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Client #: 47645 IBIGROUP ACORD,, CERTIFICATE OF LIABILITY INSURANCE 1 DATE 1 /0912IDDIVVYY) 1109/2014 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. / 1®t( IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATI 1441 D, ^&t44 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 HUB International New England 299 Ballardvale St Wilmington, MA 01887 NApo MEACT Certificate Desk +' la r�} (PAR ON Ext :978 657 -5100 AIC, No): ADDRESS: nee. certificates @hubinternational.com INSURER(S) AFFORDING COVERAGE NAIC# 978 657.5100 INSURER A: see pg 2 for listing see pg 2 INSURED IBI GROUP US(IRVINE,CA) 18401 Von Karmen Ave., Ste 110 Irvine, CA 92612 INSURER B MED EXP (Anyone person ) INSURER C PERSONAL &ADV INJURY INSURER D: INSURER E: GENERAL AGGREGATE INSURER F : GEN'L AGGREGATE LIMIT APPLIES PER PRO- POLICY JE I_ LOC PRODUCTS - COMP /OP AGO COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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, EX61LUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE ADD L INSR SUBR MD POLICY NUMBER POLICY E F F MMIDDIYYVY POLICY EXP MMIDDIYYYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR AP77 AST D FOR N1 EACH OCCURRENCE $ PREMISES Ea occurr0ance $ MED EXP (Anyone person ) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRO- POLICY JE I_ LOC PRODUCTS - COMP /OP AGO $ $ AUTOMOBILE LIABILITY _ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS R A HO SlSlant IlV':>r 1 ',A '°�-ry I _ COMBINED SINGLE LIMIT Ea accldent) lnrncy BODILY INJURY (Par careen) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ _ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE VIN OFFICER/MEMBER EXCLUDED? ENI (Mandatory In NH) If yes describe under I DESCRIPTION OF OPERATIONS below N (A X __ 08WEEG7293 1113/2014 01113/2015 X WCSTATU. oTH. E. L EACI'I ACCIDENT $1000000 E, L. DISEASE - EA EMPLOYEE $1,006000 E.L. DISEASE- POLICY LIMIT $1 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is requlred) Endorsement WC000313 Blanket Waiver of Subrogation where required by written Contract, Agreement or Permit, and where permitted by Law. Endorsement WC990394 Notice of Cancellation to Certificate Holders. (See Attached Descriptions) (�.It of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza, M -20 PO ACCORDANCE WITH THE POLICY PROVISIONS. Box 1988 Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE l I V oo -cu IV ML,ui V vnrw RFC 1 ,v,v. Mn , aj"i ACORD 25 (2010105) 1 of 2 The ACORD name and logo are registered marks of ACORD #S1055836/M1037531 CW001