SIGNATURE TECHNOLOGY GROUP, INC. (STG) - 2012

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A- 2012 08 0 SIGNA-3 OP ID: EA ' CERTIFICATE OF LIABILITY INSURANCE DATE(MMID0) 12!311201313 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(les) 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 endorsemen s . PRODUCER Phone: 480-820-4040 Webb & Greer Ins Agency, Inc. Fax: 480-730-1191 301 W Warner Rd 0113 Tempe, AZ 85284 Jeremy P. Grohman, CIC NAME: NTACT ... IPWC N Ne FAX ac Eat: AIC No: ADonLss: INSURERIS) AFFORONG COVERAGE NAICM INSURER A: Massachusetts Bay Ins Co. 22_3_06 EACH OCCURRENCE $ 1,000,00 _ INSURED Signature Technology Group Inc INSURERB:Allmerica Financial Benefit 41840 11265 Sunrise Gold Circle Rancho Cordova, CA 95742 INSURER C: $ -— INSURER 0 AUTOMOBILE LIABIIJTY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS INSURER E: '�, AW4941575700 INSURER F: OMBINED Ea accidertSINGLE LIMIT $ 1,000,00 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. ILTe TYPE OF INSURANCE ADOLiSU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE POLICY NUMBER POLICY EFF MM1DOrYY1'Y POLICY E%P MMIDOIYYVY LIMITS GENERAL UABIUTY A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR GEN'L AGGREGATE LIMIT APPLIES PER X POLICY PRO- LOC X X OD4941575901 0110112014 0110112015 EACH OCCURRENCE $ 1,000,00 DAMAGETO PREMISES Ea oxunence $ 300,00 MED EXP (My one person) $ 5,00 PERSONAL &ADV INJURY_ $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMPIOP AGG $ 2,000,00 10 $ B AUTOMOBILE LIABIIJTY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS '�, AW4941575700 0110112014 0110112015 OMBINED Ea accidertSINGLE LIMIT $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident)$ ROfacERLYDAMAGE $ _...._.— $ A X UMBRELLAUAB EXCESS LIAB X OCCUR CLAIMS-MADEOD4941575901 01101/2014 10110112015 EACH OCCURRENCE $ 5,000,00 AGGREGATE S 5,000,00 DED X I RETENTION $ 6000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETCRIPARTNERIEXECUTIVE EXCLUDED4NIAIMandatory In NH) yes, describe undefDESCRIPTION OF OPERATIONS below U- OTH-' IDENTOFFICERIMEMBER 4E.L. EA EMPLOYEE 5If POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it mora space Is required!) City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional insured for general liability per 391-1006 06/09. Coverage is primary 6 non-contributory per 391-1331 06/09. Waiver of Subrogation applies to general liability per BP0497. CERT LATE HOLDER OANCFI I ATION CITYS64 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Lynda Kelly 20 Civic Center Plaza M-12 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 ©1988-2010 ACORD CORPORATION. nights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD �� i