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TECHNOLOGY UNLIMITED, INC. 5
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TECHNOLOGY UNLIMITED, INC. 5
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Last modified
2/15/2019 9:10:33 AM
Creation date
8/29/2012 8:45:08 AM
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Contracts
Company Name
TECHNOLOGY UNLIMITED, INC.
Contract #
N-2004-018
Agency
FINANCE & MANAGEMENT SERVICES
Insurance Exp Date
8/4/2019
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CERTIFICATE OF LIABILITY INSURANCE <br />DATE 7/2014YY) <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 policyfies) 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 Molder in lieu of such endorsement(s). <br />PRODUCER <br />The Partners Group Ltd <br />14432 SE Eastgate Way, Ste 400 <br />He11'evue WA 98007 <br />CONTACT Laura D ksho Orn <br />NAME:: '� <br />PHONENO. . (425) 4555640 FAX No; (425) 455-6727 <br />AbMARI :lDykshoorn@tpgrp.com <br />INSURER(S) AFFORDING COVERAGE MAIC # <br />INSURER A;Ameri can States Ins Cc 19704 <br />INSURED <br />TECHNOLOGY UNLIMITED INC <br />6802 S 220TH ST <br />FENTWA 96032 <br />INSURERB:General I.ns CCS...... of America 24732 <br />INSURER C; <br />INSURER D: <br />INSURER E <br />INSURER F: <br />COVERAGES CERTIFICATE NUMIBER:14/15 GL AU XS ELL 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDPIYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />I CLAIMS -MADE Fx]OCGUR <br />01C12641.5560 <br />/4/2014 <br />8/4/2015 <br />PREM E TO RENTED 1 00© 000 <br />' PREMISES Ea occurrence , $ r <br />MED EXP (Any one person) $ 10,000 <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GENT AGGREGATE UM IT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />X POLICY PRO LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMB4NED SINGLE LIMIT <br />a accident $ 1,000,000 <br />BODILY INJURY (Per person) $ <br />B <br />X <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />4CC31262610 <br />8/4/2014 <br />8/4/2015 <br />BODILY INJURY (Peracodent) $ <br />X <br />HIRED AUTOS NON-OWNAUTOS ED <br />PROPERTY <br />(Per a ciidenIDAMAGE $ <br />MedicaP Cayments $ 5 000 <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE $ 4,000,000 <br />AGGREGATE $ 4,000,000 <br />X <br />EXCESS LIAR <br />CLAIMS-MADF' <br />DED I XI RETENTION$ 10,000 <br />01Su41486260 <br />8/4/2014 <br />8/4/2015 <br />$ <br />'.., A <br />WORKERS COM.PENSATION''.: <br />AND EMPLOYERS' LIABILITY YIN <br />ANY <br />OFFICERIMEIMBER/EXCLUDEDaEOUTIVE® <br />(Mandatory In NH)1012641.5560 <br />NIA <br />8/4/2014 <br />8/4/2015 <br />WC STATU- X OTRH- <br />TORY LIMITS I <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYE $ 11000,000 <br />If yes, describe under <br />DFS0,RIPTION OF OPERATIONS Belo°,v <br />�111 St.o Gam <br />E 01SEASC - FOLIG'G 0,11T $ 1 000 000 <br />DESCRIPTION OF OPERATIONS f LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mare space is required) <br />The City of Santa Ana, Its officers, agents, volunteers and representatives are primary additional <br />respect to liability arising out of the operations by or on behalf of the named insured as per attached. <br />CG 7635 and G7680 <br />,L11.�' . <br />-1T <br />ULK I II-IGA I t HULUtK GANGELLATIUN 1 11 <br />(714)647-5304 <br />City of Santa Ana <br />Attn: Mirella Vargas <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 2,5 (2010105) <br />I NS025 (20) 005) 01 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Lane/LDYKSH <br />a 1986-2010 ACORD CORPORATION. All rights reserved. <br />TheACORD name and loco are registered marks of ACORD <br />
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