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Client#: 1258425 <br />A-Z- OILI -Ii <br />305COMPUMGM <br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE <br />D2123/2015ATE V) <br />2/23/2015 <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 <br />BB&T Insurance Services <br />of Orange County <br />2400 Katella Avenue Ste 1100 <br />Anaheim, CA 92806 <br />NAON C <br />MEA Aide Radilla <br />PHONE 714 941.2850 877 297-9245 <br />AIC No Ezt: (A/C No <br />ADDRESS: aradilla@bbandt.com <br />COVERAGE <br />ISpecialty <br />NAIC H <br />InsuraRDINGnce <br />INSURER A: Atlantic Specialty Insurance Co <br />27154 <br />INSURED <br />Compulink Mgmt Center Inc <br />dba Laserfiche <br />INSURER B <br />INSURER C <br />3545 N. Long Beach Blvd. #110 <br />Long Beach, CA 90807 <br />INSURER O: <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 />HER <br />TYPE OF INSURANCE <br />ADDLSUSR <br />NSR <br />WVD <br />POLICY NUMBER <br />POLICYEFF <br />MMIDIDIYYEYYV <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X <br />7110103310008 <br />02/13/2015 <br />02/1312016 <br />EACHOCCURRENCE$1 <br />000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS�MAOE 15� OCCUR <br />PREMISES Ea occurrence <br />$1,000,000 <br />MED EXP (Any one person) <br />$1 O 000 <br />PERSONAL &ACV INJURY <br />$1,000,000 <br />GENERALAGGREGATE <br />$2,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$2,000,000 <br />$ <br />IT <br />POLICY JECT LED <br />A <br />AUTOMOBILE LIABILITY <br />7110103310008 <br />02/13/2015 <br />02/13/20A <br />COMB <br />O BNEDSINGLELIMIT <br />rt <br />1,000,000 <br />BODI LYINJURY(Perperson) <br />$ <br />X ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />X HIRED AUTOS X NON -OWNED <br />AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />A <br />)( <br />UMBRELLA LIAB <br />X <br />OCCUR <br />7110103310008 <br />02/13/2015 <br />02/13/201 <br />EACH OCCURRENCE <br />$20 000 000 <br />AGGREGATE <br />$20OOO OOO <br />EXCESS LIAB <br />CLAIMS -MADE <br />RETENTIONS <br />$ <br />_—xi <br />A <br />WORKERS COMPENSATION4060200720009 <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORPARTNERIEXECUTIVEY/N <br />OFFICERMEMBER EXCLUDED? <br />(Mandatory in NH) <br />NIA <br />01/01/2015 <br />01/01/2016 <br />X TCVTLMT ORH- <br />E, L, EACH ACCIDENT <br />1$1,000,000 <br />E. L. DISEASE - EA EMPLOYEE <br />$1,0005000 <br />IIdescribe under <br />RIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />A <br />Technology <br />7110103310008 <br />02113/2015 <br />02/13/201 <br />Limit:$5,000,000 <br />E & O <br />Ded.$50,000 <br />Retro Date: 02/13/2004 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) <br />RE: Contract agreement with insured. <br />Certificate holder is included as Additional Insured, as respects to General Liability, as required by <br />written contract, perform #VCG207 attached. <br />*THIS CERTIFICATE SUPERSEDES & REPLACES THE CERTIFICATE PREVIOUSLY ISSUED ON 2116115. <br />Cityof Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza M-42 ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />@ 1988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks o CORD I <br />#513746621/M13718087 I�vd<'(')ii� I>ti PW 11n -`L��,,,,,�. //i AFRAD <br />