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A CORD DATE (MWDD/YYYY) <br />TM, CERTIFICATE OF LIABILITY INSURANCE 1 0411112012 <br />PRODUCER Phone: (rig) 562.3369 Fax: (772) 5623466 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />WILLIS OF FLORIDA, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2045 14TH AVE. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />VERO BEACH FL 32960 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW- <br />INSURERS AFFORDING COVERAGE NAIC N <br />INSURED INSURER A: Pacific Indemnity 1 <br />COMMUNICATIONS INTERNATIONAL, INC. INSURER e: _ Federal Insurance <br />FATPOT "SO U S #1 TECHNOLOGIES, LLC INSURER C: Vigilant Insurance <br />4450 U <br />VERO BEACH FL 32967 INSURER D: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br />NOTWITHSTANDING <br />, <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INTR 4ANSSDRa TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> DATE WDDWY) DATE IMMAM)MI <br /> GENERAL LIABILITY 3593-51-01 12/15111 12!15/12 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br />$ 1 <br />000 <br />000 <br /> PREMISES LEI.SqM?S!L_ , <br />, <br /> ?? <br />CLAIMS MADE <br />x OCCUR EXP (Any one person) <br />MED $ <br /> L _ <br />. 10,000 <br />A ES L- PERSONAL d ADV INJURY $ <br />1,000,000 <br /> f __ GENERAL AGGREGATE _ <br />$ 2,000,000 <br /> _ __ _ <br />GEN'L AGGREGATE LI RITO'APPIIES PER: PRODUCTS-COMPIOP AGG. $ 2,000,000 <br /> POLICY '? <br />LOC <br /> 'ET i <br /> AUT OMOBILE LIABILITY 7498-61-49 12/15/11 12/15112 <br />'COMBINED SINGLE LIMIT <br /> X <br />_ ANY AUTO (Ea accident) $ 1,000,000 <br /> ALL OWNED AUTOS € BODILY INJURY <br /> SCHEDUL <br />A <br />T (Per person) $ <br /> ED <br />OS <br />U <br />B X HIREDAUTOS <br /> BODILY INJURY <br />$ <br /> I NON-OWNED AUTOS (Per accident) <br /> <br />DAMAGE I <br />PROPERTY <br />S <br /> I Per acciden <br /> GARAGE LIABILITY 3593-51-01 12/15/11 1 12/15/12 AUTO ONLY - EA ACCIDENT $ 1,000,000 <br />A ANY AUTO ''.. <br />OTHER THAN EA ACC <br />$ <br /> X SEE BELOW I AUTO ONLY: AGG $ <br /> EXCE33/UMBRELLA LIABILITY 7988-01-26 12/15111 12/15/12 EACH OCCURRENCE $ 5,000,000 <br /> X OCCUR CLAIMS MADE I AGGREGATE $ 51000,000 <br /> - <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10 <br />000 <br /> , <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY 1 <br />7174.30-65 10/14/11 <br />10/14112 WC STATU- OTHER ; <br />TOR, L MITS <br /> <br />C ANY PROPRNETORIPA E <br />.L. EACH ACCIDENT <br />$ 11000,000 <br />OFF?ERIMEMEWMEMBER EXCLUDED? <br />? II yes <br />M?cnW undrr E.L. DISEASE-EA EMPLOYEE $? 11000,000 <br />. <br />SPECIAL PROVISIONS blow E.L. DISEASE-POLICY LIMIT $ 11000,000 <br />OTHER: GARAGEKEEPERS 3593-51-01 12/15/11 12/15/12 LIMIT $435 <br />000 <br />, <br />A IC <br />OMP DEDUCTIBLE 5250151000 <br />COLLISION DEDUCTIBLE $500 <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />AMOMM AS TO FORM <br />(`GGTI r-ATC ue%i mien <br />'?'ERES,% I- JPW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />l+y? <br />ASSWa* ?+Re EXPIRATION ATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS <br />WRITTEN NODT <br />? ICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE <br /> TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER <br /> <br />CITY OF SANTA ANA , <br />trs AGENTS OR REPRESENTATIVES. <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE <br />Attention: <br /> <br />Af^ADm 9e ??nn uno, Y <br />ge . Thi <br />I., k,alUludte if 3383/ 0 ACORD CORPORATION 1988