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<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDIYYYY)
<br />1 2/15/2018
<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(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />BB&TInsurance Services
<br />NAME: Aloe Radilla
<br />_
<br />PH,I 714941-2850 (NC,No>:877297.9245
<br />(AIC, No, Exl):
<br />of Orange County
<br />AODREBs: aradillaBIbbandt.com
<br />2400 E Katella Ave. Suite 1100
<br />INSURERS) AFFORDING COVERAGE NAIC k
<br />Anaheim, CA 92806
<br />INSURERA: AtloncIcs ecum'-smence Csepnry
<br />27154
<br />INSURED
<br />Compulink Mgmt Center Inc
<br />INSURER a : Trmabre Ropnry CeceeeyCe al Amer
<br />25674
<br />INSURER C: ACE A.s"cmm.arm-Ca
<br />22667
<br />INSURER D:
<br />dba Laserfiche
<br />3545 N. Long Beach Blvd. #110
<br />Long Beach, CA 90807
<br />INSURER E:
<br />1 INSURER F:
<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 />ILTq
<br />TYPE OF INSURANCE
<br />ADO
<br />INSR
<br />LIDSP
<br />VIVO
<br />POLICY NUMBER
<br />ICY EFF
<br />MMIDDIVYY
<br />P LI YEXp
<br />MMIDDIYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERALLIABILIrY
<br />X
<br />7110103310011
<br />2/13/2018
<br />02tl3/2019
<br />EACH
<br />$1,000,000
<br />�OCCURRENC,E
<br />PREMISESEaoccuneme
<br />$1000,000
<br />OCCUR
<br />MEDEXP(Arty oneperson)
<br />$10000
<br />CLAIMS MADE
<br />PERSONAL A ADV INJURY
<br />$1,000,000
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPUES PER:
<br />PRODUCTS-COMPIOPAGG
<br />$2,000,000
<br />❑PRO ❑
<br />LOC
<br />POLICY JECT
<br />p
<br />OTHER:
<br />AvroaoeaEuaeanY
<br />7110103310011
<br />2/13/2018
<br />02/13/201
<br />MBINED BINDLE LIM
<br />Eaaccitlent
<br />$1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />X ANY AUTO
<br />BODILY INJURY (Per accident)
<br />_$
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED NON OWNED
<br />X X
<br />PR PERTY DAM GE
<br />Per accident
<br />$
<br />AUTOS ONLY AUTOS ONLY
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />7110103310011
<br />2113/2018
<br />02/13/201
<br />EACH OCCURRENCE
<br />$20 000,000
<br />AGGREGATE
<br />$20 000 000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />_
<br />X STATUTE ERH
<br />B
<br />UB4K964827
<br />1/01/2018
<br />01/01/201
<br />BED RETENTIONS
<br />WORKERS COMPENSATION
<br />E.L. EACH ACCIDENT_$1,606,099
<br />AND EMPLOYERS` LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECUTIVEY/N
<br />E.L. DISEASE FA EMPLOYEE
<br />$1,000,000
<br />—
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />NIA
<br />(Mandatory In NH)
<br />Ilyes,descrbeunder
<br />ri DISEASE-POUCYUMIT
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />-
<br />C
<br />Technology
<br />G46867580001
<br />02/13/2018
<br />02/13/2019
<br />$15,000,000 Agg Limit
<br />$15,000,000 Each Claim
<br />E & O -
<br />Retro 2/13/2004
<br />$ 50,000 Retention
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aaaehed N mare 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, per form #VCG207 0709 attached.,,,
<br />P y� 1
<br />t t � 0 ' Y `�' avv'l'- *'"�1 3 15C I W,
<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 />'V V ^V V V MV
<br />ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD AFRAD
<br />694 #S19537247/M19537241
<br />
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