PROOF OF INSURANCE (2002) CLOSED11/13/2002 11:45 15104506350
INNOVATIVE INTERFACE -3 PAGE 02
ACORD,M CERTIFICATE OF
LIABILITY INSURANCE 11 /20 /2001
PRODUCER (41S)957 -0600 FAX (415)9S7 -0577 THIS CERWICATE IS 13 SUED AS A MATTER 0 I FORMA I N
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Maroevith O'Shea & Co g hlan
HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
425 Market Street
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
10th Floor
INSURERS AFFORDING COVERAGE
San Francisco, CA 94105
INSURED
INSURER A'. Royal Insurance Company of America
innovative Interfaces, Inc.;
INSURER B: Lumbermens Mutual Casua ty Company
Shellmound- Christie Corporation, Inc.
INSURER C:
5850 Shell mound Street
INSURER 0;
Em ryvi l 1 e, CA 94608
INSURER E:
COVERAGES
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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
T R TYPE OF INSURANCE POLICY NUMBER
ATE M IVY DATE I NY LIMITS
GENERAL LIABILITY SV027281
11/20/2001 11/20/2002 EACHOCCURRENCE S 1,000,000
COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE (Any one fire) $ 300,000
CLAIMS MADE D OCCUR
MED EXP (Any one person) • S S,000
A
PERSONAL & ADV INJURY S 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP /OP AGG S 1100010
POLICY PRO
p LOC
AUTOMOBILE LIABILITY ST31SO94
11/20/2001 11/20/2002 COMBINED SINGLE LIMIT $
(Ea acciddnt) 11000,00
ANY AUTO
ALL OWNED AUTOS
SODILY INJURY $
X SCHEDULED AUTOS
A
(Per Person)
X HIRED AUTOS
60DILY INJURY $
X NON -OWNED AUTOS
(Per accioont)
PROPER'rY DAMAGE $
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$ _
OTHER THAN EA ACC
S
ANY AUTO
$
H
AUTO ONLY; AGG
EXCESS LIABILITY
LA42OS70
11/20/2001
11/20/2002
EACH OCCURRENCE
S S,000,000
AGGREGATE
$ 5 000, 000
X OCCUR a CLAIMS MADE
A
$
DEDUCTIBLE
S
X RETENTION S 10,00
WORKERS COMPENSATION AND
BA096316 -00
1010112001
10/01 /2002
X I TO Y LIMITS ER `
E.L. EACH ACCIDENT
$ 1,000,000
EMPLOYERS' LIABILITY
E
E.L. DISEASE - EA EMPLOYEE
S 11000, 000
E,L, DISEASE •POLICY LIMIT
$ 1 , 565 -25-55
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLE SIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
NOV 1 ` 2007
RISK MANAGER
CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER;
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Evidence of Insurance
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE
Sharon Voth /SVO —
0ACOR0 CORPORATION 1988