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ACORO° CERTIFICATE OF LIABILITY INSURANCE ul/zo13 <br />DATE <br />8/30/2012 <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 INSURERS), 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. It SUBROGATION IS WANED, 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 Lockton Companies, LLC -1 Kansas City <br />444 W. 47th Street, Suite 900 <br />Kansas City 64112 -1906 <br />(816) 960 -9000 <br />POLICY NUMBER <br />P C No Ext : AIC No <br />IL <br />LIMITS <br />N <br />INSURER A: Zurich American Insurance Company <br />1653 <br />INSURED PDSTECH, INC <br />1332031 1925 W JOHN CARPENETER FWY SUITE 550 <br />IRVING TX 750630 -322 <br />INSURERS: RSLU Indernnitv ComDany <br />22314 <br />INSURER C: Steadfast Insurance Company <br />387 <br />INSURER 0, <br />IMURER g, <br />COVERAGES PDSTEOI BF CERTIFICATE NUMBER 10974243 REVISION NUMBER I/ "VVVX <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 />L <br />TYPE OF INSURANCE <br />AIDS <br />SUB <br />POLICY NUMBER <br />POLICY F <br />9/1/2012 <br />PI ICY P <br />LIMITS <br />• <br />GENERAL LIABILITY <br />N <br />N <br />OL09298949 -12 <br />9/1/2013 <br />EACH OCCURRENCE <br />1.000 000 <br />X COMMERCIAL GENERAL LIABWTY <br />CLAIMSMA DE � OCCUR <br />AMAG O RENTED <br />MI S occurrence) <br />500,000 <br />MED EXP (Any one person) <br />2,500 <br />PERSONAL 8 ADV INJURY <br />S 1 10; 00 000 <br />GENERAL AGGREGATE <br />S 2 000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO - <br />ICY <br />PRODUCTS - COMP/OP AGG <br />S 1.000 000 <br />$ <br />• <br />AUTOMOBILE <br />Ix <br />LIABILITY <br />ANY AUTO <br />AL.L OS NED S�ESULED <br />HIRED AUTOS X AAUTOOS <br />N <br />N <br />BAP9298947 -12 <br />9/1/2012 <br />9/1/2013 <br />COM BINEDt IN LE LIMIT <br />S 1,000,000 <br />BODILY INJURY (Per person) <br />S( }�XX }iX <br />BODILY INJURY (Per accident <br />$ xxxxxxx <br />PPROP � n5AMAGE <br />S XXJ �3�X <br />S XXXXXXX <br />B <br />UMBRELLA LIAB <br />X <br />OCCUR <br />N <br />N <br />NIIA060948 <br />9/1/2012 <br />9/1/2013 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />EXCESS LIAR <br />CLAIMSMADE <br />AGGREGATE <br />$ 1.000 000 <br />DED RETENTIONS <br />AND PLER'L <br />LIABILITY YIN <br />ANY <br />OFMCERAAEMSER EXCLUDED?�CUTIVE C� <br />(Meneaory in NH) <br />DESCRIPTION WF OPERATIONS below <br />CEMOYSLLI <br />X OY IMIT 1%N- <br />s XXXXXXX <br />A <br />N ! A <br />N <br />WC9298950 -12 <br />9/1/2012 <br />9/1/2013 <br />E.L. EACH ACCIDENT <br />$ 1 OOO 000 <br />E.L. DISEASE• EA EMPLOYEE <br />1000'000 <br />E. L. DISEASE - POLICY LIMIT <br />1,000,000 <br />C <br />IT &INTERNET PROF. <br />LIABILITY /STAFFIVG <br />N <br />N <br />E005943050 -03 <br />1/1/2012 <br />1/1/2013 <br />$1MCLADN$1MLIAB <br />E &O <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701; ITS OFFICERS, EMPLOYEES, VOLUNTEERS AND <br />REPRESENTATIVES ARE NAMED ADDITIONAL INSUREDS WITH REGARD TO LL4,BILITY AND DEFENSE OF SUITS ARISING FROM THE <br />OPERATIONS AND USES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED, PDS TECH, INC. THE GENERAL LIABILITY POLICY <br />IS PRIMARY AND NON - CONTRIBUTORY. <br />a PPROV BD AS TO FORM <br />rI= aTIFIreTF unM nco <br />I rte. I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Laura StitySheedy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Assistant City Attorney ACCORDANCE WITH THE POLICY PROVISIONS. <br />10974243 <br />CITY OF SANTA ANA <br />ATTN: TAIG HIGGINS <br />20 CIVIC CENTER PLAZA, M -36 <br />SANTA ANA CA 92701 <br />ACORD 25 (2010 105) © 9 8 -2010 AC ORPORATION. All rights reserved <br />r rIC — IIMM allot logo are registered marks of ACORD <br />