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ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/02009) PRODUCER (:425:)455-5640 FAX (4253455-6727 Baldwin Resource Group, Inc. 08/05/2009 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE /`\ / f� Bellevue, 84WA 98009 A' _ �C) 7 — Lj f� EXTEND OR ALTER RT EHC COVERAGE AFFORDED BIS CERTIFICATE DOES YTHEHE POLICIES ES BELOW. POLICY EFFECTIVE INSURERS AFFORDING COVERAGE NAIC # INSURED Tec no ogy Un lmlte IAC 1179 Andover Park W Tukwila, WA 98188 INSURER A: American States Ins Co INSURER B: INSURER OICI26415 502 INSURER D: 08/04/2010 INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ITE IMMILHWLn LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE r OCCUR OICI26415 502 08/04/2009 08/04/2010 EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED $ ]L,000,000 MED EXP (Any one person) $ 10,000 PERSONAL S ADV INJURY S 1,000,00 GENERAL AGGREGATE. $ 2,000.000 GEN, AGGREGATE LIMIT APPLIES PER: POLICY jE O X LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS 24CC27258902 08/04/2009 08/04/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 A SCHEDULED AUTOS HIRED AUTOS T� O V A�r �v v e ,• AS T" 1J c 1 � �➢`") BODILY INJURY $ (Per person) X NON -OW NED AUTOS ,.� .� -� BODILY INJURY (Per accident) $ X PROPERTY DAMAGE $ (Per accident) ,/LSJ➢- Stitt Se y GARAGE LIABILITY A Cc'7Rt Ctt it}/ rn`--�' AUTO ONLY - EA ACCIDENT $ ANY AUTO OT.IER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE OISU41486201 08/04/2009 08/04/2010 EACH OCCURRENCE S 4.000,006 AGGREGATE $ 4,000,000 DEDUCTIBLE X I RETENTION S 10,000S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERWEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER OICI26415 502 WA STOP GAP 08/04/2009 08/04/2010 WC STATU- -R7-.TR H - EL EACH ACCIDENT S 1,000,006 EL. DISEASE - EA EMPLOYEE $ 1 , 000 , 000 E.L. DISEASE - POLICY LIMIT $ 1 , 000, 00 WESCRIPJION OF PERATIONS / LOCATIONS / VEHI L ,R /EXCLUSIONS ADDED BY EN RSEMENT / SPECI PROVISIONS e City o Santa Ana, Its of€kers, agents, volunteers an representatives are primary additional aspect to liability arising out of the operations by or on behalf of the named insured. Primary Additional Insured per form CG7680 10/02 and CG7635 02/07. -10 days notice for non payment CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Santa Ana 30'' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn : Mi rel l a Vargas BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 20 Civic Center Plaza Santa Ana, CA 92701 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Kevin Lane/ANN --- — (cUU--.1 . i v+i - w» ©ACORD CORPORATION 1988