Annex C - Insurance

Policy Overview Prepared on : 03/19/2012 Page 1 of 10
agency: Charles River Ins. Brokerage, Inc. For: Oscomp Systems Inc
5 Whittier Street, 4th Floor 337 Summer St.
Framingham, MA 01701 Boston, MA 02210
(508)656-1400 psantos@oscomp-systems.com
(508)958-0611
http://www.charlesriverinsurance.com
Policy Type Insurance Company Policy Number Policy Period Total Cost
Commercial Property Hartford Fire Insurance Company 08UUNHX4918 11/15/2011 - 11/15/2012 677.00
General Liability Twin City Fire Insurance Company 08CCSOF4019 11/15/2011 - 11/15/2012 39,996.00
Business Auto Hartford Fire Insurance Company 08MCPHE9887 3/19/2012 – 11/15/2012
Workers Compensation Twin City Fire Insurance Company 08WELG8897 10/6/2011 - 10/6/2012 2,114.00
These schedules are provided as a brief outline of your policy. You must refer to the provisions found in your policy for the details of your coverages, terms, conditions and exclusions
that apply.
Applicant Information Prepared on : 03/19/2012 Page 2 of 10
(508)958-0611
Applicant Information Amount/Limits Insurance Company Policy Number Policy Period Premium
First Named Insured: Oscomp Systems Inc Twin City Fire Insurance Compa 08CCSOF4019 11/15/2011 - 11/15/2012
First Named Insured: Oscomp Systems Inc Hartford Fire Insurance Company 08MCPHE9887 3/19/2011 - 3/19/2012
First Named Insured: Oscomp Systems Inc Hartford Fire Insurance Company 08UUNHX4918 11/15/2011 - 11/15/2012
First Named Insured: Oscomp Systems Inc Twin City Fire Insurance Compa 08WELG8897 10/6/2011 - 10/6/2012
that apply.
Additional Interest Schedule Prepared on : 03/19/2012 Page 3 of 10
(508)958-0611
Name and Address Description of Risk Interest Type

Additional Interest # 1 Loc # Additional insured
Bridge Bank, N.A.
55 Almaden Blvd.
San Jose, CA 95113
Additional Interest # 2 Loc # Loss payee

Bridge Bank, N.A.
55 Almaden Blvd
San Jose, CA 95113
that apply.
Summary of Insurance Prepared on : 03/19/2012 Page 4 of 10
(508)958-0611
Coverage Amount/Limits Insurance Company Policy Number Policy Period Premium
Commercial Property Hartford Fire Insurance Company 08UUNHX4918 11/15/2011 - 11/15/2012
Blanket Bldg #
Business Personal Property
45,000 Lim
500 Ded
Valuation: Replacement Cost
BI w/ Extra Expense
100,000 Lim
Loc # 00004 Bldg # 00001

337 Summer St.
Boston, MA 02210
General Liability Twin City Fire Insurance Compa 08CCSOF4019 11/15/2011 - 11/15/2012
General Aggregate 2,000,000
Products/Completed Ops Aggregate 2,000,000
Personal & Advertising Injury 1,000,000
Each Occurrence 1,000,000
Fire Damage 300,000
Medical Expense 10,000
Business Auto Hartford Fire Insurance Company 08MCPHE9887 3/19/2011 - 3/19/2012

Combined single limit 1,000,000
Comprehensive 50,000
500 Ded
Collision 50,000
500 Ded
Workers Compensation Twin City Fire Insurance Compa 08WELG8897 10/6/2011 - 10/6/2012
Part 1 - Workers Compensation States: MA
that apply.
Summary of Insurance Prepared on : 03/19/2012 Page 5 of 10
(508)958-0611
Coverage Amount/Limits Insurance Company Policy Number Policy Period Premium

Part 2 - Employers Liability:
Increased employer's liability
Each Accident Limit: 1,000,000
Disease Policy Limit: 1,000,000
Disease Each Employee: 1,000,000
Deductible:
Deductible Type:
Applies To:
Factor:
Factored Premium:
Part 3 - Other States Included:
Part 3 - Other States Excluded:
that apply.
Business Auto Covered Auto Symbols Prepared on : 03/19/2012 Page 6 of 10
(508)958-0611
Business Auto
(1) ANY AUTO (6) OWNED AUTOS SUBJECT TO COMPULSORY U.M. LAW
(2) ALL OWNED AUTOS (7) AUTOS SPECIFIED ON SCHEDULE
(3) OWNED PRIVATE PASSENGER AUTOS (8) HIRED AUTOS
(4) OWNED AUTOS OTHER THAN PRIVATE PASSENGER (9) NON-OWNED AUTOS
(5) ALL OWNED AUTOS WHICH REQUIRE NO-FAULT COVERAGE
that apply.
General Liability Classification Schedule Prepared on : 03/19/2012 Page 7 of 10
(508)958-0611
Rate Premium
Loc# Classification Class Code Prem Basis Exposure Terr
Prem/OPS Products Prem/OPS Products
Policy No: 08CCSOF4019 LOB: CGL
00001 98550 S 6,000,000
that apply.
Workers Compensation Rating Schedule Prepared on : 03/19/2012 Page 8 of 10
(508)958-0611
State/Loc# Class Category Total Emp Emp Part Emp Full Est Ann Renum Rate Est Ann Prem
Policy No: 08WELG8897 LOB: WORK
MA / 00003 8601 Engineer or Architect-Consulting 450,000 0.26 1,170.00
MA / 00003 8810 Clerical NOC If Any 0.09
that apply.
Workers Compensation Premise Schedule Prepared on : 03/19/2012 Page 9 of 10
(508)958-0611
Location # Building # Address Building Description

Policy No: 08WELG8897 LOB: WORK
00003 337 Summer St Boston, MA 02210
00003 337 Summer St Boston, MA 02210
that apply.
Commercial Property - Premise Schedule Prepared on : 03/19/2012 Page 10 of 10
(508)958-0611
Location # Building # Address Building Description

Policy No: 08UUNHX4918 LOB:
PROP
00004 00001 337 Summer St. Boston, MA 02210
that apply.

Annex C - Insurance

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Policy Overview Prepared on : 03/19/2012 Page 1 of 10

Name and Address Description of Risk Interest Type

Additional Interest # 2 Loc # Loss payee

Coverage Amount/Limits Insurance Company Policy Number Policy Period Premium

Commercial Property Hartford Fire Insurance Company 08UUNHX4918 11/15/2011 - 11/15/2012

Loc # 00004 Bldg # 00001

Business Auto Hartford Fire Insurance Company 08MCPHE9887 3/19/2011 - 3/19/2012

Coverage Amount/Limits Insurance Company Policy Number Policy Period Premium

Location # Building # Address Building Description

Location # Building # Address Building Description

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