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r-. <br />rz-V-s` <br />AC�O® <br />\..� CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MWDOIYYYY) <br />5/22/2013 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS <br />CERTIFICATE ODES 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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />Insurance Brokers of 1+0 - Hagerstown <br />13126 Pennsylvania Ave. <br />PO BOX 3767 <br />Hagerstown MD 21742 <br />CT <br />NAME• Nancy Stottlemyer <br />PHONE (301)790-0652 FM .(301)T90-0962 <br />pRE�NVL .nancy.stottlemyer@ibmofmd.com <br />INSURERS AFFORDING COVERAGE <br />NAICr <br />INSURER A Atlantic Specialty Ins. CO <br />7154 <br />INSURED <br />The Library Corporation <br />Carl Corporation, Tech -Logic Corporation <br />1 Research Park <br />Inwood WV 25428 <br />INSURERS: <br />INSURERC: <br />INSURER <br />INSURERE: <br />INSURER F: <br />rnvcowr_ec CERTlrlcATE MIi!y1BER:2013-2014 REVISION NUMBER: <br />v THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />DOLISUBR <br />POLICYNUMBER <br />POLICY EFF <br />YYY <br />P LICY EXP <br />YYY <br />LIMn3 <br />GENEMLLM81UW <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMISES MWW <br />$ 1,000,000 <br />A <br />}� COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />11011330-0004 <br />/26/2013 <br />/26/2014 <br />MED EXP(Any we person) <br />S 10,000 <br />PERSONAL B ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />$ <br />JFCT POLICY x PRO- LOC <br />AUTOIKOaaE LIABILITY <br />COMBINED LIMIT <br />$ 1,000,00 <br />BODILY INJURY(Per pars.) <br />S <br />A <br />X. ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON OWNED <br />x HIRED AUTOS x AUTOS <br />11011330-0004 <br />/26/2013 <br />/26/2014 <br />BODILY INJURY (Per accideM) <br />S <br />PR ERN DAMAGE <br />Poi c.p.M <br />$ <br />S <br />$ <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 6,000,000 <br />AGGREGATE <br />$ 6,000,000 <br />A <br />EXCESS LIAe <br />CLAIMSWADE <br />DED I R I RETENTIONS <br />$ <br />11011330-0004 <br />/26/2013 <br />/26/2014 <br />• <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORJPARTNER/EXECUTIVE YIN <br />OFRCERIMEMBER EXCLUDED') <br />(Mandatary In NH) <br />N/A <br />06028734-0004 <br />/26/2013 <br />/26/2014 <br />x WC STATUUNR'- OTH- <br />E.L. EACH ACCIDENT <br />$ 11000,000 <br />E. L. DISEASE. FA EMPLOYEE <br />S 1,000,000 <br />If yes deswlpe "er <br />DESCRIPTION OF OPERATIONS W. <br />El DISEASE -POLICY LIMIT <br />4 11000,000 <br />A <br />Professional Liability <br />11011330-0004 <br />/26/2013 <br />/26/2014 <br />Eeal M.y gful AcVAggregale $5,000,000 <br />Claims-14ade-9/2/03 Retro <br />Dewaare $25,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AKaeh ACORD 101, A9CItlon it Remarks SchadWe, M mom space Is required) <br />City of Santa Ana, Its Officers, ]employees, Agents, VOlnnteers and representatives are additional insured <br />as respects the general liability policy if required by written contract CG2010 (07/04) and CG2037 <br />(07/04) attached. Coverage is primary and non- contributory per form VCG207 (0709) <br />gPPROVED A5 TO FOR <br />- <br />City of Santa Ana <br />20 Civic Center Plaza M-30 <br />P.O. Box 1988 <br />Santa Ana, CA 92701 <br />++te�nn{{ BE <br />SHOULD ANY OF THE ABOVE DESCRIB�EA�ICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Stottlemyear/NLS <br />25 (2010105) <br />Of <br />INS025pofompi The ACORD name and logo are registered marks of ACORD <br />