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LINESYS-01
<br />ACORO"
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIDDIYYYY)
<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(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER �wc„aa n•v+w ,+v -- •,,-• wn,,,,w ,wcam
<br />Riverside, CA - HUB International Insurance Services Inc. {PA7C N . Extl: (951} 779-8581 juc;N,
<br />Riverside,
<br />Box side, C 'ennifer.housel hubinternational.corn
<br />Riverside, CA 92517 EDo I 1
<br />INSURED
<br />Linear Systems, Inc.
<br />8403 Maple Place
<br />Rancho Cucamonga, CA 91730
<br />COVERAGES rFRTIEICATF MIIMRER- REVISION NLIMRI
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE 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 MAY BE 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 />II TR TYPE OF INSURANCE ADD L WSR POLICYNUMBER
<br />POUGDYEFF POUCYEXP LIMITS
<br />A COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />CLAIMS -MADE X OCCUR X X OB39898815
<br />4/26/2019 4/25/2020 DAMAGE TO RENTED
<br />F E u1r9f1'
<br />%000
<br />MEO EXP An one ersod)$
<br />11000`000
<br />PERSONAL &ADV INJURY
<br />_
<br />GEML AGGREGATE LIMIT APPLIES PER
<br />GENERAL AGGREGA I; G2,000,000
<br />X 1 a
<br />21000,D00
<br />POLICY dEC LOG
<br />PRODUCTS -COMPIOPAGG $
<br />I OTHER:
<br />5
<br />B
<br />COMBINED SINGLE LIMIT 1,000,000
<br />AUTOMOBILE LIABILITY
<br />Eaa ci n)_ 5
<br />X ANY AUTO AW3989880906
<br />4125/2019 4/25/2020 BODILY mduav Per eraon $
<br />_
<br />OWNED SCHEDULED
<br />AUTOSONLY AUTOS
<br />SODILV IN.IURY Per aGcid set $
<br />HEREO W NpN-OWNED
<br />.� AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />_(Per acatlenil
<br />ELLA LIAB OCCUR
<br />EACH OCCURRENCE $
<br />�_ '
<br />SS LIAB CLAIMS -MADE
<br />L
<br />AGGREGATE $
<br />RETENTION$
<br />B WORKERS COMPENSATION
<br />X PERTUT [RH-
<br />ANDEMPLOYERS'LIABiLRY W239871564
<br />YIN
<br />31112019 31112020 1,000,000
<br />ANY PROPRIETOWPARTNERIEXECUTIVE
<br />E.L. EACH ACCIDENT $ _
<br />$��}}��FICERiMEMDER EXCUDE01 NIA
<br />1,000,000
<br />-F-1 atwynNH)
<br />E.L. DISEASE -E_A EMPLOYE $ _
<br />It YYes, describe under
<br />1,OOQ000
<br />DE SCRIPTION OF OPERATIONS below
<br />E.L. DISEASE-POLIQQUMIT $
<br />C Professional Liab Xu V102F2191001
<br />3/1/2019 311/2020 Each Claim 2,000,000
<br />C PROF DED: $10,000 V102F2191001
<br />3/112019 3/1/2020 Aggregate 2,000,000
<br />DESCRIPTION OF OPERATIONS l LOCATIONS fVEHICLES MOORS 101, Addlenal RoonsAs Schedule,maybe.eached
<br />U dd.respaoe is required)
<br />City at Santa Ana it's officers, employees, agents, volunteers and representatives
<br />are Additional insured regarding general liability coverage when required by
<br />written contract per attached form 39110060816, Waiver of Subrogation and Primary and noncontributory wording apply when required by written contract per
<br />attached endorsement 39110030816. Additional insured status regarding E8:0 Coverage applies when required by written contract per attached Endorsement
<br />F00434092014
<br />CERTIFICATE urn OPID rAMr.Fi I ATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Cityof Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />- --- —
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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