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�' �® CERTIFICATE OF LIABILITY INSURANCE DATE /2011 IYYYY) 12/08/2011 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 A/ (A/C. No): E-MAIL — — - ADDRESS` _ INSURER(S) AFFORDING COVERAGE - NAIC # INSURER A: St. Paul Protective Insurance Company 19224 040356-Bond.-EO+FI-11-12 INSURED ICMA RETIREMENT CORP. INSURER B : Federal Insurance Company 20281 — INSURER C : St. Paul Fire & Marine Ins Co 24767 ATTN: BARBARA STOTLER 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 : COVERAGES CERTIFICATE NUMBER: CLE-003743124-01 REVISION NUMBER:4 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/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY FS06805895 08/01/2011 08/01/2012 EACH OCCURRENCE $ 1,000,000 MMERCIAL GENERAL LIABILITY -MADE M OCCUR t DAMAGE TO RENTED PREMISES Eaoccurrnce 1,000,000 $CLAIMS MED EXP (Any one person) $ 10,000 TRACTUAL COV. INCL. PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2.000,000 -4 D A$ `� GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO-jECT LOC y J�� _ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS _ AUTOS i r gT 1`CCA G� �IJ CA) ^1/(Ea RCK {�°rC18�i COMBINED SINGLE LIMIT accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) —-------- - $ NON -OWNED HIRED AUTOS AUTOS Assista nt z, DAMAGE Per accident $ 11 _ _ -- --- _ ,PROPERTY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ - AGGREGATE ----------_._.--- EXCESS LIAB _ i_ CLAIMS -MADE DED RETENTION $ $ D WORKERS COMPENSATION UB-6508M89-4-11 08/01/2011 08/01/2012 X WC STATu- OTH- ANDEMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below !N/A E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE _ _ --. $ 1,000,000 E.L. DISEASE - POLICY LIMIT ----------- $ 1,000,000 B BANKERS PROF. LIAB. 8211-6261 04/19/2011 04/19/2012 LIMIT 17,500,000 C BANKERS PROF. LIAB. EC09004016 04/19/2011 04/19/2012 SIR 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / 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 SANTAANA, 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. Timothy M. Sasser U 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD