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Insurance-Technology Resource Center-2014-03-20ACORD CERTIFICATE OF LIABILITY INSURANCE `� DATE(MMIDD/YY)(YI 3/20/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER Garrett /Mosier /Griffith /Sistrunk Risk Management &Insurance Se 12 Truman E 1 V Irvine, CA 92620 CONTACT NAME: NAME, HONE FA% Ic . (949 55s -s7oo AIC N.: (949 )559-6703 ADDRESS: INSURERS AFFORDING COVERAGE NAiC# MAR % 2014 www.gmgscom 0884519 r� i. G 1i INSURER A: Scottsdale Insurance Company BCS0031627 INSURED Technology Resource Center, Inc. 01AWAJANIiARYDIST_ 601 N. Parkcenter Drive, Suite 209 uRERe: GomenEa Ielnaurance cor oration INSURERC: Insurance Company of the West EACH OCCURRENCE Santa Ana CA 92705 INSURER D: DAMAGET RENTED PREMISES Ea ocounmr. INSURER E: MED EXP (Any one person) INSURER F: CLIVt:KA t:5 CERTIFICATE NUMBER: 19553165 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTSRR TYPE OF INSURANCE 0 UBR POUCYNUMSER MMCDYIYYYY MM%ODY "P LIMITS A r/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR BCS0031627 3/20/2014 3/2012015 EACH OCCURRENCE $ 1,000,000 DAMAGET RENTED PREMISES Ea ocounmr. $ 100,000 MED EXP (Any one person) $ Excluded PERSONAL B ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER PRO POLICY EJ JECT LOC GENERAL AGGREGATE $ 2,000,000 GEN'L PRODUCTS - COMPIOP AGG $ 2,000,000 $ OTHER_ B AUTOMOBILE LIABILITY BA8831788 3/2012014 3/20/2015 EOM8 NdEEDt SINGLE LIMIT g 1,000,00 ✓ ANV AUTO BODILY INJURY (Per person) $ ✓ ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS ✓ NON -OWNED AUTOS Physical Damage: y $1,000 Comp Ded. ODILY INJURY (Perauidenq -PROPERTY -DAMAGE $ alleudanl $ $ $1,000 Coll Ded. UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE S DED RETENTION $ _ $ C WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA WSD500697802 1011/2013 10/1/2014 1 PER orH- ✓ STATUTE ER E.L. EACH ACCIDENT $ 1.000,000 E. L. DISEASE - EA EMPLOYE _. $ 1,000,000 (Mandatory, In hill describe under E.L. DISEASE - POLICY LIMIT - - $ 1,000,000 Uea, SCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe anached if more space Is required) All operations of the named insured subject to the terms and conditions of the policies. As respects General Liability coverage, Costa Mesa Sanitary District , its officers, agents, officials, employees and volunteers are added as Additional Insured per CG20330413 attached. Costa Mesa Sanitary District 628 W. 19th Street Costa Mesa CA 92627 ACORD 25 (2014/01) 04 �\%\A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Griffith n 1998 -2014 The ACORD name and logo are registered marks of ACORD CERT NO.: 19553165 K.[i..a Rom. 3/20/2014 3:56:5] PM Page 1 Of 3 All A.hlo roenn.nH BCS0031627 Technology Resource Center, Inc. COMMERCIAL GENERAL LIABILITY . CG 20 33 0413 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 include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This Insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury' or "property damage ", or the offense which caused the "personal and advertising injury', involved the rendering of or the failure to render any professional architectural, engineering or surveying services. CG 20 33 0413 © Insurance Services Office, Inc., 2012 Page 1 of 2 PERT NO.: 19553165 Ma[iaea Romo 3120/2014 3:56:57 PM Page 2 of 3 a g 2. 'Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(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 subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered Into with the additional insured; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 33 04 13 C6RT NO.: 19553165 Maiissa Rome 3/20/2019 3:56:57 PM Page 3 of 3