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DATE (MM/DD YYW) CERTIFICATE OF LIABILITY INSURANCE 6zw6nols 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 holders an ADDITIONAL INSURED, tho policy(les) must be endorsed. ITSUBROGATION I$ WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statementon this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT W.B. Adams Co. W.B. Adams Co. PHONENo , 503 644.9945 (AICFAX N,,,(503) 644.9997 General Insurance E -M IL ESE info wbadams.com 14737 SW Ml Way Beaverton OR 97003 070 SURER AFFORDINGOVERAGE AIC# INSURER : One Beacon Insurance Company X INSURED INSURES B: Hartford Casualty Insurance Co. 3alectron Technologies, Inc. . 12323 SW 66th Ave. c:' MVRE Portland. OR 97223 INSURER o INSURER SURER COVFRBr:FA RCVIJIUIN INUMrSCK: 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 CONTRACTOR 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, ILTR NSR TYPE OF INSURANCE ADDLSUBR POUCYNU MEER POLICY EFF IDD POLICY EXP MM/0 LIMIT" GENERAL LIABILITY A X EACH OCCURRENCE 81,000.000 DAMAGE TO RENTED $1000000 COMMERCIAL GENERAL LIABILITY CLAIMS � -MADE OCCUR 711013743-0001 01/31/2016 01/3112017 MED EXP An one arson $10,000 PERSONAL&ADV INJURY $1,000,000 X Ded:$0 GENERAL AGGREGATE $2000 000 GEN'L AGGREGATE LIMITAPPLIE6 PER: PRODUCTS - COMP/OP AEG 2000000 POLICY X Pft°r LOC Data/C bor Liabili $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Jd 1000000 , A X ANYAUTO BODILY INJURY (Per person) $ ALL OS SCHEDULED 711013743-0001 01131/2016 09/3112017 aoDILY INJURY (Per secldann $ HIRED NAUTOSON-OWNED HIRED AUTOS NON -OWNED AUTOS PROPE�tDAMAGE It $ X LA UABX OCCUR EACH OCCURPENCE $ 5 000 000 A EXCESS EXCESS LIAR CLAIMS -MADE 711013743-0001 01/31/2016 01/31/2017 GGREGATE 5,000,000 DED ETENTION WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY $ X WCST 0Ea_ B yIN ANY OFFICER/MEEMER EXCLUDED? LJ N/A N/A 529VBCGI3039 01/31/2016 01/31/2017 EL.BACHACCIDENT 1000000 E.L. DISEASE - EA EMPLOYEE 1,000,000 (Mandatory In NH) I(yes, desoribe UR a, _ E.L. DISEASE -POLICY LIMIT $1,000,000 S TI ON OFOPERATIO Sbelow1 A Technology Services E & 0 Retroactive Date 01131/2002 711013743-0001 01131/2016 01/3112017 Limit: $2,000,000 ped: $25,600 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) City of Santa Ana is named Additional Insured as respects the general liability per written contract on a primary and J Z /�/'J noncontributory basis. J ROVE j l�COTICIR.a TG IJ/�I P�,� City of Santa Ana I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE .DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 ' AUTHORIZED REPRESENTAid/E e �m U 1988-2010 ACORD CO _ORATION. All - -•--, , nc mvwliu name dim logo are regi"Terea marKs at AGORD