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Insurance - Technology - 2008-01-09 I i L R..- ... .... INSURANCE • Da (Tam'sdrIel ACORO CERTIFICATE - -''''' :., l 1/9/2008 Prods r Phylll Me she THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER Garret6JMosierlGriffith/Sistrunk Ins. Services THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE 12 Truman COVERAGE AFFORDED NY THE POI ICIFS BROW Irvine CA 92620 INSURERS AI-FORDING COVERAGE (949)559-6700 INSURER Scottsdale Insurance Co www carrett-mosier com A OB84 19 INSURER Travelers Property Casualty B Insured INSURER American Zurich Insurance Company Technology Resource Center Inc. C INSURER 2101 9 4th Street, Suite 130A D Santa Ana CA 92705 INSURER E COVERAGES 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS POLICY POLICY INSR EFFECTIVE EXPINA IION TR T PE OF INSURANCE POLICY NUMBER pp RDATEYY MNDAI F LIMITS GENERAL LIABILITY EACH OCCURRENCE 3 1 000 000 7-COMMERCIAL V C(M .dEROAL GENERAL HAS BCSOO14762 3/20/2007 3/20/2008 EIRE DAMAGE(Any me pre) 3 50,000 • 1 CLAIMS MADE 2 OCCUR MED ESP(Arty one person) S 0 Contractual PERSONAL 3,AUV INJURY $ 1,000,000 Liab Included GENERAL AGGREGATE 3 2,000,000 G 2,EN'L AGES LIMIT APPLIES PER PRODUCTS-CDMWOP ACC S 000,000 11,0IIIA TIRO IFCT[ I DC 3 AU I OMOBII F I IABIIITY B TANVAUID BA6303VV167-07-SEE 3/20/2007 3/20/2008 ce"a'NLDSIN '''' s 1,000 000 Al DaUFD AUTOS BODILY INJURY SCI IEDULED AUTOS (Pe pe n) 3 7HIM" AUTOS BODILY INJ(IRY 7'11011 URWEO AUTOS (Pe alders) 3 PROPERTY DAMACE (Fe clean) 3 GARAGE I IANII IIV AUTO ONLY FA ACODENT S 'IAN) ID OTIIFR THAN EA ACC S AUTO ONLY AGC 4 EXCESS I IABIIITY EACH OCCURRENCE 3 ]OCCUR ❑CL IMS MADE AGGRFIIATE 3 S - DED14TILE S PEN NIIOIJ S ' 3 WORKERS'COMPENSATION& v!STATUTORY LIMIT I IO THER ' C Eno-it OVERS IIABIIJ1Y WC4280247-DD 1/7/2008 10/1/2008 uEACHALCIUENT 3 1,000 000 II DISEASE FA IMPLOYEE S 1,000,000 CI DISEASE PM ICY I!MIT 3 1 000 000 DESCRIP IIOFJ OF OPF RAE IONSJLOCATIONSIVEHICLESFEXCI USIDNS ADDED BY ENDORSEMFNTISPECIAI-PROVISIONS All operations of the named insured subject to the terms and conditions of the policies. Costa Mesa Sanitary District is added as Additional Insured, per CG20 33 07/04, as required by written contract with respect to /ork performed for them by Technology Resource Center Inc under General Liabiht) coverage. . CERTIEICATEHOLDER. ., . ",. ., ., CANCELLATION All Ope HOGS SHOW D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Cristo Mesa Sanitary District EXPIRATION DATE IHEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL _30 DAYS MCI TEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION Attn Tnomas Fauth OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRE 628 Vv 9th Street SENIATIVES 10 Days ie No -Payment or Pr urn Costa Mesa CA 92627 AUTHDRI7FC RU'RESENI A FIVE ss )ear Griff Griffith /\` ACORD tS=S 171971 ., OACORD CORPORATION 1988 J.-I'!- -v-3060 R^ 13 91 P e: ! f IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policyties)must be endorsed A statement this certificate does not confer ights to the rtifi ate holder in li al such dursement(s). II SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, corral poll may require an endorsement. A statement on this certificate does not confer ights to the ertifi ate holder in lieu of such endorsement(s), DISCLAIMER The Certificate of Insu nce on th verse side of thi form does of nstitute a contract between tht, iss ng nsur r(s), authonzed epr entati produ nd the certili ate hulde does it atfirman ely negatively amend, xtend alim th age afforded by the policies listed the on. ACORD 25-S (7/97) eared at www i CertsONLINE.com JI2-)—'nc--2033 07 14 91 P 0: Technology Resource Center Inc. Policy No. BCSD014762 COMMERCIAL GENERAL LIABILITY CG 20 33 07 04 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured any person or or additional insureds, the following additional exclu- ganization for whom you are performing opera- sions apply Lions when you and such person or organization This insurance does not apply to have agreed in writing in a contract or agreement that such person or organization be added as an 1 'Bodily injury 'property damage' or 'personal additional insured on your policy Such person or and advertising injury arising out of the ren- organization is an additional insured only with re dering of or the failure to render any profes- spect to liability for 'bodily injury 'property dam- sional architectural, engineering or surveying age' or 'personal and advertising injury' caused, services, including in whole or in part, by a. The preparing, approving, or fading to pre- 1 Your acts or omissions, or pare or approve, maps, shop drawings, on your opinions, reports, surveys, field orders, 2. The acts or omissions of those acting y change orders or drawings and specifica- behalf tons,or in the performance of your ongoing operations for b. Supervisory inspection, architectural or the additional insured engineering activities A person's or organization's status as an adds- 2. 'Bodily injury' or 'property damage' occurring tonal insured under this endorsement ends when after your operations for that additional insured are completed a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than ser- vice, maintenance or repairs) to be per- formed by or on behalf of the additional in- sured(s) at the location of the covered operations has been completed, or b. That portion of'your work' out of which the injury or damage anses has been put to its intended use by any person of organization other than another contractor or subcon- tractor engaged in performing operations for a principal as a part of the same project CG 20 33 07 04 ©ISO Properties, Inc 2004 Page 1 of 1 ❑ Jniu-m4-2003 07 14 91 P 04