|
Client#: 1258425
<br />305COMPUMGM
<br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMm wy)
<br />2/14/2014
<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 CONSTITUT,. A CONTRA BETWEEN THE ISSUING INSURER(5), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERS"jP,(�A1`E-HI5LRER, i,.,- i•%+
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorse4rtept. A statement on this certificate does not confer rights to the
<br />I. -'. ' Pz
<br />certificate holder in lieu of such endorsement(s). I °�,
<br />PRODUCER (_, ,.. ,I'-
<br />Aide Radilla
<br />_ .
<br />BB&T Insurance Services
<br />PHONE 714 578-7050 FAX 877 297-9245
<br />INC, No, Est : AIC Ne
<br />of Orange County
<br />ADDRESS: aradilla@bbandt.com
<br />680 Langsdorf Drive Suite 100
<br />Fullerton, CA 92831
<br />INSURER(S)AFFORDING COVERAGE
<br />NAIC#
<br />INSURERA: Atlantic Specialty Insurance Cc
<br />27154
<br />_
<br />INSURED
<br />Compulink Mgm4 Center Inc
<br />INSURER B:
<br />dba Laserfiche
<br />NSURER C :
<br />3545 N. Long Beach Blvd. #110
<br />INSURER D:
<br />Long Beach, CA 90807
<br />INSURER E:
<br />INSURER F :
<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 CONTRACTOR 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 />ASR
<br />MID
<br />POLICY NUMBER
<br />MMIDIDIYI'EYVY
<br />MMIDI�[YYYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />7110103310007
<br />2/13/2014
<br />02/13/201
<br />EACH OCTCURRRRENCE
<br />$1 D66,006
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ®OCCUR
<br />PREMISES Ee occurrence
<br />$1,000000
<br />MED EXP(Any one person)
<br />$10,000
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />GEN'LAGGREGATE
<br />LIMITAPPLIEBPER:
<br />PRODUCTS - COMPIOP AGO
<br />$2,000,000
<br />POLICY
<br />PRO
<br />JECT LOC
<br />$
<br />A
<br />_
<br />AUTOMOBILE LIABILITY
<br />7110103310007
<br />2113/2014
<br />02I13/201
<br />COMBINED SINGLE LIMIT
<br />Eaeccident
<br />1,000,000
<br />BODILY INJURY Fr,parson)
<br />$
<br />AUTO
<br />IANY
<br />ALL OWNED SCHEDULED AUTOS AUTOSBODILY
<br />HIRED AlITOG X NON -OWNED
<br />AUTOS
<br />INJURY(Peracddent)
<br />$
<br />PROPERTVDAMAGE
<br />Per accident
<br />$
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />7110103310007
<br />2/13/2014
<br />02/13/201E
<br />EACH OCCURRENCE
<br />$20,000 000
<br />AGGREGATE
<br />$20OOO OOO
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />CED RETENTION$
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECUTIVE�
<br />OFFICERIMEMBER EXCLUDED? N
<br />NIA
<br />4060200720006
<br />1/01/2014
<br />01/01/201
<br />X WCSTATU- OTH-
<br />LI AI
<br />E.L. EACH ACCIDENT
<br />$1000000
<br />E,LDISEASE-EAEMPLOYEE
<br />$1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE, POLICY LIMIT
<br />1$1,000,000
<br />A
<br />Technology
<br />_
<br />7110103310007
<br />2/13/2014
<br />_
<br />02/13/201
<br />_
<br />Limit: $5,000,000
<br />E & O
<br />Ded. $50,000
<br />Retro Date: 02/13/2004
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space ism u' arl
<br />Evidence of Insurance.
<br />ovl;D T l~atz�
<br />Jose San al
<br />S for Assistant City -
<br />City of Santa Ana
<br />20 Civic Center Plaza M-42
<br />Santa Ana, CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />Ajz
<br />©1988-2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) 1 of 1
<br />#811863142/M11863111
<br />The ACORD name and logo are registered marks of ACORD
<br />AFRAID
<br />
|