 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Walnut Creek CA 94596-8101 <br />—_ <br />Phone: 925-932-7823 Fax:925-932-0962 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />„/ w . — ^^` — O ` <br />` <br />INSURER A_ p oyer pansatio Ina Co <br />DATE MM/D( D/YY <br />INSURER B. <br />Technology Un11m1 tadr 1nC. <br />13:L3-3-Vannet <br />INSURER C. <br />GENERAL LIABILITY <br />MADE [::::] OCCUR <br />1 Andover Park West <br />Tukwila WA 98166 <br />INSURER D <br />INSURER E. <br />=D <br />PREMISES (Ea occurenCLAIMS <br />Y CKNb CJ <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 />—_ <br />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MM/DD/YY <br />DATE MM/D( D/YY <br />LIMITS <br />�77MFLLABILITYEACH <br />GENERAL LIABILITY <br />MADE [::::] OCCUR <br />OCCURRENCERCIAL <br />=D <br />PREMISES (Ea occurenCLAIMS <br />MED EXP (Any one person) $ <br />- <br />PERSONAL S ADV INJURY $ <br />__,_ <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />PRODUCTS - COMP/OP AGO S <br />POLICY r PRO- <br />JECT LOC <br />'- -- ------ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />(E. aacCOMBc dent) INGLE LIMIT $ <br />- <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per person) <br />---- <br />BODILY INJURY <br />(Per accident) $ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />rvV/i <br />PROPERTY DAMAGE <br />(Per accident) $ <br />GARAGE LIABILITY <br />_—� <br />AUTO ONLY - EA ACCIDENT $ <br />ANY AUTO <br />"_- --- <br />--— <br />OTHER THAN EA ACC $ --_— <br />' <br />- <br />Gj <br />AUTO ONLY AGG $ <br />EXCESS/UMBRELLA LIABILITY <br />+ <br />EACH OCCURRENCE $ <br />OCCUR CLAIMS MADE <br />AGGREGATE $ <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANYPROMEM.ER/PARTNER/EXECUTIVE <br />FNO30715605 <br />05/03/07 <br />X07 <br />OS�O3�O8 <br />UTH- <br />XTORY LIMITS ER <br />E.L. EACH ACCIDENT $ 1 r OOQ QQO- <br />IfxE"IFlc s-ilb,1 and r L'JDtD? <br />S yes, describe under <br />SPECIAL PROVISIONS below <br />_ <br />EL DISEASE EA EMPLOYEE $ 1 r 000 000 <br />-- -- <br />EL DISEASE - POLICY LIMIT $ 1 r 000 r 000 <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />*10 day notice in the event of Cancellation for non-payment o£ premium <br />VCR 1 Ir I�..N 1 C I"I VLIJCK CANCELLATION <br />SANTA- 8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Attn: Mitella Vargas IMPOSE <br />ty O£ Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />A <br />20 C1V1C Center Plaza REPRESENTATIVES. <br />Santa Alla CA 92701 AUTHORIZED REPRESENTATIVE- ' A <br />ACORD 25 (2001/08) © ACORD CORPORATION 1988 <br />