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<br />P CERTIFICATE OF LIABILITY INSURANCE
<br />GATE m )
<br />07/051/2016 2016
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACTyy�}F�rTV�E €N T.F�E IS, SUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. LUIO .? t _ / P_ { :
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A p i ye pn Iii gertjf cafe does not confer rights to the
<br />certificate holder in lieu of such endorsement(s). +� 4 r_ ?i. f t � ,(> s =1 is
<br />PRODUCER
<br />MARSH USA INC.
<br />1050 CONNECTICUT AVENUE, SUITE 700
<br />CONTACT
<br />NAME: _
<br />PHONE FAX
<br />AIC No:
<br />WASHINGTON, DC 20036 -5386
<br />E -MAIL
<br />ADORESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC 9
<br />6306E588375
<br />e(
<br />Iv
<br />INSURER A : Phoenix Insurance Company
<br />25623
<br />040356 - FINPR- EO +FI -16 -17
<br />INSURED
<br />[CMA RETIREMENT CORP.
<br />INSURER B: N/A
<br />NIA
<br />INSURER c :Travelers Casualty Insurance Co, Of America
<br />19046
<br />TTN: D'JUANA THOMAS
<br />ATTN
<br />777 NORTH CAPITOL ST., NE
<br />WASHINGTON, DC 20002
<br />INSURER D: Federal Insurance Company
<br />20201
<br />INSURER E: St, Paul Fire & Marine Insurance Co.
<br />24767
<br />INSURER F:
<br />$ 2,000,000
<br />- COMP /OP AGG
<br />COVERAGES CERTIFICATE NUMBER: CLE- 004640666 -23 REVISION NUMBER:5
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />R
<br />TYPE OF INSURANCE
<br />ADDL
<br />SU O
<br />POLICY NUMBER
<br />MMIDDY�
<br />MMIDDYIYYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />FVT CLAIMS -MADE OCCUR
<br />CONTRACTUAL GOV. INCL.
<br />Manashi Mukherjee
<br />6306E588375
<br />e(
<br />Iv
<br />00101/2015
<br />'
<br />08101/2016
<br />RRENCE
<br />$ 1,000,000
<br />RENTED
<br />Ea occurrence
<br />$ 1,000,000
<br />X
<br />GEN'L
<br />X
<br />y one person)
<br />$ 10,000
<br />ADV INJURY
<br />PTO
<br />$ 1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY 0 PRO- ❑ LOC
<br />JECT
<br />OTHER:
<br />GGREGATE
<br />$ 2,000,000
<br />- COMP /OP AGG
<br />$ 2,000,000
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />A O SCHEDULED
<br />AUTOS AUTOS
<br />NON -OWNED
<br />HIRED AUTOS AUTOS
<br />/
<br />J+
<br />P % a
<br />� I,J
<br />I
<br />c
<br />Y
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$
<br />BODILY INJURY (Per person)
<br />$
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />$
<br />UMBRELLA LIAB
<br />EXCESS LIAB
<br />OCCUR
<br />CIAIMS-MADE
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />RED I I RETENTION$
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR/PARTNEWEXECUTIVE
<br />OFFICER /MEMBER EXCLUDED? r
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />UB650SM894
<br />08/01/2015
<br />08/01/2016
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />E
<br />BANKERS PROF. LIAB.
<br />SIR: $1,000,000
<br />8211 -6261
<br />ZPL- 71MO7549 -16 -N2
<br />06/30/2016
<br />06/30/2016
<br />06/30017
<br />06/30/2017
<br />$7,500,000 plc $12,500,000
<br />$5,000,000 pIo$12,500,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attach ad If more space Is required)
<br />CERTIFICATE HOLDER CANCELLATION
<br />CITY OF SANTA ANA
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />ATTN: EXECUTIVE DIRECTOR OF PERSONNEL SVS
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 CIVIC CENTER PLAZA M -34
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />SANTA ANA, CA 92702
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh USA Inc.
<br />Manashi Mukherjee
<br />ACORD 25 (2014101)
<br />©1988 -2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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