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AG OROCERTIFICATL JF LIABILITY INSURANC CSR HR <br />DATE(MM/DDIYYV) <br />_ <br />TECHN-1 <br />04 30 09 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />R. C. Fischer 6 CO. .�(! 'a C�(�' C 6 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 8101 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Walnut Creek CA 94596-8101 <br />Phone: 925-932-7823 Fax:925-932-0962 <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURED <br />INSURER A. Employara compensation xm Co <br />INSURER B: <br />TaChn0logy Unllmi ted =nC . <br />B111 VannOt <br />INSURER C' - <br />1179 AndoVar Park West <br />Tukwila WA 98188 <br />INSURER D: <br />INSURER E: <br />COVEIZAC�F4 <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 />LTR <br />I=CLTYPE <br />OF INSURANCE <br />POLICY NUMBERDATE <br />MM/DD/YY <br />DATE MM/DD/YY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE [:7] OCCUR <br />PREMISES Ea occurence) $ <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEN -L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ <br />POLICY PRO- <br />JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT $ <br />IF, accident) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />p <br />4 V pR <br />`, <br />y ul' )BODILY <br />AS �' <br />i' <br />TO� <br />BODILY INJURY $ <br />(Per person) <br />INJURY <br />(Par accident) $ <br />PROPERTY DAMAGE $ <br />(Par accident) <br />- <br />GARAGE LIABILITY <br />ANY AUTO <br />4's r <br />8 S f /if Spee <br />ant City /fOi <br />ey <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER T AN EA ACC $ <br />AGG $ <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />OCCUR CLAIMS MADE <br />AGGREGATE $ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />R/ <br />ANY PROPRIETOPARTNER/EXECUTIVE <br />HW03073.5607 <br />05/03/09 <br />05/03/10 <br />T <br />X TORY LIMITS ER <br />E.L. EACH ACCIDENT $1r r 000 000 <br />E.L. DISEASE - EA EMPLOYEE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, tlescba under <br />SPECIn <br />AL PROVISIONS below <br />--- -- -- <br />E.L- DISEASE - POLICY LIMIT $ 3_000,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />*10 day notice in the event o£ cancellation £or non-payment O£ premium <br />l_CRIII'1lrHIC RVLUCR GANGCLLJ4I IVN <br />SANTA— H 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 />C1ty O£ Santa Ana <br />Attn: Vargas <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />M1rella <br />20 Citic Canter Plaza REPRE ENTATIVES. <br />Santa Ana CA 92701 A IZED EPRES NT <br />ACORD 25 (2001/08) © ACORD CORPORATION 1988 <br />