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CERTIFICATE OF= LIABILITY INSURANCE
<br />10/09/2014 D�YY(
<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 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 endorsenlent(s).
<br />PRODUCER
<br />W.B. Adams Company ',:
<br />General Insurance
<br />14737 SW Mililkan Way '
<br />Beaverton OR 97006
<br />cONTAGT W.B. Adams Co.
<br />_
<br />PHONE X03 644.9945 LAL Not, (603) 644.9997
<br />o eIESS info[W,wbadams.com
<br />IN URE S AFFORDING COVERAGE
<br />N
<br />wsuRERA One Beacon Insurance Compan AXI
<br />_
<br />LIMITS
<br />INSURED
<br />Selectron Technologies, Inc.
<br />12323 SW 66th Ave,
<br />Portland, OR 97223
<br />_INSURER e: Hartford Casualty Insurance Co_A XV_..__
<br />INSUSES Q 1
<br />',,.
<br />_
<br />IN D,,,,_
<br />,R
<br />N_u—
<br />. 1,000,000
<br />INSURER F:
<br />$11000,000
<br />$10000
<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 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 />INSR
<br />LTq
<br />TYPE OF INSURANCE
<br />DDL'SUBR
<br />POLICY MB `R
<br />POLICY EFP
<br />POLIC E %P
<br />D
<br />_
<br />LIMITS
<br />GENERAL LIAaILITY
<br />',,.
<br />EACH OCCURRE CE
<br />. 1,000,000
<br />DAMAGE TO RENTED
<br />$11000,000
<br />$10000
<br />A
<br />X COMMERCIgL GENERAL
<br />_ CLAIMS -MADE IA.J OCCUR
<br />7110137430001
<br />1131114
<br />1131115
<br />MED EXP tAny one pera0n
<br />PERSONAL &ADV INJURY
<br />S 9,000.000____
<br />GENERALAGGREGATE
<br />GEN'LAGGREGATELIMITAP IESPER:
<br />_.L2,000,000
<br />PRODUCTS COMPIOPAGr
<br />32,000,000
<br />$ --
<br />X POLICY PRO-
<br />LOC
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />-$1000 000
<br />BODILY I NJURY(Per person)
<br />A
<br />X
<br />ANY AUTO
<br />$
<br />SOOILYINJURY(Parocaident)
<br />$
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />7110137430001
<br />1/31114
<br />1/31115
<br />—
<br />HIRED AUTOS NON -OWNED
<br />PROPERTY DAMAGE
<br />5
<br />B
<br />)(
<br />UMBRELLA LIAD
<br />X
<br />OCCUR
<br />EACH O G R E CE
<br />S S 000,000
<br />AGGREGATE
<br />5.000,_000 i_
<br />A
<br />EXCESS LIAB
<br />CLAIMS,MADE
<br />7110137430001:
<br />1/31/14
<br />1/31115
<br />D I I RETENTION
<br />3
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />OFPICEWMEMBER EXCLUDED ?EDUTIV j
<br />(Mandatory In NH) (L, -��J
<br />NIA
<br />62WBCGDO2791
<br />1131/14
<br />1/31/15
<br />X WC STATU OTH-
<br />-
<br />E. L. EACH ACCIDENT___._
<br />EL. DISEASE EA EMPLOYEE
<br />g1z000,000
<br />$1,000000_
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />It yes, describe under
<br />DESCRI PTO N OP O PERATIO 5 dolfea
<br />A
<br />Technology Services E IS 0
<br />_
<br />Agg: $1,000,000 Ded: $90,000
<br />Retroactive Date 01131/2002
<br />7110137430001'.
<br />1131/14
<br />1/31115
<br />Each Claim $1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required)
<br />City of Santa Ana is additional insured as respecting General Liability per written contract.
<br />Insurance is Primary and Noncontributory per written contract.
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />ACORD 25 (2010/05)
<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 POLIIJ(* dOVISIONS.
<br />The ACORD name and logo are registered
<br />25KK -55
<br />V-2010 AGORD
<br />of ACORD
<br />reserved,
<br />
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