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ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 1-1601-0—'1 7/22/201 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Baldwin Resource Group, a member co. o£ The Partners Group w/� OOO �_O/� PO BOX 1646 AV o0 Bellevue WA 96009 CONTACT Aaron Avila NAME: PHONE(425)455-5640 Fnx (425) 455-6727 E-MAIL .aavila@baldwinrgi. com INSURERS AFFORDING COVERAGE NAIL# INSURER A jime=1Can States Ins CO 19704 INSURED TECHNOLOGY UNLIMITED SNC 117 9 ANDOVER PARK W TUKWIT,n WA 96166 INSURER B:Gene=al Ins CO. O£ America 24732 INSURER C: INSURER D; INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:11-12 GI, XS SG REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER MM-UY/YYYFY MMMUYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ X, 000,000 X COMMERCIAL GENERAL LIABILITY DA WE PREMISES Ea current $ X'000'000 A CLAIMS -MADE XO OCCUR 10126415530 /4/2011 /4/2012 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN -L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT d'MX'000'000 BODILY INJURY (Per person) $ B X ANY AUTO BODILY INJURY(Per accident) $ ALL OWNEDSCHEDULED 4CC27258920 /4/2011 /4/2012 AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE $ (Per n Medical --l. $ 5 000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A ][ EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10,00 $ XSU41486220 /4/2011 /4/2012 A WORKERS COMPENSATION WC STATUSOTH- AND EMPLOYERS' LIABILITY Y / NFIR AND E.L. EACH ACCIDENT $ 1 000 000 ANY PROPRIETOR/PARTNER/EXECUTIVE M EXCLUDED? (MandMOry In NH I N/A IC126415530 /4/2011 /4/2012 E.L. DISEASE - EA EMPLOYE $ 1_000,000 If yes, describe untler ._a6.SCRl PT1fJN-pr JnSGn.ZCJ,LS behaa• E.L. DISEASEPOLICYLIMIT$ 7 _T_, _1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace is required) The City o£ Santa Ana, Its o££icers, agent., volunteers and rap=es.. tatives are primary additional respect to liability arising out of the operations by or on behalf: o£ the named insured as par attached CG 7635 and C07680 APPROVED AS -TO FORM (714) 647-5304 Assistant CitY Attorney City o£ Santa Ana Attn: Mi=ella Vargas 20 Civic Canter Plaza Santa Ana, CA 92701 25 (201 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Lane/VICKY © 1988-2010 ACORD CORPORATION. All rights reserved. INS025r,n,nnsl m Thu ACf1Rn . . —A 1...... aro ro icls. A -i ,.a Ar`rlRn