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Insurance - Computer Masters - 2010-03-31 From:Terri Cervantes FaxID:ins ranee Services Page 2 of 2 Date.31312010 11:11 AM Page:2 of 2 "YEW/I/ H7Xv ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID TC DATE(MAV°Dlvvrr) COMPU-7 03/31/10 • PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Shorepoint Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CA License 41 0247753 HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR 1120 Bristol St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Costa Mesa CA 92626-5964 Phone: 714-430-0035 Fax:714-430-0036 INSURERS AFFORDING COVERAGE /+ NAICit NSURED INSURER A: Hartford Insurance -Connefl- INSURER B: Computer Masters NSURER 9721 Sinclair Circle INSURER U: Garden Grove CA 92844 INSURER E: COVERAGES THE POLICIES OF NSURANCE LISTED BELOW HAVE BEEN ISSUED T O TI$E INSURED NAMED ABOVE FOR TIIE POLICY PERIOD INDICATED.NOW/T HSTANCIIJG ANV HEOUIREMEN I.TERM OH COND!TICN OF ANY CONT RAC I OR OI HE R DOCUMENT WITH RESPEC I IC WHICH I HS CER I IFICAI E MAYBE ISSUED 0-I f.IAY PERTAIN.THE INSURANCE AFFORDED BY I HE POLICIES DESCRIBED HEREIN IS SUB.ECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POI ICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 11/"R11D171! POLICY NUMBER PDFICYEFFECYNE POLICYE wmA1IONT LIMITS LTR INSRO TYPE OF INSURANCE DATE(LAVDDIYY) DATE IMMIDD'YY) GENERAL LIABILITY EACH OCCURRENCE s 1000000 A X X COLIAERCIAL GENERAL .IAB LITY 72 SBAUW7874 03/29/10 03/29/11 .7REraS slEaoNOl,ence) 5100000 CLAIMS MADE [X I ODOUR MED EXP Any one parson) $ 1000 PERSONAL&ADS/ NJURY 1$ 1000000 GENERALAOSREGAIE 52000000 GEN I.AASREGAT E UMD APPLIES PER: PRODUCTS-COMPIO'AGG 520000 00 7 POLICY IX JECT LCD I IAUTOMOBILE LIABILITY $ 1,000,000 • COMB NE-)SINGLE LIMIT A ANY AUTO 72UECKT231.0 03/30/10 03/30/11 'E cee' s' ALL OWNED AUTOS BODILY NJURY X SCHEDULED AUI OS (Per parson) X HIRED AUTOS BODILY NJURY s X NON-OWNED AUTOS - (Per accident, • PROPERIY DAMAGE IPei 3vncenl) AUTO ONLY: AGO $ EXCESS,UIIBRELLA LIABILITY - I EACH OCCURRENCE I$ OCCUR j CLAIMS MADE I AGGREGATE—.. —I'$ Is DEDUCIBLE I RETENTION $ WORKERS COMPENSATION AND ITWs:Vs- OR ! EMPLOYERS'LIABILITY ANY PROPRIETOR'PARTNER'EXECUTIVE E.L.EACH ACCIDENT 5 OFFICER-MEMBER EXCLUDED? E.L.DISEASE EA EMPLOYEE's II yes,Cassese under SPEC AL PROVISIONS oolow I EL DISEASE-POLICY LIMB 1$ OTHER DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS Costa Mesa Sani tary District and it's officers, agents and employees are • named' as Additional Insureds, per attached Form CG 20 10 07 04 . *10 Day notice of cancellation for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION • ' DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 10 THE LEFT,BUT FAILURE TO DO SO SHALL Costa Mesa Sanitary District IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 628 W. 19th St. REPRESENTATIVES. Costa Mesa CA 92627 tom• ACORD 25(2001/08) ©ACORD CORPORATION 1988 MCIP-41-7l1 GI 11 :17 94°L P.22 From:Terri Cervantes FaxJD:lnsurance Services Page 3 of 3 Date:3/302010 08:55 AM Page:3 of 3 POLICY NUMBER: 72SBAUW7874 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR. CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION • This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Or Organization(s): Location(s) Of Covered Operations Costa Mesa Sanitary District 628 W. 19th St. • and it's officers, agents and employees Costa Mesa, CA 92627 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. • A. Section it - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for"bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage" occurring after: caused,in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above, completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractnr CG 20 10 07 04 CO ISO Properties, Inc., 2004 Page 1 of 1 MAR-39-2010 08:58 P.03