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TECHN-1 OP ID: HR <br />.4coRo CERTIFICATE OF LIABILITY INSURANCE <br />DAT05/02DYYYY) <br />05/02/12 <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 INSURED, 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 />PRODUCERCONTACT <br />R. C. Fischer & Co. 925-932-7823 <br />P.O. Box 8101 925-932-0962 <br />Walnut Creek, CA 94596-8101 <br />Gordon J. Fischer, CPCU <br />NAME: Helen L. Re and <br />NCNNo E.t : 925-627-5464 ac No : 925-932-0962 <br />E-MAIL hre and rcfischer.com <br />ADOREss: <br />GENERAL LIABILITY <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Employers, Compensation Ins Co <br />EACH OCCURRENCE $ <br />INSURED Technology Unlimited, Inc. <br />Bill Vannet <br />INSURER B: <br />_ <br />- -- <br />-- <br />1179 Andover Park West <br />INSURER C : <br />MED EXP (Any one person) $ <br />INSURER D o <br />CLAIMS -MADE = OCCUR <br />Tukwila, WA 98188 <br />INSURER E <br />INSURER F, <br />PERSONAL & ADV INJURY__ $ <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER - <br />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 CONTRACT OR 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 />INS' LTR <br />TYPE OF INSURANCE <br />ADOL <br />SUI" <br />POLICY NUMBER <br />MM/LDICDY/YYYY <br />POLICY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />__ <br />DAMA E TO RENTED <br />PREMISES Ea occurrence)- _$ <br />MED EXP (Any one person) $ <br />CLAIMS -MADE = OCCUR <br />PERSONAL & ADV INJURY__ $ <br />GENERAL AGGREGATE $ <br />GEN'POLICY AGGREGATE LIMIT APPLIES OC : <br />PO <br />9 <br />PRODUCTS - COMP/OP AGG <br />S <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />p`' <br />ty�11 <br />EOa aBINEDt SINGLE LIMIT <br />BODILY INJURY (Par person) $ <br />ALL OS SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />-�J� Y. <br />L! <br />� � <br />�. �, .. <br />iV"' <br />- <br />_ (�_Cj <br />,. <br />nUIOL �-��,y <br />- <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE <br />Per accitlent $ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />__ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N <br />OFFICER/MEMBER EXCLUDED? <br />N / A <br />FN 0307156 10 <br />05/03/12 <br />05/03/13 <br />X TQRYWC STATU- OTH- <br />LIMITS <br />E.L. EACH ACCIDENT $ 1,000,00 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,00 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICYLIMIT $ 1,000,00 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 1Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />*1 O day notice in the event of cancellation for non-payment of premium <br />I:CK 1 Ir-IGA 1 C 1'7VLL/CK {.71FkN(..1­-LLA 1 IDN <br />SANTA -8 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City Of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Mirella Vargas <br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />© 1988-2010 ACORD CORPORATION. All rights reserved_ <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />