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ACS s DATE(MM/D1Y) CERTIFICATE OF LIABILITY INSURANCE 06127=11 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 WANED, 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). m PRODUCER CONTACT NAME • 41 Aon Risk Services Northeast, Inc. ffi Y k FAX N (AIC. No. EXtI: (866) 283-7122 Ak: No.: (947) 953-5390 9 ce New Yor N O 0 199 water Street 5 ADDRESS: : 1 USA New York NY 10038-35 INSURER(SI AFFORDING COVERAGE NAIC N INSURED INSURER A: Steadfast Insurance Company 26387 3ones & stokes Associates, Inc. INSURER B: Great Northern Insurance Co. 20303 ICF International, Inc. 9300 Lee Highway INSURER C: Fairfax VA 22031-1207 USA INSURER D: INSURER E: INSURER F: CCIVERAGES CERTIFICATE NUMBER: 570042988321 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FvR I Ht eULP.JY rthUUU 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. Limits shown are as requested LTR TYPE OF INSURANCE INSR VAN] POLICY NUMBER MMID D IYYYYl LIMITS GENERAL LIABILITY 35812409 0612512011 06/25/20'Z EACH OCCURRENCE $1,000,000 Package - Domestic $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence _ CLAILt&MADE X I OCCUR MED EXP (Any one person) $10,000 X Op Ind in Gen'I Agg Prod-Com PERSONAL b ADV INJURY 0 $1,000,00 p GENERAL AGGREGATE $2,000,000 m GEN 1 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COLPIOP AGG yN X POLICY PRO- LOC } t? B AUTOMOBILE LIABILITY 5 5 06/2 11 06/25/2012 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO Automobile - All States BODILY INJURY ( Per person) Z ALL OWNED SCHEDULED BODILY INJURY (Per accident) 41 AUTOS AUTOS 0 r? a0 PROPERTY DAMAGE M V X HIRED AUTOS X D NON-OWNE 77 7 Peraccident UTOS A / 1= 41 UMBRELLA DAB OCCUR EACH OCCURRENCE V EXCESS LIAR CLAIMS-MADE AGGREGATE DED RETENTION I RYAN 0. WORKERS COMPENSATION AND BILITY ' Ck Ae , Ae? tai WC STATU- OTH- TORY LIMBS ER YIN LJA EMPLOYERS ANY PROPRIETOR I PARTNER? EXECUTIVE E.L. EACH ACCIDENT ? OFFICERIMEMBER EXCLUDED? (Mandatory In NHI NIA El. DISEASE-EA EMPLOYEE M s, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMB A E&O-MPL-Primary PEC 913140704 06/25/2011 06/25/2012 Prof Liab Agg - All $1,000,000 Errors & Omissions overall policy aggro 51,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, M man apace Is required) 1 - Professional Liability is a claims Made policy. There is no Additional Insured status on the Professional Liability coverage. 2 - The City of Santa Ana, its officers, agents, volunteers and employees are included as Additional insureds as their interest may appear. 3 - Subject to the standard terms and conditions of the individual policies, the indicated coverage is primary and CERTIFICATE HOLDER CANCELLATION -0 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE Planning Division, M-20 20 civic center Plaza Post office sox 1988 Santa Ana, CA 92702 USA a..>ROSa ?JGrdf?C /NAIICIed stkt 071 98 8-2 01 0 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD