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Insurance - Technology - 2007-03-23 1 ' Oat (mmmeryyl ,4co2D° CERTIFICATE OF LIABILITY INSURANCE 3/23/2007 Producer Da Rembleskl THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. Garrett MosierlGriffith/Sistrunk Ins. Services THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE 12 Truman COVERAGE AFFORDED BY THE POLICIES BELOW Irvine CA 92620 INSURERS AFFORDING COVERAGE (949)559-6700 INSURER Scottsdale Insurance Co. www.garrett-mosier.com OB84519 INSURER Travelers Property Casualty Insured NSURER Technology Resource Center Inc. C INSURER 2101 E. 4th Street, Suite 130A 1 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 EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER LIMITS MM/OD/YY _ MM/DD/YY GENERAL LIABILITY EACH OCCURRENCE S 1,000,UUU A 7GOMMERCIAL GENERAL LIAB BCS0014762 3/20/2007 3/20/2008 FIRE DAMAGE(Any one Orel S 6U,000 ICLAIMS MADE ZOCCUR MED EXP(Any one person) I 0 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L GEI r AGO LIMIT APPLIES PER PRODUCTS-COMP/OP AGG S 2,000,000 (POLICY -ROJECTI E I LOC S AUTOMOBILE LIABILITY B 7 ANY BA6303W167-07-SEL 3/20/2007 3/20/2008 COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO _ALL OWNED AUTOS BODILY INJURY 7 AUTOS (Pe pe n) S 7 HIRED AUTOS BODILY INJURY 7 NON-OWNED AUTOS (Pe de tl S PROPERTY DAMAGE (Pe 'de El $ GARAGE LIABILITY AUTO ONLY EA ACCIDENT I R ANY AUTO OTHER THAN EA ACC S AUTO ONLY AGG S EXCESS LIABILITY EACH OCCURRENCE S OCCUR 0CLAIMS MADE AGGREGATE S S DEDUCTIBLE S RETENTION S $ WORKERS'COMPENSATION & (STATUTORY LIMIT UDTHER _ EMPLOYERS'LIABILITY EL EACH ACCIDENT S EL DISEASE EA EMPLOYEE $ EL DISEASE POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL 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 work performed for them by Technology Resource Center Inc. under General Liability coverage CERTIFICATE HOLDER 1 ' . , . ' CANCELLATION . All Operations SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Costa Mesa Sanitary District EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION Attn: Thomas Fauth OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRE 628 W. 19th Street SENTATIVES 10 Days fo No -Payment of Premium Costa Mesa CA 92627 AUTHORIZED /\. ; REPRESENTATIVE \ II Goff Griffith ACORD 25-S (7/97) ,. - OACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED, subject to the terms and conditi of the policy, certai policies may requ re an endorsement. A statement on this certificate does not confer ights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of In rance on the rse ide of th form does of constitute a contract between the issuing insurer(s), authorized representative or producer and the rtifi ate holde nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon ACORD 25 (2001/08) created atwww.e CertsONLINE com Technology Resource Center Inc. Policy No. BCS0014762 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 failing to pre- 1 Your acts or omissions; or pare or approve, maps, shop drawings, opinions, reports, surveys, field orders, 2. The acts or omissions of those acting on your f behalf; change orders or drawings and specica- tions; 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 addi- 2. 'Bodily injury' or 'property damage' occurring tional 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 arises has been put to its intended use by any person or 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 Pagel of 1 ❑