SELECTRON TECHNOLOGIES, INC. (2)

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CERTIFICATE OF LIABILITY INSURANCE F DATE,MMIDDA'VYY) WSR 11912712017 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(les) 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 ONTACT WB Adams Co. WB Adams Co. PHONE . 503 644.9945 ax F • 503 644.9997 General Insurance -MAIL info wbadams.cam 14737 SW Milliken Way INSURERISI AFFORDING COVERAGE NAC# Beaverton OR 97003 INSURER ; Sentinel Insurance Company INSURED INSURER a, Hartford Casualty Insurance Co. Selectron Technologies, Inc. INSURE C, 12323 SW 66th Ave. INSURER D Portland, OR 97223 INSURERE: INSURER F: OnVFRACFR CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. WSR TYPE OF INSURANCE ADDLSUBR AUTHORIZED REPRESENTATIVE POLICY NUMBER POLICY EEOPOLICY EXP DO LIMITS GENERAL LIABILITY EACH OCCURRENCE 51,000,000 DAMAGETOaENTED $1000,000 MED EXP (Any one ersan 310,000 A X COMMERCIAL GENERAL LIABILITY CLAIms.NAOE X❑ OCCUR Y 52SBAR09216 0113112017 01/31/2018 PERSONALS ADVINJURY 111000600 GENERAL AGGREGATE $2,000000 GEML AGGREGATE LIMIT APPLIESPER: PRODUCTS-COMPIOP AGG 2,000600 $ X POLICY PR: LOC AUTOMOBILE LIABILITY COMBINED ISINGLE LIMIT 1,600,000 BODILY INJURY (Per person) $ A X ANYAUTO BODILY INJURY (Per amidedq $ ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS AUTOSWNED 52UECPT5600 01/31/2017 01131/2018 PROPERTYDAMAGE 1 $ X' UMBRELLA ILIAD X I OCCUR EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 A EXCESS LIAB CLAIMS -MADE 52SBAR09216 01/31/2017 01131@016 DED I I RETENTION B WORKERS COMPENSATION AND EMPLOYERS LIABILITY OFFICEOPRIE EREXCLUEPJF ECUTIVL (Mandatory In NH) I— NIA 52WBC013039 01131@017 01131/2018 X wC STATI - oTH- MI. E -L. EACH ACCIDENT $1000,000 E . DISEASE - EA EMPLOYEE $1,000000 E.L. DISEASE - POLICY LIMIT $1,000,606 If yes, describe under E I OF OPERATIONS below Data Breach/Cyber Liability A Retroactive Date 0113112014 52SBAR09216 01/3112017 01131/2018 Limit $2,060,000 Ped. $5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mora space is required) The City of Santa Ana, Its officers, employees, agents, volunteers and representatives are listed as additional insured as respects to general liability when required per written contract. Such coverage is primary and non contributory. 12-1 CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE i ®1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORIJ'