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ACQ ° CERTIFICATE OF LIABILITY INSURANCE " I TYPE OF INSURANCE 2o'°DNYYY) 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: PNONE FAX Extl, Nol: E- MALI ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 040356- Bond.- E0+FI-11 -12 INSURER A: St. Paul Protective Insurance Company 19224 _ _ 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 N.E. WASHINGTON, DC 200000 2 INSURER D : Standard Fin; Insurance Company 18070 INSURER E; Great American Insurance Co. _ 16691 $ 1,000,000 INSURER F : GENERAL AGGREGATE %.vvr_rwuw CERTIFICATE NUM13ER- r.1E_n0q7A31 ')dn1 ncvlcrnr.r sur■m0n.. vrvl• r�Ym�GR.'r 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 I TYPE OF INSURANCE SUBR POLICY NUMBER MMIDDY Y MPOLICY /YYYY - - -- LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR CONTRACTUAL COV. INCL. FS06805895 AyS gC VED 08/01/2011 X1/1 ~ F 06!01!2012 EACH OCCURRENCE $ 1,000,000 (Ea occurrence) $ 1'000'000 MED EXP (Any one person) $ 10,000 X PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- 1 LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ — AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS _ AUTOS NON-OWNED HIRED AUTOS �`gp E• ST A Assistant C y RCK �Orney { �. COMBINED SINGLE LIMIT Ea dent BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) $ $ D UMBRELLA LU1B EXCESS LIAB L- OCCUR CLAIMS -MADE I N / A UB- 6508M80 -4 -11 0810112011 08/01/2012 EACH OCCURRENCE $ _ AGGREGATE $ —N DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN I ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERWEMBER EXCLUDED? E I Mandatory In NH) If I Dyes, d escribe under DESCRIPTION OF OPERATIONS below WC STATU- OTH- $ $ 1,�0,� E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 B C BANKERS PROF. LIAB. BANKERS PROF. LIAB, 8211 -6261 ECO9004016 04/1912011 04/19/2011 04/19/2012 04/19/2012 LIMIT 17,500,000 SIR 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CFRTICICATC uAl nen CITY OF SANTA ANA ATTN: EXECUTIVE DIRECTOR OF PERSONNEL SVS 20 CIVIC CENTER PLAZA M -34 SANTA ANA, 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 r a00-4V IV M%,UKU 1i;U11rURATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD