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Certificates of Insurance
• , CERTIFICATE OF LIABILITY INSURANCE I DATE IMWOOIYYYY) Otr1612018 THiS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS N0 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: lithe cerURcate holder is an ADDITIONAL the poticy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, eetaln policies may require an endorsement. A statement on this certlticate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Er W.B. Adams Co. W.B, Adams Co. P y„).(603) 644 -9949 N4:(603) 641-9997 General Insurance ihfoLtivbadsms.com I. 14737 SW MIOIken Way Beaverton OR 97003 INSHat9ealAFFOAOIl10 COVERAGE Noce — woUREmA: On Beacon insurance Company INSURED Seleclron Technologies, Inc. I R e: Hartford Casualty Insurance Co. _ t 12323 SW 66th Ave. wwaER O e Portland, OR 97223 w.uasee E INSURER r . COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 16 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NNMUFTIBOVE FOi11FREPbLECY PERIOD INDICATED, NOTWITHSTANDING MIT REQUIREMENT. TERM OR CONDITION OF ANYCONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, yy,,�� E . XCLUSIONS AND CONDITIONS OF SUCH POUCHES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1�' TYPE wNI.URANGE poucve rr m .1=s-We LINTS MORAL LIABILITY 61.000.000 A X CODUERa/Le- UTY x1.0011.000 = cows © OCCUR 711013743.0001 0113112016 0113112017 . ram sea eueo a timed x 10 . X Ded:50 PERSONAL AAOVINJURY 11.000,000 oENERaLlooas9Ara 42.900.000 r, .GORE. TELIMITAP _. 5PER . mecI1msloNPrOPADO 62,000.000 poucy © y „ III too _ Da ber Liability x2,000.00¢ AUTOMOMLE tsar :1. , X ANY ALTO BODILY INJURE (Pee poem) 1 ALLOWKEO SCHEDULED — AUTOS AMOR 711013743.0001 0113112016 0113112017 COOKY WARY (Pet NE161 q 1 -_, HIRED AUTOS ' " 1 UMPRELLA UM Jt a . , 1 X � EACrI oDCx,aRErr/ j 6.000,000 A discos LIAR cw(HS.v*Oe 711013743.0001 01/3112016 0113112017 ANt0RE0ATE .8,000,000 0EO 1 I RggsgrOMs 1 WORKERS COMPENSATION x I y V AND EMPLOYERS' MO UTY F refit/ e3 1 KT B prplGE la+ Ex wEm r NIA 52WBC(313039 0113112016 01131/2017 � al x1,000,000 Nu 4M E.L. DISEASE- EAE+.PI.QVE .1.000.000 SON.'Jlo.NOPOPERATIoRSbe9an E.L. DISEASE - POLICY LIMIr _ .1,000,000 - A Technology Services E & 0 Retroactive Date 01/3112002 711013743.0001 01/31/2016 01/31/2017 Limit: 82,000,000 Ded: 925,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VENICLEI lADaeh ACORD /1t, Adellonel Remotes Schedule. If mon space b ngWnq RE: Design, Development, Installation of VolcePermits IVR solution for Inspection Scheduling. Contract Start Date: 1/1912013. Monroe County, Florida Board of County Commissioners Is Included as I' addklonal insured where required by written contract with respect to general 11abfhIy and auto liability. , e 11.k r!�1r W , • . CERTIFICATE HOLDER CANCELLATION - Monroe County, Florida Board of SHOULD ANY OP THIN ABOVE DB$CR16EO POUCHES BE CAN�D WORE County Overseas Commi 2798 Overseas Hwy, Suite 400 ma EXPIRATION DATE TNBREOP. NOTICE WILL BE RE IN ACCORDANCE NTH THE POLICY PROVISIONS. ■ Marathon, FL 33050 AVINORIERO REPRESENT. ,/ 0 'r C 1918.2010 ACORD CO - •. • RATION. All rights reserved. ACORD 25 (2010105) The ACORD name and Togo are registered marks of ACORD. ' : . • CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 041291201A 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 CER TIFICATE HOLDER. the terms and conditions of the I certificate holder in lieu of such PRODUCER W.B. Adams Company General Insurance 14737 SW Millikan Way INSURED Selectron Technologies, Inc. 12323 SW 66th Ave. Tigard, OR 97223 COVERAGES S an AUDI t IVPIAL IryOURGLI, uric pvttsy(roal n.uaa uc certain policies may require an endorsement. A statement on this certificate does notconfer rights to the W.B. Adams CERTIFICATE NUMBER: REVISION NUMBER: r/\C TU= 0^1 IPV DColnrl THIS INDICATED. CERTIFICATE EXCLUSIONS INSR LTR • IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY PERTAIN, AND CONDITIONS OF SUCH TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 0 OCCUR OF INSURANCE POLICIES. ADOL THE UB LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY INSURANCE AFFORDED BY LIMITS SHOWN MAY HAVE BEEN POLICY NUMBER 7110137430001 ISSUED TO THE WoURcU CONTRACTOR OTHER DOCUMENT THE POLICIES DESCRIBED REDUCED BY PAID CLAIMS. POLK:Y EFF POLICY EXP 1131114 1131115 NAIVICU ADU V C- FwV I I - -11 WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS EACH OCCURRENCE 100 OOO DAMAGE TO RENTED $ 1 000,000 MED EXP An one rson $10,000 PERSONAL & ADV INJURY $1 GENERAL AGGREGATE s2,00 0 000 X Ded: $O PRODUCTS - COMP /OP AGG s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1 OOO 000 BO DILY INJURY ( Per person) $ • X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS 7110137430001 1/31114 1/31/15 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Par $ $ A X UMBRELLA LIAR EXCESS LIAR X OCCUR I CLAIMS -MADE 7110137430001 1131/14 1131/15 EACH OCCURRENCE $ 5,000,000 AGGREGATE $5,000,000 RETENTION WORKERS COMPENSATION X WC STATU- OTH- s E.L. EACH ACCIDENT $1,000,000 B AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIV Y / OFFlCERIMEMB EXCLUDED9 N / A 52WBCGD0279 1!31114 1/31115 E.L. DISEASE - EA EMPLOYE91 S 1 9 000,000 (Mandatory 1n NH) ) W a S6 describe under R PTI P OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000, A Technology Services E & O Retroactive Date 01/31/2002 7110137430001 1/31114 1131115 Agg: $1,000,000 Ded: $10,000 Each Claim $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remeiks Schedule, if more space is required) RE: Design, Development, installation of VoicePermits IVR solution for inspection scheduling. Contract Start Date: 1 ►16/2013. Monroe County. Florida Board of County Commissioners is included as additional insured where required g in General Liability and auto liability. See attached endorsement VCG2070709 & VCA2010109. BY DAT - - WAIVER WA NYE6 - -_- TION Monroe County, Florida Board of SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 2798 Overseas Hwy, Suite 400 Marathon, FL 33050 AUTHORIZED REPRESENTATIVE <AD> ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD i CERTIFI. ATE OF LIABILITY INSUe ANCE DATE(MMIDDITYYY) 12124/2012 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(ies) 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 - CONTACT W.B. Adams Co. W.B. Adams Company pHMN Fat)* 844 -9948 " 1 • N o l : (503) 844 -9997 FAX General insurance Mans, infolawbadame.com 14737 SW Milliken Way INBURERI81 AFFORDING COVERAGE NAIC 0 Beaverton OR 97008 INSURERA: Travelers Prop Casualty Co ofAinerica A+XV 7372 (SIC) INSURED mums : Hartford Insurance Co. of the Midwest AXV 37478 Selectron Technologies, Inc. INSURER C : 7405 SW Tech Center Drive INSURER D : Suite 140 INSURERE: Portland, OR 97223 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS I S 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED B pp Y J� PAID � pp CLAIMS. INTR BUHR R TYPE OF INSURANCE Ico,R vn POLICY NUMBER IM POLIIC A P Y1 II LIMITS GENERAL LIABILITY EACH OCCURRENCE 8 1,000,000 A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED pRFMIRFR aenlarrv.,) $1,000,000 CLAMS -MADE OCCUR 1251497A 1/31/12 1131/13 MEG E>p (kw one o.nonl 510,000 PERSONAL 8 ADV INJURY 31.000,000 GENERAL AGGREGATE $ 2,000,000 OEML AGGREGATE OMIT AP(MEES PER PRODUCTS COMPIOP AGG $ 2,000,000 1L 1 POLICY 7 P :11 - ?r - I 1 LOC $ AUTOMOBILE LABILITY COMBINEED LIMIT a 1,000,000 A X ANY AUTO BODILY INJURY (Par person) 5 ALLOWNEO — SCHEDULED BA8090P982 1/31/12 1/31/13 BODILY INJURY (Per eccdent) 5 AUTOS _- AUTOS — HIRED AUTOS NON -OWNED PROPERTY DAMAGE 8 1 X UMBRELLA X OCCUR EACH OCCURRENCE - 8 5,000,000 A EXCESSUAB CLAMS -MADE 12514981 1/31/12 1/31/13 AGGREGATE s 5,000,000 DEO 1 X 1 RETENTION 810,000 $ WORKERS COMPENBAT1ON - X 1 WC STATU- ` I OTH AND EMPLOYERS LIABIUTY TINi 11•ATR I FR B OFFICERR/MEMBEREXX C NIA 52WECPZ0473 1/31/12 1131/13 EL EACH ACCIDENT 81,000,000 (Mandatory In NH) E.L DISEASE - EA EMPLOYEE 81 uy�s daaaibe und DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT 51,000,000 A Technology Services E & 0 Agg. $1,000,000 Retroactive Date 01/31/2002 ZPL14P29592 1/31/12 1131113 Each Claim $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS l VEHICLES (Attach ACORD 101, AddWenal Remarks Schedule, If more space le required) RE: Design, Development, installation of VoicePermits IVR solution for inspection scheduling. rsy A Contract Start Date: 1/1812013. Monroe County, Florida Board of County Commissioners is Included 4A � s MMF _ _ additional Insured where required by written contract with respect to general liability and auto liability. ` "' CERTIFICATE HOLDER CANCELLATION Monroe County, Florida Board of SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 2798 Overseas Hwy, Suite 400 Marathon, FL 33060 AU . • - • D 10.i i I •• ' 4_ i4 IV 1988 110 • RD - _ • N. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks . ACORD