SAMEIS HOLDINGS (TRACKING SOLUTIONS) 1A - 2012

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ACOR 7 0 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 12/12/2012 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 endorsement s). PRODUCER CONTACT NAME: Angela Osborn Bowen Miclette & Britt PHONE FAX , Exti713-880-7100 A/C No):713-880-7166 Insurance Agency, LLC E-MAIL 1111 North Loop West #400 ADDRESS: r , Houston TX 77008 INSURERS AFFORDING COVERAGE NAIC # INSURER A :National Eire Ins Cc of Hartford 20478 INSURED SAMEISHOLD - INSURER B:Continental Casualty 4 SAMEIS Holdings, LLC INSURER C:A r n Casualty of Reading, PA 20427 dba Dispatch & Tracking Solutions INSURERD: 2121 Sage #270 Houston TX 77056 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1916718975 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. INSR ADDL UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY 025947023 1/12/2012 /12/2013 EACH OCCURRENCE $1,000,000 X DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $300,000 CLAIMS-MADE X7 OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER - PRODUCTS -COMP/OP AGG $2,000,000 1 POLICY PRO LOC 1 $ A AUT OMOBILE LIABILITY 4025947023 1/12/2012 /12/2013 Ea accident $1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X X NON- OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident) $ B X UMBRELLA LIAB H OCCUR 4025947149 1/12/2012 /12/2013 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED X RETENTION $10,000 $ C WORKERS COMPENSATION 030665655 1/12/2012 /12/2013 X STATU- OTH- AND EMPLOYERS' LIABILITY LIMITS YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ? NIA E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatoryin NH) E.L. DISEASE - EA EMPLOYE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) AS TO FORM Excluded under Workers Compensation: AP Vic Samuels (? ? yy Additional Insured is afforded as per the attached endorsement. Waiver of Subrogation is afforded as per the attached endorsement. Laura A. Rossini Assistant City Attorney I.CR I Ir1%.A 1 C r1VLLlCR I.AIYI.GLLA I IVIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana Police Department; City of Santa Ana it's ACCORDANCE WITH THE POLICY PROVISIONS. officers, employees, agents, volunteers & representatives 60 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92710 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD