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PROOF OF INSURANCE (2016) CLOSEDPolicy Number: MTK1558808 Date Entered: 2/25/2016 ACOR ,, CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 2/25/2016 PRODUCER BOB NIMTZ Insurance Center, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 25108 Marguerite Pkwy #A527 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Mission Viejo, CA 92692 -2400 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (866)643 -3808 INSURERS AFFORDING COVERAGE NAIC # n.n. -- ..,..,-------------- ......... .._ - - - -- INSURED Scanning Service Corporation INSURER A:USLI united States Liablity Ins Co Michael Friedman INSURER B: 15513 Cleveland Dr INSURER C: Fontana, CA 92336 INSURER D: I 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, °.INSIR ADD' .....rvaF nc lucl-_ Nr.F ..... _— ....__ POLICY NUMBER POLICYnEFFECvnE POLICY , EXPIRATION .............. .... LIMITS...... ......... GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 A Xx COMMERCIAL GENERALLIABILITY MTK1558808 11/28/2015 11/28/2016 6aRDIM4 @SDS,(EarcctiarencnJ $300,000 .WW. m r, CLAIMS MADE OCCUR MED EXP (Anv one person} $10,0 0 0 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000,000 GEIMN1 AGGREGATE LIMIT APPLIES PER' PRODUCTS - COMP /OP AGG $ Included ..- POLICY r�"RO- T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Included A ANY AUTO (Ea accident) — ....................................................................................................................................... ................-. ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS K1558808 11/28/2015 11/28/2016 BODIL Y INJU RY $ NON-OWNED AUTOS accident) - - -- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC $ .. —. OTHER THAN ! ....... ... .'... AUTO ONLY: AGG $ --- ... ........... ... -- EX� OCCURBREL �� CLAIMS MADE AGGREOGATERRENCE $ .... ........... ............. ....... ..... ...... ........... —. $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND n Ill T TORY 1 i I FR EMPLOYERS' LIABILITY � "." "", "� ` "....." 'll, ., 1– ANY PROPRIETOR/PARTNER/EXECUTIVE ,E _L. EACH ACCIDENT $,,,, OFFICER/MEMBER EXCLUDED? E,L DISEASE -EA EMPLOYEE. $ If yes, describe under - -- -- --------------------------------- SPECIAL PROVISIONS below E,L DISEASE -POLICY LIMIT $ OTHER Technology MTK1558808 11/28/2015 11/28/2016 Each Claim 1,000,000 A Professional Liabil-1 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder named additional insured per Blanket Additiona Insured Endorsement BP -134 06/09 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of El Segundo DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 350 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL El Segundo, CA 90245 -3895 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESEWATWE ACORD 25 (2001/08) © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGORD 25 (2001108) UNITED STATES LIABILITY INSURANCE GROUP WAYNE, PENNSYLVANIA This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM BLANKET ADDITIONAL INSURED SECTION II — LIABILITY; C. Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) for whom you are performing "your work" under a written contract or agreement, that requires such person(s) or organization(s) to be added as an additional insured on your policy. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury ", "property damage" or "personal and advertising injury" occurring after the effective date of such contract or agreement that is caused, in whole or in part by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf, in the performance of "your work" for the additional insured. Coverage for an additional insured under this endorsement ends when "your work" for that additional insured ends or is put to its intended use by any person or organization. SECTION II — LIABILITY; B. EXCLUSIONS, 3. Applicable To Both Business Liability Coverage And Medical Expenses Coverage, is amended to add the following with respect to this endorsement only: There is no coverage under this endorsement for loss or expense, including but not limited to the cost of defense for "bodily injury" or "property damage" or "personal and advertising injury" occurring: a. After all of "your work ", including materials, parts or equipment furnished in connection with "your work" and performed under the above referenced written contract(s) or agreement(s) has ended; or b. When that portion of "your work" out of which the "bodily injury ", "property damage" or "personal and advertising injury" arises and performed under the above referenced written contract(s) or agreement(s) has been put to its intended use by any person or organization; whichever occurs first. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy unless another effective date is shown. BP 134 (06 -09) Page 1 of 1 Policy Number: TWC3517083 Date Entered: 2/25/2016 A 1) C0RD� CE CERTIFICATE OF LIABILITY INSURANCE 2/25/2016 PRODUCER BOB nsurance en er, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 25108 Marguerite Pkwy #A527 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Mission Viejo, CA 92692 -2400 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (866)643 -3808 INSURERS AFFORDING COVERAGE NAIC # ................................................ - -- - -.. . ..............._ ..........m,.... INSURED Scanning Service Corporation INSURER A: Technology Insurance Company 42376 Michael Friedman INSURER B: 15513 Cleveland Dr INSURER C: Fontana, CA 92336 INSURER D: .......... . INSURER E: 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. INSR ADD'L -- .______._.____......._._ _. _ ._.______ ._.___ .................. POLICY EF.' ..._..... fri � ����,�- POLICY NUMBER neTC EF ... l "P NE POLICY EXPIRATION ITR F nnw�n neTC nurumnrvv� -- -- ._ _...... ,..,...... LIMITS GENERAL LAWLITY EACH OCCURRENCE $ �... -PRFM annel m$ ". COMMERCIAL GENERAL LIABILITY SFR FA� .. ___. ... ---------- , CLAIMS MADE OCCUR ,,...... l MED EXP oers ...... /Anv one oN $ PERSONAL & ADV INJURY $ .......... GENERAL AGGREGATE $ .. -- - - - - -- __ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ - - -- POLICY PRO. JEC AUTOMOBILE - LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) ............... $ ----................._..__ .... ..,.... ...... ............................... ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) __...._... ........ $ w.$.. HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) _ _.........___........_. PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ ..., . AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ ........,. .... $ .$ .............. .......,....... DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND " WC STATU- OTH- Tr1RV I IMIT6 FR EMPLOYERS' LIABILITY 9 A �"�!"i."rJ 17OS3 11/28/2015 11/28/2016E,L ` ' , " "` -" CIEA OFFICERIMEMBER EXCLUDED? SEASE EMPLOYEE $ 1, D001000 $ ,000 If m 1 066, .. 000 SPECIAL PROVISIONS ONS below E L OI$EASE PGJt -.IC "dt,IMl7� $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT # WC040306 e.: V-. 14 t. d.,. "N &...* �'b d .,�m::'n ln.,. �"} .p..,... �' a�,.Yd"" S.' OI...l ," A A CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of El Segundo DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 DAYS WRITTEN 350 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL El Segundo, CA 90245 -3895 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGORD 25 (2001108)