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CERTIFICATE OF LIABILITY INSURANCE DATe(MM/DD/ww) 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 The Partners Group Ltd 14432 SE Eastgate Way, Ste 400 B'aaj_ UE WA 98007 NON ERCT Aaron Avila PHONE (425) 455-5640 FAX (425)455-6727 IAIC Laii'°IL .aa_LXe@tpgrp. cam INSURERS AFFORDING COVERAGE NAIL # INSURER A:AIIIEr1Can StatEB 2118 CO 19704 INSURED TECHNOLOGY UNLIM2TED SNC 1179 ANDOVER PARK W TL7KWII,A WA 98188 INSURER B:GElnElral Ins CO. O£ Amlarica 24732 INSURER C : INSURER D : INSURER E : 1 INSURER F: 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. "TR TYPE OF INSURANCE A ACCORDANCE WITH THE POLICY PROVISIONS. POLICY NUMBER POLICY M DD YYYY POLICYEXP LIMITS 20 C1V1C Center Plaza GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE = OCCUR OICI26415540 8/4/2012 6/4/2013 TED PREMISES Ea okcur—ce $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL S 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 T F $ AUTOMOBILE LIABILITY MBINED IN LE LIMIT Ea accident 3_000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 4CC2125B940 ./4/2012 B/4/2013 BODILY INJURY (Per accitlent) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ Per accitlent UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A }[ EXCESS LIAB CLAIMS -MADE 0,00 DEC) I X I RETENTION 10'00C $ OTSU41486240 8/4/2012 8/4/2013 A WORKERS COMPENSATION WC STATU- X OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/ EXCLUDED? OFF ICE ory in ER EXCLUDED? (Mandatory in NH) N/'4 OICZ264MS540 8/4/2012 8/4/2013 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 It DESS Ltlsccribe antler CRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 2_1300,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addlllonal Remarks Schedule, H more apace Is raq.Y.d) The City o£ Santa Ana, Sts o££iaers, agents, volunteers and representatives era primary additional respect to liability arising out o£ the operations by or on behalf o£ the named insured as par attached CG 7635 and G7680 A1�P3Zov � AS TO FORM Laura SET Rheecly (714) 647-5304 A SSIStH n L City Attorney SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City o£ Santa Ana Attn: Mirella Vargas AUTHORIZED REPRESENTATIVE 20 C1V1C Center Plaza Santa Ana, CA 92701 AGVKD 20 (ZUTU/UJ) V l5)titi-ZVIV A1.3VKU t.]VKYV KAI IVM. All rlgn[S reserVeo. IN S025 (201005).01 The ACORD name and logo are registered marks of ACORD