PDS TECHNICAL SERVICES 4A - 2012

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,acorro° CERTIFICATE OF LIABILITY INSURANCE `-� I /uzo13 DATE 0 /20/YYYY, 8/30/2012 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($), 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). PRODUCER Lockton Companies, LLC -1 Kansas City 444 W. 47th Street, Suite 900 Kansas City 64112 -1906 (816) 960 -9000 A/C N Ext : -MAIL I N INSURERA: Zurich American Insurance Company 1653 INSURED PDS TECH, INC 1332031 1925 W JOHN CARPENETER FWY SUITE 550 IRVING TX 750630 -322 i INSURER B: RSLff-Tridemnity Company 22314 INSURER c : Steadfast Insurance Company 387 INSURER 0, 9/1/2013 C COM&IDtSIN LE LIMIT S S 1 000 000 BODILY INJURY (Per person) S S XYYY_-( }(X 4.vvr_KAl7Ca rL)3 inu1 tst' UtRTIFICATE NUMBER: IU9/4243 REVISION NUMBER: T Cxxxx HIS 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. IN TYPE TYPE OF INSURANCE IN SUB POLICY NUMBER POLICY EFF A 16C/YWY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAMS-MADE a OCCUR N I N IGLO9298949 -12 1 9/1/2012 19/1/2013 500 PERSONAL 8 ADV INJURY Is ) GOO OOO GENERAL AGGREGATE Is 2.000.000 KE A K EMPLOYER—COMPENSATION I BIY YIN N WC9298950 -12 71/2012 9./1/2013 X TNCY tMIT urH- ANY PROPRIETOR/PARTNER /EXECUTIVE �� $ I OOO o(o) OFFICERMIEMBER EXCLUDED? I IV I NIA E.L. EACH ACCIDENT (Mend —ry in NH) F _ . If l". describe undr E.L. DISEASE - EA EMPLOYEE 1.000,000 DESCRIPTION OF OPERATIONS beloM E. L. DfSEASE - POLICY LIMIT 1.1z 1,000,000 C IT &RiTERNETPROF. N N E005943050 -03 1/1/2012 ill/2013 $1MCLAD&$1MLIAB LIABILITY /STAM1;G I:aO 1 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701; ITS OFFICERS, EMPLOYEES, VOLUNTEERS AND REPRESENTATIVES ARE NAMED ADDITIONAL INSUREDS WITH REGARD TO LLABILI•I-Y AND DEFENSE OF SUITS ARISING FROM THE OPERATIONS AND USES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED, PDS TECH, INC. THE GENERAL LIABILITY POLICY IS PRIMARY AND NON - CONTRIBUTORY. FORM 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE --f-'— Laura Stit Needy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Assistant City Attorney ACCORDANCE WITH THE POLICY PROVISIONS. 10974243 AUTHORIZED REPRESENTATIVE CITY OF SANTA ANA ATTN: TAIG HIGGINS 20 CIVIC CENTER PLAZA, M -36 SANTA ANA CA 92701 tD 25 (2010/05) 0 9 8 -2010 AC ORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD GEN'L AGGREGATE LIMIT APPLIES PER: P PRODUCTS • COMP/OP AGG S S 1 000 000 S A A AUTOMOBILE L LIABILITY N N N N B BAP9298947.12 9 9/1/2012 9 9/1/2013 C COM&IDtSIN LE LIMIT S S 1 000 000 BODILY INJURY (Per person) S S XYYY_-( }(X BODILY INJURY (Per aaident S X)LV_K `>�`.X PROPER YtDAMAGE s s xxxxxxx s XX3 {XXxx B X X U UMBRELLA LIAB X OCCUR N N N N INIIA060948 9 9/1/2012 9 9/1/2013 E EACH OCCURRENCE $ $ 1 000 000 AGGREGATE $ $ L1,000,000 WO K DED RETENTION $ $ $ XXXXI71,7{ A K EMPLOYER—COMPENSATION I BIY YIN N WC9298950 -12 71/2012 9./1/2013 X TNCY tMIT urH- ANY PROPRIETOR/PARTNER /EXECUTIVE �� $ I OOO o(o) OFFICERMIEMBER EXCLUDED? I IV I NIA E.L. EACH ACCIDENT (Mend —ry in NH) F _ . If l". describe undr E.L. DISEASE - EA EMPLOYEE 1.000,000 DESCRIPTION OF OPERATIONS beloM E. L. DfSEASE - POLICY LIMIT 1.1z 1,000,000 C IT &RiTERNETPROF. N N E005943050 -03 1/1/2012 ill/2013 $1MCLAD&$1MLIAB LIABILITY /STAM1;G I:aO 1 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701; ITS OFFICERS, EMPLOYEES, VOLUNTEERS AND REPRESENTATIVES ARE NAMED ADDITIONAL INSUREDS WITH REGARD TO LLABILI•I-Y AND DEFENSE OF SUITS ARISING FROM THE OPERATIONS AND USES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED, PDS TECH, INC. THE GENERAL LIABILITY POLICY IS PRIMARY AND NON - CONTRIBUTORY. FORM 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE --f-'— Laura Stit Needy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Assistant City Attorney ACCORDANCE WITH THE POLICY PROVISIONS. 10974243 AUTHORIZED REPRESENTATIVE CITY OF SANTA ANA ATTN: TAIG HIGGINS 20 CIVIC CENTER PLAZA, M -36 SANTA ANA CA 92701 tD 25 (2010/05) 0 9 8 -2010 AC ORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD