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Client#: 47645 IBIGROUP ACORDTM CERTIFICATE OF LIABILITY INSURANCE D ATE (MM DDIY 1 YYY) 011 011 1/24/2 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. I " " " /" '^ r3 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 r f %I 1A I -.' NAME: , HUB International New England P ONE FAX 978 657-5100 9789880038 A/c, No ; a/C No Ext , 299 Ballardvale St E-MAIL ADDRESS: Wilmington, MA 01887 P u CUSTOMER ID #: ?, C 978 657-5100 2610 ( ? INSURER(S) AFFORDING COVERAGE NAIC # INSURED Hartford Underwriters Insurance INSURER A: IBI GROUP US(IRVINE,CA) INSURER B: 18401 Von Kaman Ave., Ste 110 INSURER C: Irvine, CA 92612 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NIIMRER- THIS IS 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 BY PAID CLAIMS. IN TYPE OF INSURANCE DDL SUBR D I POLICY NUMBER POLICY EFF MMI'DDNYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED PREMISES Ea occurrence $ CLAIMS-MADE FIOCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ? ? i 7 ( 2 r ` (Ea accident) ANY AUTO I O ALL OWN D A T " B D LY INJURY (Per person) $ E U OS SCHED L BODILY INJURY (Per accident) $ U ED AUTOS PROPERTY DAMAGE HIRED AUTOS _?.? - f-- (Per accident) $ NON-OWNED AUTOS - f/ $ .. $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB H CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION 08WELD5486 1/13/2011 01/13/201 U- OTH- X AND EMPLOYERS' LIABILITY TORYLIMIT PP Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L. EACH ACCIDENT $1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Projec: RFP Santa Ana Regional Transportation Center (SARTC) Master Plan. Cm SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza P.O. Box 1988 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 C406- @ 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S488658/M487905 WR001