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TECHN-1 CIP ID: FIR 10A DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 1 05101/14 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). CONTACT PRODUCER Phone: 925-932-7823 NAME:-- Helen L. Repard R. C. Fischer & Co. PHONE P.O. Box 8101 FAx Fax: 925-932-0962 (Nq,,,No, Ext: 925-627"5464 925-932-0962 Walnut Creek, CA 94596-8101 E-MAIL ADDRESS: hrepard@rcfischer.com -- — ----- ----------------------- Gordon J. Fischer, CPCU . . ........... INSURERIS) AFFORDING COVERAGE NAIC d Oak River Insurance Company INSURED Technology Unlimited, Inc. INSURER B: 6802 South 220th St. Kent, WA 98032 INSURER C INSURER D; INSURER E". I ldql 1RrR F f'r_DTlClfAT= MI 11kfiar0- PFVI.ql()N NIHMIRFR^ 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. _-AbblL INLTRSIR TYPE OF INSURANCE IN SIR SUBIR WVD POLICY NUMBgE.___ffK1DDffYYY) POLICY EFF LIMITS GENERAL LIABILITY EACH OCCURRENCE _OAMACr'T�RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea .occurrence __$ CLAIMS -MADE D OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE---..— $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- JECT AUTOMOBILE LIABILITY CON45INED SINGLE LIMIT _LEa accident) II $ ANY AUTO BODILY INJURY (Per person) $ S ALL OWNEDHEDULED C AUTOS AUTOS BODILY INJURY (Per ac6dent) $ NON -OWNED PROPERTY DAMAGE $ HIRED AUTO AUTOS Per accident) $ UMBRELLA LAB OCCUR FACH OCCURRENCE $ EXCESS LIAR AIMS -MADE AGGREGATE DE!? -j ] RETENTION�$ $ WORKERS COMPENSATION AND EMPLOYERS" LIABILITY YIN �j JITH fTORYLIMITS 'ER - -- -------- A ANY PROPRIETORIPARTNER]EXECUTIVE [ OFFICER/MEMBER EXCLUDED? LI NIA1,000,000 2200066818141 05/03114 05/03/15 E EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 11' yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) 10 day notice in the event of cancellation for non-payment of premium /.w CERTIFICATE HOLDER CANCELLATION SANTA -8 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 of Santa Ana Attn: Mirella Vargas 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE (0 1VtR$-;!U1U AtVKLJ t_uKrumAijurq. mi rigiriliti retiefvuu- ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD