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A4CC)R & CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDIVI'1'Y)
<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 endorsement(s).
<br />PRODUCER TechServe Alliance Services Corp.
<br />1420 King Street; Suite 610
<br />Alexandria, VA 22314
<br />www.techsoNealliance.org
<br />CONTACT NAME: Theresa Punsalan
<br />PHONE 703,838.2050 (A/C, No: 703,997,7727
<br />EMAIL ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAIC9
<br />INSURER A
<br />LIMITS
<br />INSURED
<br />The Comdyn Group Inc.
<br />100 E. Thousand Oaks, Blvd., Suite 233
<br />Thousand Oaks CA 91360
<br />INSURER B: M eadowbrook Insurance Group/ProCentury
<br />INSURER C: Travelers Casualty & Surety Co of Amer
<br />CP0791984
<br />INSURER O:
<br />6/1512014
<br />INSURER E:
<br />$ 1,000,000
<br />INSURER F:
<br />✓ COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE [,/] OCCUR
<br />COVERAGES CERTIFICATE NUMBER: 16671247 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 />ADOLSUBR
<br />IND
<br />POLICY NUMBER
<br />MMISI�Y�
<br />MMIDDIYWPV I
<br />LIMITS
<br />•
<br />GENERALLIABILITY
<br />CP0791984
<br />6/15/2013
<br />6/1512014
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />✓ COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE [,/] OCCUR
<br />PREMISES ERENTED nse
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONALBADV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OP AGG
<br />$ 2,000,000
<br />sDnlyd
<br />✓ POLICY PRO- LOC"rtt
<br />JECT
<br />}}
<br />$
<br />•
<br />AUTOMOBILE
<br />✓
<br />LIABILITY
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS e AUTOS
<br />HIREDAUTOS ✓ AUTOS
<br />CA0791984 ypgg (ti'j \l�i
<br />Sa° `I!
<br />�""Cn (>,'
<br />Pss scant
<br />9615/2013
<br />_
<br />jam,/
<br />�Cjs.Y`
<br />4'(c k\0{nZY
<br />G \tY A
<br />)6/15/2014
<br />^ °
<br />E °e BINEDSINGLE LIMIT
<br />$ 1000000
<br />BODILY INJURY (Per person)
<br />$
<br />BODILY INJURY (Per accident )
<br />$
<br />(Per coden DAMAGE
<br />$
<br />5
<br />s
<br />A
<br />✓
<br />UMBRELLA LIAB
<br />✓
<br />OCCUR
<br />UM0791984
<br />6/1512013
<br />6/152014
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />AGGREGATE
<br />$ 1,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED Ld RETENTION$10,000
<br />$
<br />5
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOWPARTNEWEXECUTIVE❑
<br />OFFICER/MEMBER EXCLUOE04
<br />NIA
<br />WC0791984
<br />6/15/2013
<br />6/15/2014
<br />WC STATU- o��H-
<br />TORY LIMITS
<br />E.L, EACH ACCIDENT
<br />$ 1000000
<br />EL DISEASE FA EMPLOYEE
<br />$ 1000000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />E &O /Professional Liab Claims Made
<br />CP0791984
<br />6/15/2013
<br />6/15/2014
<br />$1,000,000 Ea Claim /$1,000,000 Aggregate
<br />C
<br />ERISA Bond
<br />105021689
<br />1011/2012
<br />10/1/2013
<br />$350,000
<br />DESCRIPTION OF OPERATI DNS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
<br />City of Santa Ana, is Additional Insured as respects to General Liability
<br />per attached CG2010 1185 Additional Insured Endorsement.
<br />CERTIFICATE HOLDER
<br />CANCELLATION
<br />Client
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 Civic Center Plaza
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana CA 92702
<br />AUTHORIZED REPRESENTATIVE
<br />�d/
<br />4 / �e /'Iok-
<br />Mark B. Roberts
<br />ACORD 25 (2010105)
<br />©1988 -2010 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />CERT NO.: 166712s7 Chris Pettyjoho 5/17/2013 11:05:29 AM Page 1 of 2 APR 1 f Z014
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