PUBLIC AGENCY RETIREMENT SERVICES (PARS) - 2011

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A-20 , CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDYYYY) .c ' ,,,i�" 051OS i20 i 3 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 MARSH USA INC. SUITE 400 1255 23RD STREET, N.W. WASHINGTON, DC 20037 CONTACT NAME- PHONE FAX IAIC. No. Extl: A/C No): E -MAIL ADDRESS: _ INSURERS} AFFORDING COVERAGE NAIC # 040356-- EO+FI -13 -14 INSURER A : St. Paul Protective Insurance Company 19224 INSURED ICMA RETIREMENT CORP INSURER B: Federal Insurance Company 20281 INSURER C: St. Paul Fire & Marine Ins Co 24767 ATTN: UJUANA THOMAS 777 NORTH CAPITOL ST., N.E. WASHINGTON, DC 20002 INSURER D : Standard Fire Insurance Company 19070 INSURER E: Great American Insurance Co. 16691 INSURER F: 1:000,000 _ MED EXP (Any one person) THIS 1S 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 RESFECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY i-HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSK SUBR WVo POLICY NUMBER MM /DDYYYY I (MM/DD/YYYY1 - -- - -- LIMITS A GENERAL LIABILITY ZLPlOS82630 08/01/2012 08/01/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Cxl OCCUR X CONTRACTUAL COV INCL. - YT'LO CO� T AI DAMAGE T_ RENTED PREMISES Ea occurrence 1:000,000 _ MED EXP (Any one person) _$ $ 10,000 PERSONAL & ADV INJURY GENERAL AGGREGATE $ 1,000,000 $ 2.000,000 – GENT AGGREGATE LIMIT APPLIES PER: X POLICY LOC PRODUCTS - COMP /OP AGG _ _ $ 2,000,000 $ — AUTOMOBILE -- LIABILITY S �� COMBINED SINGLE LIMIT irJent1 ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS C' of POSY lam" BODILY BODILY INJURY (Per person; $ BODILY INJURY (Per accident) – — $ NON -OWNED HIRED AUTOS AUTOS PROPERTYDAMAGE Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ __ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRErORIPARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? N/A UB- 6508M89 -4-12 08/01/2012 08/01/2013 X 1 wCSTATU- I I1T1- E.L. EACH ACCIDENT $ 1000,000 ,— E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in and If yes, describe under E.L. DISEASE - POLICY LIMIT _ _ $ 1,000,000 DESCRIPTION OF OPERATIONS below B BANKERS PROF. LIAB. 8211 -6261 04/19/2013 06/30/2014 LIMIT 12,500,000 C BANKERS PROF. LIAB. ZPL- 14R20360 -13-N2 04/19/2013 06 /30 /2014 SIR 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CITY OF SANTA ANA ATTN: EXECUTIVE DIRECTOR OF PERSONNEL SVS 20 CIVIC CENTER PLAZA M-34 SANTA ANA, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. ManashiMukherjee W 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD