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ACOaRijr CERTIFICATE OF LIABILITY INSURANCE DATE 7/12/20166 <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 />PRODUCER <br />'... The Partners Group LtCi. <br />11225 SE 6th St. <br />Suite 110 <br />Bellevue WA 98004 <br />COIN,I� CT AliAllen <br />PHrONE ($77) �.]5-5640 NOL f425J456-6727 <br />AEbWESS,aallen@tpgrp.com <br />INSURER(S) AFFORDING COVERAGE MAIC # <br />INSURERA:Amerlcan States Ins Co 19704 <br />INSURED <br />TECHNOLOGY UNLIMITED INC, <br />6802 S 220TH ST <br />KENT WA 98032 <br />INSURERB:General Ins Co. of America 24732 <br />INSURER C : <br />INSURER D: <br />INSURER E <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER:16-17 GL AL EL XS REVISION NUMHFR- <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 NTH 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 CLAIM'S, <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />X COMMERGIAL GENERAL LIABILITY <br />CLAIMS -MADE a] OCCUR <br />DIC126415580 <br />/4/2016 <br />/4/2017 <br />PREMES ' Ea o�ccnurrence 17- <br />$ 1,., 000P 000 <br />MED EXP (Any one person) $ 10,000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2', 000, 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />POLICY PRO - <br />POLICY jECT LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident $ 1,000,000 <br />13 <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />4CC31262630 <br />/4/2016 <br />/4/2017 <br />EdCOILYTNJURY (Per person) $ <br />BODILY INJURY Per accident $ <br />( I <br />` <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE $ 4,000,000 <br />AGGREGATE $ 4,000,000 <br />A <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I X I RETENTION$ 10,000 <br />$ <br />16041486280 <br />/4/2016 <br />6/4/2017 <br />A <br />WORKERS COMPENSATION <br />WC STATU- OTH- <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETORIPARTNER/EXECUMVE <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory in NH) <br />under <br />If DESCRIPTION <br />OESCRdPTION OF OPERATIONS below <br />N / A <br />OIC126415580 <br />gtpre Stop G.� <br />Na p p <br />/4/2016 <br />/4/2017 <br />CORYLIMITS X <br />E.L. EACH ACCIDENT $ 1,000,000 <br />F,L DISEASE - EA EMPLOYE9 $ 1,000,000 <br />'. E.L. DISEASE - POLPCY LIMIT $ 1 000 . 000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it 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 per attached <br />CG 7635 and G7680 <br />%rCr[ I Irn.aw I G r1VLLJr_M liANULLL.A I IUN <br />(714)647-5304 <br />City of Santa Ana <br />Attn: Mi.rella Vargas <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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/VICKY "` _C':� fC <br />.%%,wmu La (iU7u/Wo) V 1888-2010 ACORD CORPORATION. All rights reserved. <br />INS025 (201005).01 The ACORD name and lctp,o are requstered marks of ACORD <br />