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CERTIFICATE OF LIABILITY INSURANCE Pages 1 of 2 o%(oiiz�) 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(iss)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). Willie insurance Services of Cali£ornis, Inc. 26 Century B1v1. P_ O_ Box 305191 Nashville, TN 37230-5191 INSURERA: National Union Fire Ina Co Of Pittsburgh 19445-100 INSURED VR9 Corporation dba UR9 Corporation Americas INSURERS: Zurich Amer3caa Insurance Company 16535-100 2020 E_ First Street, Suites 400 INSURERC: Illinoia National Insurance Co_ 23817-001 Seats Ana, CA 92705 INSURER D: Iaauraace Company Of the State Of PA 19429-100 INSURER E: Lexington Insurance Company 19437-000 INSURERF: LlOyd'a of Loadoa British Compmiaa 15792-004 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 I T.LhLJEWLIMITS TYPE OF INSURANCE DD' SUB POLICY NUMBER POLICY EFF 5/1/2011 POLICY EXP A GENERALLIABILITY Y GL4870E29 6/1/2012 EACHOCCURRENCE $ 2,000,000 DMAGE TO RENTED PRAEMISES Ee occurence $ 1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MEDEXP(Anyone arson) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 X XCU. BFPD X Contractual Liability GENERALAGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMITAPPLIES POLICY X PRO- PER: LOC PRODUCTS-COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY BAP938521 /olkir7203,2 COMBINE OSING LELIMIT (Ea accident) g 2, 000, 000 X BODILY INJURY(Per person) $ ANY AUTO ALL OWNED SC HEOULED AUTOS AUTOS BODILY INJURY(Peraccitlent) $ NON -OWNED AUTOS HIRED AUTOS[J p A A E $ City A EACH OCCURRENCE $ y UMBRELLA LIAB OCCUR AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I RETENTION $ $ C C D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y�A ANY PROPRIETOR/PARTNERJEXECUTIVE /1MFnld tory In NH) EXCLUDED? ff yes, tlascdbe untler DESCRIPTION OF OPERATIONS below N/A WC20635052 WC20635051 WC20635053 WC20635054/WC20635055 1/1/2011 1/1/2011 1/1/2011 1/1/2011 3./1-/203.2 1/1/2012 1/1/2012 1/1/2012 X E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE -EA EMPLOYEE $ 2,000,000 E.L. DISEASE -POLICY LIMIT $ 2,000,000 E 0IL54313088 5 1 2011 6 1 2012 F Professional Liability PE1105150/PE1105490 5/l/2011 6/1/2012 $1,000,000 Each Claim w/Limited Coatractunl - $1,000,000 Aggregate Claims Mada Policy ' DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Aeord 101, Additonel Remark, Schedule, N more apace le mqulmd) THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 5/31/2011 WITH ID: 16021742 Tha Workers' Compensation C—arage Shown above does not apply in monopolistic atataa_ In the Staten of ND, OH, WA and WY, Workers' Compensation coverage is providad by tha State Fund_ In those Stara., the above-rafaraacad polic1aa provide Stop -Gap Employers' Liability only. SEE ATTACHED r ra.,r r r-rvwr=rc (i A1V l:CLLA I IVIV 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 City of Santa Ana 20 Civic Canter Plaza - Ross Annex (M-36) Santa Ana, CA 92701 'tea ACORD 25 (20'10/05) Co11:3376174 TD1:1261289 Cart:1602�8973 ©.OSS-2010ACORD%::ORPORATION_ Allriohta:ralsclrvR, The ACORD name and logo are registered marks of ACORD