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--�•r1 DAHCORP-01 JCANO
<br /> ACC RO DATE(MM/DD/YYYY)
<br /> CERTIFICATE OF LIABILITY INSURANCE 9/13/2016
<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 BETWEEN THE ISSUING INSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME:
<br /> Costello&Sons Insurance Brokers,Inc. PHONE 415 257-2100 FAX 415 455-1516
<br /> 1752 Lincoln Avenue (A/c,No,Ext): ) (A/c,No):( )
<br /> San Rafael,CA 94901 ADDARESS:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Valley Forge Insurance Company
<br /> INSURED INSURER B:Continental Casualty Company
<br /> DAH Corporation DBA ISOutsource.com INSURER C;Lloyd's of London
<br /> 19119 North Creek Parkway#200 INSURER D:Scottsdale Insurance Company
<br /> Bothell,WA 98011 INSURER E:
<br /> INSURER 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP WLIMITS
<br /> LTR INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYYi
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR X 5088073228 09/19/2016 09/19/2017 PREMISDAMAGEES TO(Ea REoccNTEDurrence $ 300,000
<br /> )
<br /> MED EXP(Any one person) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000
<br /> OTHER: STOP GAP LIAB. $ 1,000,000
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident)
<br /> A ANY AUTO 5088073228 09/19/2016 09/19/2017 BODILY INJURY(Per person) $
<br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS X NON-OWNED PROPERTY DAMAGE
<br /> X $
<br /> HIRED AUTOS AUTOS (Per accident)
<br /> X UMBRELLA LIAB X OCCUR EACH OCCURRENCE _ $ 5,000,000
<br /> A EXCESS LIAB CLAIMS-MADE 5088073262 09/19/2016 09/19/2017 AGGREGATE $ 5,000,000
<br /> DED X RETENTION$ 10,000 $
<br /> WORKERS COMPENSATION X
<br /> AND EMPLOYERS'LIABILITY STATUTE OTH-
<br /> ER _
<br /> Y/N
<br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE 5088073312 09/19/2016 09/19/2017 E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> C Tech E&O/Cyber ESF05210233 09/19/2016 09/19/2017 Each Wrongful Act 3,000,000
<br /> D Business/Management EKI3199310 09/19/2016 09/19/2017 D&O/EPL 1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> The certificate holder is included as an additional insured but only as respects liability arising out of operations of the named insured and as required by
<br /> written contract.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> GBD Architects Incorporated THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> p ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 1120 NW Couch Street,Suite 300
<br /> Portland,OR 97209
<br /> AUTHORIZED REPRESENTATIVE
<br /> ©1988-2014 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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