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COPLOG1 OP ID: PW
<br />AIl R° CERTIFICATE OF LIABILITY INSURANCE
<br />DA07130 /02014Y)
<br />07/30/2014
<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 endorsemer t(s).
<br />PRODUCER
<br />RPS ISG International
<br />204 Cedar Street
<br />Cambridge, MD 21613
<br />Jacque Brohawn p i _9 Q l.(�,,, ✓\l p;
<br />CONTACT Patty Wright
<br />IPA ICNE, E,1,410. 901 -0744 AIC No
<br />E -MAIL patt Wri ht RPSins.com
<br />ADDRESS: _ g
<br />INSURERS) AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Great American of New York
<br />22136
<br />INSURED Coplogic Inc
<br />231 Market Place #250
<br />INSURERS: Beazley Insurance Company, Inc
<br />37540
<br />•
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE J OCCUR
<br />San Ramon, CA 94583
<br />INSURER C:
<br />SPP6175202
<br />INSURER
<br />06/01/2015
<br />PREMISES Ea occurrence
<br />INSURER::
<br />VIED EXP (Any one person)
<br />$ 10,000
<br />INSURER F :
<br />$ 1,000,000
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<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 />ILTR
<br />TYPE OF INSURANCE
<br />Santa Ana, CA 92701
<br />AUTHORIZED R�E,PR�+/Ej.SENTA,{�TI^V��E
<br />POLICY NU M BER
<br />POLICY
<br />MMLODYBYV
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />•
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE J OCCUR
<br />SPP6175202
<br />06/01/2014
<br />06/01/2015
<br />PREMISES Ea occurrence
<br />$ 300,000
<br />VIED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMPIOP AGO
<br />$ 2,000,000
<br />X POLICY IRI-
<br />POT 1-1 LOC
<br />$
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />•
<br />ANY AUTO
<br />SPP6175202
<br />08/01/2014
<br />08/0112015
<br />qOMO.ILE
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />PROPERTY DAMAGE
<br />PER ACCIDENT
<br />$
<br />J(
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />•
<br />EXCESS LAS
<br />CLAIMS -MADE
<br />SPP6175202
<br />08/01/2014
<br />08/01/2015
<br />DIED X I RETENTION 0
<br />$
<br />•
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN
<br />OFFICERIMEMBER EXCW DED? F7
<br />(Mandatory In NH)
<br />NIA
<br />WC7576127
<br />08/0112014
<br />08/01/2015
<br />X WC STATU- OTH-
<br />TORYUMIT ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />US OF OPERATIONS below
<br />DE
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />B
<br />Errors & Omissions
<br />V15TTR140601
<br />0810112014
<br />08/01/2015
<br />Ded $25k $1 m 1$3m
<br />& Network Security
<br />CLAIMS MADE & REPORTED
<br />Included
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Sc nodule, If more space Is required)
<br />The City of Santa Ana its officers, employees, agents, volunteers and -p
<br />representatives are added as additional insured on the General Liability
<br />subject to the policy limitations, conditions and exclusions �.�C,➢'1 ®1� �`�
<br />CERTIFICATE HOLDER CANCELLATION
<br />CITYO -2
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />The City f Santa Ana
<br />y
<br />20 Civic Center Plaza
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92701
<br />AUTHORIZED R�E,PR�+/Ej.SENTA,{�TI^V��E
<br />411 In j)�ff�+JjjTfj,,.l
<br />ACORD 25 (2010105)
<br />©1988.2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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