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4. AICAC <br />IRlnanl Ip <br />It - <br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDD /YYYY) <br />1 1/09/2014 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. iR,n '1', 1) <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, J t <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate_ does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />HUB International New England <br />N ME: Certificate Desk <br />PAI "c °NNe Ell): 978 657.5100 AID IN I, $66 475 9 <br />nuDRESS, nee. certificates @hubinternational.com <br />299 Ballardvale St <br />Wilmington, MA 01887 <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURER A: see pg 2 for listing <br />see pg 2 <br />978 657 -5100 <br />INSURED <br />IBI GROUP US(IRVINE,CA) <br />18401 Von Kerman Ave., Ste 110 <br />Irvine, CA 92612 <br />INSURER B: <br />_ <br />INSURER C: <br />INSURER D <br />INSURER E: <br />INSURER F : <br />$ <br />RFVISInM MIIMRFR- <br />y THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADOL <br />INSR <br />SUB <br />WV_D_ <br />POLICY NUMBER <br />POLICY EFF <br />JMMIDD/YYYY <br />POLICY EXP <br />MMIDDIYY <br />LIMITS <br />_ <br />GENERAL LIABILITY <br />EEpACCM,H��OEECCURRENCE <br />S <br />RREMISESOeEN ante <br />$ <br />I COMMERCIAL GENERAL LIABILITY <br />MED EXP(Any one person) <br />$ <br />CLAIMS MADE D OCCUR <br />I <br />//�Jp <br />PERSONAL B ADV INJURY <br />$ <br />/ <br />� A AST <br />FOx» <br />GENERAL AGGREGATE <br />$ <br />GENL AGGREGATE LIMIT APPLIES PER'. <br />PRODUCTS - COMPIOP AGG <br />$ <br />/ <br />COMBINED SINGLE LIMIT <br />$ <br />- <br />POLICY PEOT _ LOC <br />AUTOMOBILE LIABILITY <br />_ <br />I <br />ANV AUTO <br />R A . HO <br />G ' <br />BODILY INJURY (Per person) <br />$ _ <br />BODILY INJURY (Par accident) <br />$ <br />ALL OWNED SCHEDULED <br />sistant 'ity A <br />tornev <br />AUTOS NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Peraccitleni <br />$ <br />$ <br />UMBRELLA LIAB OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB CLAIMS -MADE <br />DEO RETENTION 8 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERJEXECUTIVE <br />3FIFOERrMEidBER EXCLUUEO? <br />(Mandatory In NH) <br />If yes describe under <br />DESCRIPTION OF OPERATIONS below <br />X WC STATU- -OTH- <br />$ <br />A <br />'NIA <br />a <br />06WEEG7293 <br />1I13I'1D14,D1i1'.fI2015 <br />ELEACH ACCIDENT <br />$1,000 000 _ <br />_ <br />!. EL DISEASE -EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE- POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is roqulred) <br />Endorsement WC000313 Blanket Waiver of Subrogation where required by written Contract, Agreement or <br />Permit, and where permitted by Law. Endorsement WC990394 Notice of Cancellation to Certificate Holders. <br />(See Attached Descriptions) <br />City of Santa Ana <br />20 Civic Center Plaza, M -20 PO <br />Box 1988 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />All <br />A <br />ACORD 25 (2010105) 1 of 2 The ACORD name and logo are registered marks of ACORD CW001 <br />#Sl055836IM1037531 <br />