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AOORD,AI CERTIFICATE OF LIABILITY INSURANCE P... 1 of 2 <br />Au list DATE <br />5,2011 <br />PROPUCER I <br />Pro -Form Insurance Services 905 - 305 -1054 <br />15 Allstate Parkway, Suite 310 <br />Markham, ON UR 5134 <br />-� <br />THIS CERTIFICATE IS ISSUED AS A FATTER OF INFORMATION <br />HOLDER. THIS CONFERS FICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />IBI Group <br />18401 Von Karman Avenue, Suite 110 <br />Irvine, CA 92612 <br />INBURERA:. XL Insurance America Inc. <br />INSURER B: XL Insurance Comp any Limited <br />INSURERC: XL Specialty Insurance Company <br />INSURERD: <br />INSURER E: <br />CnVFR A r?. FC <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSJRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLU31ONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTA <br />TYPE OFINSURANCE <br />POLICYNUMBER <br />POLLCY EFFECTIVE <br />DAT MlDOlYY <br />pOUOY Xp'R ,'n0N <br />DATE WD <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CIAWSMADE ®OCCUR <br />It T <br />US00008537LI11A <br />n <br />04/30/11 <br />04/30/12 <br />EACHOCCURRENCE <br />$ 1r�OC,QI)Q•US <br />FIRE DAMAGE Ony one Ire <br />$ 100000.US <br />MEDFXP (Anyone person) <br />$5,000•US <br />PERSONAL AADVINJURY <br />$1,000,000.US <br />GENERALAGGREGATE <br />$ 2,000,000•US <br />GEN L AGGREGATE LIMIT APPLIES PER: <br />POLICY P O- LOO <br />P ROD UCTS- CCMPIOP AGO <br />$ <br />B <br />_ AUTOMOBD.6 <br />UABIUTY <br />ANYAUTO <br />CA00000956LI11A <br />04/30/11 <br />04/30/12 <br />(EgactdwSINGLE ILIMIi <br />$1,000,000.us <br />BODILY INJURY <br />(Per person) <br />$ <br />ALLOWNEDAVrOS <br />SCHEDULED AUTOS <br />`Y <br />3 <br />HIREDAUTOS <br />NONOWNEDAUTOS <br />BODILY INJURY <br />Tdraccldent) <br />$ <br />PROPERTY DAMAGE <br />(Peraecldent) <br />$ <br />- - <br />- -- - -- <br />OARAGEUADILITY <br />va <br />AUTO ONLY -EA ACCI DENT <br />S <br />OTHERTHAN EAACC <br />AUTOONLY: AGG <br />$ <br />ANYAUTD <br />r <br />$ <br />EXCESSLIABILITY <br />OCCUR CLAIMS MADE <br />I� 1 <br />V • c <br />i Al, <br />EACHOCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEDUCTIBLE <br />u��r , <br />�`�� <br />S <br />$ <br />$ <br />RETENTION $ <br />WOAKERSCOMPENSATIONAND <br />EMPLOYERS' LIABILITY <br />70 '� U- OTH- <br />S <br />E L. EACH ACCIDENT <br />$ <br />E L DISEASE • EA EMPLOYEE <br />$ - <br />EL DISEASE -POLICY LIMIT <br />Is <br />C <br />OTHER <br />Professional Liability <br />DPR 9691449 <br />04/30/11 <br />04/30/12 <br />US$1,000,000 per claim <br />US$1,000,000 annual aggregate <br />DESCRIPTION OF OPERATt ONSILOCAnONSNEHICLESIEXCLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS <br />"City of Santa Ana, its officers, employees, agents, volunteers and representatives" are added as additional insured but only with <br />respect to the liability arising out of the operations of the Named Insured for Commercial General Liability and Non -Owned <br />Aurtomobile coverage only. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />D2 <br />SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRrFreN <br />NOTICE 70 TIIE CERTIPr—ATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGA71ON OR LIABILITY OF ANY IUND UPON THE INSURER. ITS AGENTS OR <br />.. Services <br />dCORD CORPORATION 1988 <br />