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ACORD, CERTIFICATE OF LIABILITY INSURANCE
<br />fl.
<br />DATE (MFAIO0(YYYY)
<br />08/0512016
<br />PRODUCER Phone: {6261854-9541
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />The Master Insurance Agency, Inc.
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />18053 Valley Blvd.,
<br />City of Industry, CA 91744
<br />License OB03663
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />INSURERS AFFORDING COVERAGE
<br />NAIC 9
<br />INSURER A: Sentinel Insurance Compa V. U&
<br />72SBAAK5642
<br />Softmaster, Inc.
<br />INSURER 9: Employers Ass
<br />EACH OCCURRENCE
<br />1142 S Diamond Bar Blvd #386
<br />INSURER c: Hartford Fire Ins urangg_ ��_
<br />✓
<br />INSURER D:
<br />[It,18URER
<br />Diamond Bar, CA 91765
<br />Ei
<br />IPIAIVG8 I U I.ItN I L11
<br />P EA' S FS
<br />S 1.000.000
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
<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 />TN-SR Do'
<br />T T.01RIq1
<br />L LT;
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />POLICY EFFECTIVE
<br />DATE (LIMfgONY�
<br />POLICY EXPIRATIOIt
<br />LIMITS
<br />GENERAL LIA81LrrY
<br />72SBAAK5642
<br />0212012016
<br />02120/2017
<br />EACH OCCURRENCE
<br />S 1,000,000
<br />A
<br />✓
<br />X Co,',WERC:AL GENERAL LIABILITY
<br />IPIAIVG8 I U I.ItN I L11
<br />P EA' S FS
<br />S 1.000.000
<br />CLAIMS MADE L:Lk F71
<br />j OCCUR
<br />111
<br />I
<br />I MED EXP {Any one pvsoO
<br />S 10000
<br />PERSONAL,i ADV MURY
<br />5 �j 000,000
<br />GENERAL AGGREGATE
<br />j 5 2,090 .000
<br />GEN'L AGGREGATE WAIT APPLIES PER:
<br />PRODUCTS - COMPiOP AGG
<br />000 .000
<br />1-1 "F]
<br />-:3-2
<br />I_R� POLICY M LOC
<br />I
<br />A
<br />-AUTOMOBILE
<br />LIABILITY
<br />172SBAAK5642
<br />02120/2016
<br />02/2012017
<br />COMBINE[) SINGLE LIMIT
<br />S 1,000,000
<br />ANY AUTO
<br />(Ea acrident)
<br />90DILYINJURY
<br />S.
<br />ALL OWNED AUTOS
<br />SCHEOUL-=DAUTOS
<br />(Per persv)
<br />X
<br />HIREDAUrOS
<br />X 7NON-OW
<br />NON-OWNED AUTOS
<br />BODILY INJURY
<br />(Per adanl)
<br />m
<br />PROPERTY DAMAGE
<br />Tf
<br />I.
<br />(Per ,accident)
<br />aAUTO
<br />GARAGE LIABILITY
<br />ONLY - EA ACCIDENT
<br />IS
<br />OTHER THAN EA ACC I
<br />S
<br />ANY AUTO
<br />AUTO ONLY: AGGI$
<br />A
<br />EXCESSIUMBR ELLA LIABILTY
<br />72SBAAK5642
<br />02120/2016
<br />0212012017 i
<br />EACH OCCURRENCE Is
<br />5,000,000
<br />1_AGGREGA`LE tls
<br />5,000,000
<br />X JOCCUR CLAWSMACE
<br />�DECUCTIBLE
<br />X RETENTION 10000
<br />B
<br />WORKERS CONIPEHSATIC 9 A14D
<br />EIG1255230 05
<br />10127/2015
<br />10/2712016
<br />LSTATU- I
<br />X T T VI� V C LMUIT15 TH
<br />, j�
<br />0 L
<br />r.L. EACH ACCIOL14T Is
<br />1,000,000
<br />EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR!PARTNER)EXF7U-,1,,'E
<br />OFFICENMEMBER EXCLUDED? y
<br />G.L. CGCASE, EA FMPLOYEO
<br />S 1,000,000
<br />If yes, dLscrbe under
<br />SPECIAL PROV¢STONS
<br />LE.L. DISEASE- POLICY LIMIT .1
<br />5 1,000,000
<br />OTHER
<br />C
<br />Crimeshield Bond
<br />72 TP 0271195
<br />0812912016 1
<br />08129/2017
<br />Ded: 10,000 1,000,000
<br />A
<br />Errors & Omissions
<br />72SBAAK5642
<br />0212012016
<br />02/20/2017
<br />Per Aggregate 1,000,000
<br />DESCRIPTION OF OPERATIONS; LOCATIONS VEHICLES 1 EXCLUSIONS ADDED BYENDORSWENT) SPECIAL PROVIS$ONS
<br />Computer Consultant and Staffing Services. Subject to Policy Terms, Conditions and Exclusions
<br />* 30 Days Notice should the policy cancel for non-payment
<br />Insured for Location at �
<br />20640 E Oak Crest Drive, Diamond Bar, CA 91764
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />Its Officers, Agents and Employees
<br />20 Civic Center Plaza
<br />P.O. Box 1988-M12
<br />Santa Ana, CA 92702
<br />Luz d", 11 V
<br />"LAI
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THERFnF, THIF ISSUING INSURER W11 I FJIDFAVOR TO I"L d.0 BAYS WRITTEN
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
<br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
<br />AUTHORIZED
<br />- _ lr VRMI 1- 1.00
<br />Printed by JCH on August 05, 20160 @(0127PM
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