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moll -X58- 01 7C CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 0713112615 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: N 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. 1050 CONNECTICUT AVENUE, SUITE 700 WASHINGTON, DC 20036 -5386 CONTACT NAME: _ PHONE (AX AIC NoL _ _ __ __ E -MAIL _ ADDRESS: INSURERS) AFFORDING COVERAGE _ _ NAICN _ INSURER A: Phoenix Insurance Company 25623 040356 - FINPR- EO+FI-15A6 _ — INSURED ICMA RETIREMENT CORP. ATTN: D'JUANATHOMAS 777 NORTH CAPITOL ST., NE INSURER B :NIA _ NIA Travelers Casualty Insurance Co. Of Amence INSURER C: 8Y 19046 _ _ INSURER D : Federal Insurance Company 20281 INSURER E: St. Paul Fire 8 Marine Insurance Co. -_ 24767 WASHINGTON, DC 20002 _ INSURER F: PERSONAL & ADV INJURY $ 1.000,000 ,IUN NUMCCK:o 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. ILTk TYPEOFINSURANCE AUOL SUER POLICY NUMBER POLICY EFF MMIDO/YYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1 OCCUR CONTRACTUAL COV. INCL. of Marsh USA Inc. 6306E588375 0810112015 0810112016 EACH OCCURRENCE _ $ _1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 X MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1.000,000 GEN•L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2.000.000 PRODUCTS - COMPIOP AGG $ 2,000,000 X POLICY F1 JECT LOC OTHER. AUTOMOBILE LIABILITY ^n� COMBINED SINGLE LIMIT Ea accitlem $ _ BODILY INJURY (Per person) $ ANY AUTO •d-- BODILY INJURY (Per accdem) $ ALL OV•MED SCHEDULED AUTOS AUTOS NON- OVeMED HIRED AUTOS AUTOS t) h� o PROPERTY DAMAGE Per accoent $ - $ — UMBRELLA LU1B OCCUR EACH OCCURRENCE $ _ AGGREGATE _ $ EXCESS LIAe_ CLAIMS MADE DED RETENTION $ $ C WORKERS COMPENSATION UB6508MB94 0810111015 06/0112016 X PER OTH- STATUTE Eft _ AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFHCERIMEMBER EXCLUDED? (Manclarory in NH) NIA E L. EACH ACCIDENT $ 1.000.000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT _ $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS bel. D BANKERS PROF. 1 1 0613012015 0613012016 $7,500,000 plo $12,500,000 E SIR: $1,000,000 ZPL -71 M07549 -15 -N2 0613072015 0613012016 $5,000,000 plo $12,500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attaches! If more space Is required) CAT- HOLDER CANCELLATION CERTIFI 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 Nt_34 ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA, CA 92702 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukheljee - sum.- .. -��.° - e�--- >= ^• --8•�- Q TyeD-20l4 AWRY MVnr-vi� . rvn. nn nyu ,vav,.vv. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD