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TECHDAT-01 OWENSNA
<br />'460. ® 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 B?E,EpffHE{SSI�IffG INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. !! fh'((''jj `t
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must b¢p��grgqddpo �reed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A stafelil�n 'o , fits eytrf)crg dyes not confer rights to the
<br />certificate holder in lieu of such endorsement(s). !g `'tl1 f� i'`5 I-5 ;(A
<br />PRODUCER
<br />Willis of Florida, Inc.
<br />c/o 26 Century Blvd
<br />P.O. Box 305191
<br />Nashville, TN 37230.5191
<br />CONTACT Willis Towers- a B Ct; 'f V&A4 ter
<br />PH (877) 945-7378 a/c, Ne : (888) 467.2378
<br />A1C No Ext:
<br />nooaess: Certificates@willis.com
<br />INSURER(S) AFFORDING COVERAGE NAIC q
<br />INSURERA:Zurich American Insurance Company 16535
<br />INSURED
<br />Tech Data Corporation DIBIA Signature Technology Group
<br />5350 Tech Data Drive
<br />Clearwater, FL 33760
<br />INSURER B: American Guarantee and Liability Insurance Company 26247
<br />INSURER C:American Zurich Insurance Company 40142
<br />INSURER D: Hiscox Insurance Company Inc. 10200
<br />INSURER E : Travelers Casualty and Surety Company of America 31194
<br />NSURER F:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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 />NSR
<br />LTR
<br />rypE OF INSURANCE
<br />0
<br />IN n
<br />BR
<br />WV
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIV/YY
<br />POLICY EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS4ADE O OCCUR
<br />X
<br />GLO3878469.08
<br />02/01/2016
<br />02/0112017
<br />EACH OCCURRENCE $ 1,000,000
<br />PREMISES Eaoccurrence $ 1,000,00
<br />MED EXP (Any one person) $ 10,000
<br />PERSONAL &ADV INJURY $ 1,000,000
<br />GENT AGGREGATE LIMIT APPLIES PER:
<br />POLICY PE` X LOC
<br />OTHER:Ea
<br />GENERAL AGGREGATE $ 2,000,00
<br />PRODUCTS COMP/OP AGO $ 2,000,00
<br />A
<br />AUTOMOBILE LIABILITY
<br />X ANY AUTO
<br />ALL OWNED SCHEDULED
<br />X AUTOS AUTOS
<br />X NON -OWNED
<br />HIRED AUTOS AUTOS
<br />BAP3878470.08
<br />0210112016
<br />02101/2017
<br />COMBINED SINGLE LIMIT
<br />$ 1,000,000
<br />accident)$
<br />BODILY INJURY (Per person) $
<br />BODILY INJURY (Per accident) $
<br />PROPERTY DAMAGE $
<br />Per accldeni
<br />B
<br />X
<br />UMBRELLA LIAB
<br />EXCESS LIAB
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />AUC5344130-11
<br />02101/2016
<br />02/01/2017
<br />EACH OCCURRENCE $ 5,000,000
<br />AGGREGATE $ 5,000,000
<br />OED X RETENTION$ 0
<br />$
<br />C
<br />WORKERS COMPENSATIONX
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECUTIVE Y�NIA
<br />BER
<br />OFFICER/MEME%CLUDED?
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />WC3878467.08
<br />02/01/2016
<br />02/01/2017
<br />STATUTE FR
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYE $ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT 1 $ 1,000,000
<br />D
<br />E
<br />Errors & Omissions
<br />Crime
<br />UCS2707738.16
<br />105888443
<br />06/0112016
<br />02/01/2016
<br />06/01/2017
<br />02101/2018
<br />Limits: 5,000,000
<br />See Attached
<br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as an Additional Insured as respects to General Liability.
<br />CERTIFICATE Flnl nER CANCELLATION
<br />@ 1988.2014 ACORD CORPORATION. All rights resqrved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD fj r„ t & p f,(J i 0
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City of Santa Ana
<br />AUTHORIZED REPRESENTATIVE
<br />Attn: Lynda Kelly
<br />20 Civic Center Plaza M-12
<br />(� ftnA
<br />/�t..l.[.u9 Xai'ktJ
<br />Santa Ana CA 92701
<br />@ 1988.2014 ACORD CORPORATION. All rights resqrved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD fj r„ t & p f,(J i 0
<br />
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