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ACOR ®® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE,MMIDD YYY,
<br />11110/2016
<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 hostler in lieu of such endorsement(s).
<br />PRODUCER
<br />The Master Insurance Agency, Inc.
<br />18053 Valley Blvd.,
<br />City of Industry, CA 91744
<br />License #: OB03663
<br />CONTACT
<br />AME: Jimmy Cheong
<br />PHONE FAX
<br />r� �626j_854 -9641 pIC No: (626) 864 -9545
<br />E -MAIL
<br />AooRESS: masterins_iimmyc @yahoo.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC9
<br />-___
<br />INSURERA: he Sentinel insurance Company
<br />INSURED
<br />INSURER B; Employers Assurance Company
<br />02/20/2016
<br />NSURERc: Hartford Fire Insurance Company
<br />S 1,000,000
<br />Softmaster, Inc.
<br />INSURER D:
<br />1142 S Diamond Bar Blvd #386
<br />INSURER E:
<br />Diamond Bar, CA 91765 ly aU(S ) g
<br />/-1
<br />INSURER F:
<br />DAMAGE
<br />PREMISES O oN rte c
<br />COVERAGES CERTIFICATE NUMBER: 00000000 -27193 REVISION NUMBER: 4
<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 MAYBE 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 />LM
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICYNUMSER
<br />POLICY EFF
<br />JMMIDDM
<br />POLICYEXP
<br />MM/DD
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LABILITY
<br />Y
<br />72SBAAK5642
<br />0212012015
<br />02/20/2016
<br />EACH OCCURRENCE
<br />S 1,000,000
<br />CIAIMS.MADE rx OCCUR
<br />I
<br />DAMAGE
<br />PREMISES O oN rte c
<br />S 11000,000
<br />MEO EXP(Any one person)
<br />S 10,000
<br />PERSONAL B AOV INJURY
<br />$ 1,000.000
<br />GENL AGGREGATE U MIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />S 2,000.000
<br />X POLICY JECT F LOC
<br />PRODUCTS - COMPIOP AGG
<br />S 2.000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOSILELIASILITY
<br />72SBAAK5642
<br />0212012015
<br />0212012016
<br />EOs sNE0I SINGLE LIMIT
<br />S 1000000
<br />BODILY INJURY (P., person)
<br />$
<br />ANYAUTO
<br />_
<br />ALL GAMED SCHEDULED
<br />r'
<br />X HIRLODAUTOS X AIIT OWNED
<br />BODILY INJURY (Per acGdenp
<br />$
<br />PeCaE Ea �AMAGE
<br />5
<br />5
<br />I
<br />A
<br />X
<br />UMBRELLA LIAR
<br />I VI
<br />OCCUR
<br />725BAAK5642
<br />0212012016
<br />0212012016
<br />EACH OCCURRENCE
<br />S 5000,000
<br />AGGREGATE
<br />5 5,000000
<br />EXCESS UAB
<br />CLAIMS -MADE
<br />DED I X I RETENTIONS 10000
<br />S
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNER'EXECUTIVE YIN
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />EIG125523005
<br />10127/2095
<br />10127/2016
<br />X 51RTTE OTH-
<br />E.L. EACH ACCIDENT
<br />S 1,000,000
<br />E. L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />S 1,000,000
<br />C
<br />Crimeshield Bond
<br />72 TP 0271195
<br />0812912016
<br />as12912o1s
<br />Ded:lD,00O
<br />1,000,000
<br />A
<br />Errors & Omissions
<br />72SBAAK5642
<br />0212012015
<br />ov2812o1s
<br />Per Aggregate
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS t LOCATIONS /VEHICLES (ACORO 101, Atltlitional RomaMS Schedule, may be attachetl If mom space is regolred)
<br />Computer Consultant and Staffing Services. Subject to Policy Terms, Conditions and Exclusions
<br />* 30 Days Notice should the policy cancel for non - payment -
<br />Insured for Location at :
<br />20640 E Oak Crest Drive, Diamond Bar, CA 91764
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />Its Officers, Agents and Employees
<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 />20 Civic Center Plaza
<br />P.O. Box 1988 -M12
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92702
<br />� JCH)
<br />ACORD 25 (2014101)
<br />©1988.2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />Printed by JCH on November 10, 2015 at 02:50PM
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