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<br />11..-CERTIFICATEOF LIARILITY INSURANCE 7/12f2016
<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(les) 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 />PRODUCER
<br />The Partners Group Ltd
<br />NAMEACT Alisa Allen
<br />PHONE (877) 455-5640 FAR (925)455-6727
<br />AIC No
<br />11225 SE 6th St.
<br />Suite 110
<br />Bellevue WA 98004
<br />EA-MAILQliE5s.aallen@tpgrp.com
<br />INSURERS AFFORDING COVERAGE. NA[C # ...
<br />INSURER A:Amerlcan States. Ins Co 19704
<br />INSURED
<br />INSURERB:General Ins Co. of America 24732
<br />TECHNOLOGY UNLIMITED INC.
<br />INSURER C:
<br />6802 S 220TH ST
<br />INSURER D:
<br />INSURER E ::
<br />ANT WA 98032
<br />INSURER F:
<br />az JY�1'�T�4r14 wer.■0Ralw:A111111�01 milltI i Yld,l�lN
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR
<br />R 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 />ILTR
<br />TYPE OF INSURANCE
<br />AODL
<br />S...
<br />POLICY NIU'.MBER -
<br />POLICY EFF
<br />(MMIDWYYYY
<br />POLICY EXP
<br />MM1DDIYYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACHOCCURRENCE $ 1,000,000
<br />X COMMERCIAL GENERAL. LIABILITY
<br />'...
<br />E T RENTED....
<br />PREMISES Ea occurrence '' $ 1,000,000
<br />A
<br />CLAIMS -MADE OCCUR
<br />1CI26415580
<br />8✓4✓2016
<br />/4✓2017
<br />MED EXP (Ary one person) $ 10,000
<br />PERSONAL & ABV' INJURY $ 1,000,000
<br />GENERAL AGGREGATE $ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER'..
<br />PRODUCTS - COMPIOP AGG $ 2,000,000
<br />X POLICYPRO- LOC
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />SINGLE. LIMIT
<br />EOa aBCcde11
<br />$ 1,000,000
<br />B
<br />X.
<br />ANY AUTO
<br />' W13ILY`INJURY (Per person) $
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />24CC31262630
<br />✓4✓2016
<br />8✓4/2017
<br />BODILY INJURY (Per accident) $
<br />X
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />PROPERTY DAMAGE
<br />Per aocddenl $
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE $ 4,000,000
<br />A
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE $ 4,000,000
<br />DEC I X I RETENTION$ 10,000
<br />$
<br />OISU41486280
<br />✓4✓2016
<br />✓4✓2017
<br />A
<br />WORKERS COMPENSATION
<br />I WG STATU- OTH-
<br />T Y .IMI X R
<br />AND EMPLOYERS' LIABILITY YIN
<br />E.L. EACH ACCIDENT $ 1.000.000
<br />ANY PROPRIETORFPARTNER/EXFCUI'IVE
<br />OFFICERIMEMBFR EXCLUDED? Li
<br />NIA
<br />E.,L BISEASE - EA EMPLOYE... $ 1,000,000
<br />(Mandatory in NH),
<br />010226415580
<br />✓4✓2016
<br />8/4✓2017
<br />Dyes, IPTI describe
<br />DESCRIPTION OF OPERATIONS below
<br />ashin ton Stop p
<br />'� to G3
<br />E_L DISEASE -POLICY LtlMIT $ 1,000,000
<br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I' VEHICLES (Attach ACORD fd1, Additional Remarks Schedule, if more 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 d
<br />CG 7635 and G7680'
<br />IIII
<br />k,r_K I li-'IC.A I c HULUtK CANCELLATION /
<br />(714) 647--5304
<br />City of Santa Aiwa,
<br />Attn: Mirella Vargas
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />ACORD 25 (2010/05)
<br />I NS0251201005).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 />Kevin Lane/VICKX
<br />1988-2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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