LIBRARY CORPORATION, INC. (THE) 2 - 2014

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,ate ®® CERTIFICATE OF LIABILITY INSURANCE 6/25/2014Yv) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(tes) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and Conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Insurance Brokers of MD - Hagerstown 13126 Pennsylvania Ave. PO BOX 3767 Hagerstown MD 21742 CONTACT Nancy Stottlemyer PHONE (301)790-0652 AIC No1301)790-0962 AU nooaess:nancy.stottlemyer@ibmofmd.com INSURERS AFFORDING COVERAGE NAICft INSURERA Atlantic Specialty Ins. CO 27154 INSURED The Library Corporation Carl Corporation, Tech -Logic Corporation 1 Research Park Inwood WV 25428 INSURERS: INSURERC: INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:2014-2015 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR rypE OF INSURANCE ADDLSIUBR R MD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR ' T 71101iI830-04 A }® O /26/2014 5/26/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE PREMISESTO Ee occurrence $ 1,000,000 MED Eye (Any one person) $ 10,000 '004 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY X P,CTRO LOG PRODUCTS - COMPIOP AGG $ 2,000,000 St $1a seep . @ tt)T $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X AUTOS IO ., Sigt.Aylt x6000 11011330-0005 5/26/2014 5/26/2015 COMBI NEU SINGLE LIMIT En accident $ 1 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Perr accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 AGGREGATE $ 6,000,000 A EXCESS LIAB CLAIMS -MADE DID X RETENTIONS 0 $ 11011330-0005 5/26/2014 5/26/2015 A WORKERS COMPENSATION ANY EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OPTICRIMEMBER EXCLUDED? ❑ (Mandetory In NH) NIA 406028734-0005 5/26/2014 5/26/2015 X WC SLATT- My - E. L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEF $ 1,000,000 If describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 A Professional Liability 711011330-0005 5/26/2014 5/26/2015 Each Wrongful Act/Aggregate $5,000,000 Claims -Made- 9/2/03 Retro Deductible $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schetlule, if more space is required) City of Santa Ana, Its Officers, Employees, Agents, Volunteers and representatives are additional insured as respects the general liability policy if required by written contract CG2010 (04/13) and CG2037 (04/13) attached. Coverage is primary and non- contributory per form VCG207 (07/09) City of Santa Ana 20 Civic Center Plaza M-30 P.O. Box 1988 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Stottlemyer/NLS ACORD 25 (20101091 6719RR-2n1n ACORD CORPORATION_ All rinhts INSn25mmnnel m The Arrn!Pn neme end Innn ern renicfnrnd me04e of Arnpn