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�,rrrl� r CERTIFICATE OF LIABILITY INSURANCE DATE( 081012013/2013 VVVY) 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 CONTACT NAME' PHONE FAX `Egli, - (AIC NoI: ._ 1255 23RD STREET, N.W. WASHINGTON, DC 20037 EMAIL ADDRESS _ INSURERS) AFFORDING COVERAGE NAIC # INSURERA: St Paul Protective Insurance Company 19224 040356--EO+FI-13-14 INSURED ICMA RETIREMENT CORP. INSURER B: Federal Insurance Company 20281 -- INSURER C : St. Paul Fire & Marine Ins Cc 24767 ATTN: D'JUANA THOMAS 777 NORTH CAPITOL ST., NE WASHINGTON, DC 20002 INSURER D : Standard Fire Insurance Company ---- 19070 -- INsuRERE: Great American Insurance Co. 16691 INSURER F : COVERAGES CERTIFICATE NUMBER: CLE-003743124-10 REVISION NUMBER:5 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER_ POLICY EFF MM/DD/YYVV POLICY E%P MMIDD/YYYV LIMITS A GENERAL LIABILITY ZLPIOS82630 08/0112013 08101/2014 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I -XI OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 X CONTRACTUAL GOV. INCL PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGO — $ 2,000,000 �,( X POLICY PRO- LOG ry y. 'V $ — AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Foci BODILY INJURY (Per' person) $ __ ANY AU TO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTO AUTOS �� iY 10 a C1`J}�I e .�t0(�1 ] PROPERTY DAMAGE _Peraccident $____ __ $ UMBRELLA LIAB OCCUR iLL Yr.�s V EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE _ _ _ DED REl'ENTION$ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY V I N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA UB650BM89-4-13 08101/2013 0810112014 X Wr, S1ArU- OTH- _.-IDByJJMU - __ E.L. EACH ACCIDENT — $ 1,000,000 — EL DISEASE - EA. EMPLOYEE — -- $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ B BANKERS PROF. LIAB. 8211-6261 04119/2013 06130/2014 LIMIT 12,500,000 C BANKERS PROF, HAS. ZPL-14R20360-13-N2 04/19/2013 0613012014 SIR 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: EXECUTIVE DIRECTOR OF PERSONNEL SVS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA M-34 ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA, CA 92702 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee ACORD 25 (2010/05) © 1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD