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�Ac"RO ® CERTIFICATE OF LIABILITY INSURANCE <br />lh.� on9n_o]a <br />GATE (MMIDOlYYYV) <br />4/15/2014 <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 CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />'RESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />_ <br />ORTANT: 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 statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER LOckton Insurance Brokers, LLC <br />CONTACT <br />NAME: <br />License #OF]5767 <br />4275 Executive Square, Suite BOO <br />La Jolla CA 92037 <br />PHONE FAX <br />: <br />IA/C ExitAIC Na :EMAIL <br />ADDRESS: <br />COMMERCIAL GENERAL LIABILITY <br />(858)587-3100 <br />INSURERS AFFORDING COVERAGE NAIC If <br />INSURER A: National Fire Insurance Co of Hartford 20478 <br />10/19/2013 <br />INSURED IPS Group, Inc. <br />1377909 5601 Oberlin Drive. Ste. 100 <br />INSURER B:American CasualtyCompany of Reiding.PA 20427 <br />INSURER C: Continental Casualty Company 20443 <br />INSURER D: Valley Fore Insurance Company 20508 <br />San Diego CA 92121 <br />INSURER E, <br />INSURER F : <br />COVERAGES IPSGROI CERTIFICATE NUMBER: 12892512 REVISION NUMBER: XXXXXXX <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 />(NSR <br />LTR <br />TYPE OF INSURANCE <br />ADD <br />SVWD UER <br />POLICY NUMBER <br />POLICY SIFF <br />MM1DDNYYYI <br />POLICY EXP <br />MMUDDIYYYYJ <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />N <br />4034371571 <br />10/19/2013 <br />10/19/2014 <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) $ 500,000 <br />CLAIMS -MADE OCCUR <br />MED EXP (Any one arson $ 15,000 <br />PERSONAL 8 ADV INJURY $ 1,000,000 <br />GEN1 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE $ 2,000,000 <br />POLICY PRO- <br />JECT F LOC <br />PRODUCTS - COMPIOP AGO $ 2,000,000 <br />$ <br />OTHER: <br />T AUTOMOBILE <br />LIABILITY <br />N <br />N <br />4034371554 <br />10/19/2013 <br />10/19/2014 <br />(Ea accident) $ 1,000.000 <br />BODILY INJURY (Per person) $ XXXXXXX <br />ANY AUTO <br />BODILY INJURY Per accident $ XXXXXXX <br />X <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTOS X AUTOS <br />PROPER TYDAMAGE $XXXXXXX <br />$XXXXXXX <br />C <br />X <br />UMBRELLALIAB <br />X' <br />OCCUR <br />N <br />N <br />4034371568 <br />10/19/2013 <br />10/19/2014 <br />EACH OCCURRENCE $ 5,000000 <br />AGGREGATE $ LO00,000 <br />EXCESS LMB <br />CLAIMS -MADE <br />OED <br />I X <br />I RETENTION$ 10,000 <br />Is XXXXXXX <br />D <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNEWEXECUTIVE YIN <br />OFFICERIMEMSER EXCLUDED? a <br />NIA <br />N <br />5093308496 (( CA) <br />5093308451 (CA) <br />3/ 19/2014 <br />3x19/2014 <br />3/19/2015 <br />3/191200 <br />X STATUTE ER <br />E.L. EACH ACCIDENT $ 1000000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT 8 1,000,000 <br />A <br />Tech E&O / Network / <br />N <br />N <br />4034371571 <br />10/192013 <br />10/19/2014 <br />Each Oce. 5,000,000; <br />Privacv / Media <br />Agg.: 5.000,000; <br />Ded.: 50,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addltional Remarks Schedule, may be attached If more space Ie required) <br />RE: RFP 14-012, Modernization of Downtown Parking Meters. Certificate Holder is an Additional Insured to the extent provided by the policy language or <br />endorsement issued or approved by the insurance carrier. Insurance provided to Additional Insured(s) is primary and non-contributory as per the attached <br />endorsements or policy language. Notice of Cancellation applies per attached endorsement(s). AS Tp F©RM <br />g�pPRO�D <br />41101RIC!rneY/ <br />CFRTIFICATE HOLDER CANCELLATION l 5I%ffh)W1i6fiE; I,— <br />'12892512 <br />12892512 <br />City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />its offlclers, employees, agents, volunteers <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />and representatives <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza (M-30) <br />P.G. Box 1988 <br />Santa Ana CA 92702-1988 <br />AUTHORIZED REPRESENTATIVE � <br />ACORD 25 (2014101) <br />© 88=2014 ACORD CURPOWfON. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />