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ACOR"* CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY)
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />11 3/19/2016
<br />3/11/2015
<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 />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 />License #OF15767
<br />4275 Executive Square, Suite 600
<br />La Jolla CA 92037
<br />GUNIAUI
<br />NAME:
<br />A/C, No, Ext): A/C, No):
<br />E-MAIL
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE NAIC #
<br />(858) 587-3100
<br />INSURER A : National Fire Insurance Co of Hartford 20478
<br />3/19/2016
<br />INSURED IPS Group, Inc.
<br />1377909 5601 Oberlin Drive, Ste. 100
<br />San Diego CA 92121
<br />INSURER B: American Casualty Company of Reading, PA 20427
<br />INSURER C: Continental Casualty Company 20443
<br />INSURER D: Indian Harbor Insurance Company 36940
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES IPSGR01 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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MMIDD/YYYY
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />Y
<br />N
<br />4034952942
<br />3/19/2015
<br />3/19/2016
<br />EACH OCCURRENCE 1000-000
<br />CLAIMS -MADE OCCUR
<br />PREMISESEaocdurDence 500,000
<br />MED EXP (Any oneperson) 15,000
<br />PERSONAL & ADV INJURY $ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY JECT LOC
<br />GENERAL AGGREGATE $ 2,000,000
<br />PRODUCTS - COMP/OP AGG $ 2,000,000
<br />OTHER
<br />$
<br />B
<br />AUTOMOBILE LIABILITY
<br />N
<br />N
<br />6013847872
<br />3/19/2015
<br />3/19/2016
<br />COMBINED SINGLE LIMIT
<br />Ea accident $ 1000000
<br />ANY AUTO
<br />BODILY INJURY (Per person) $AUTOS
<br />NED AUTODULEDBODILY
<br />Ix
<br />INJURY (Per accident $ XXX)CXCXHIRED
<br />AUTOS X NON -OWNED
<br />PerracciRd.nDAMAGE $ XXXXX'X'X
<br />$ XXXXXXX
<br />C
<br />X UMBRELLA LIAB
<br />X
<br />OCCUR
<br />N
<br />N
<br />4034952990
<br />3/19/2015
<br />3/19/2016
<br />EACH OCCURRENCE $ 5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />AGGREGATE $ 5,000,000
<br />DEDTx RETENTION $10,000
<br />$ XXX�;XXX
<br />B
<br />B
<br />WORKERS COMPENSATIONPER
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
<br />OFFICER/MEMBER EXCLUDED? a
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />N
<br />5093308451 (CA)
<br />5093308496 (AOS)
<br />3/19/2015
<br />3/19/2015
<br />3/19/2016
<br />3/19/2016
<br />OTH-
<br />X STATUTE
<br />E.L. EACH ACCIDENT $ 1000 000
<br />E.L. DISEASE- EA EMPLOYEE$ -1000,000
<br />E.L. DISEASE- POLICY LIMIT 1,000,000
<br />D
<br />Tech E&0 / Network /
<br />Privacy / Media
<br />N
<br />N
<br />MTP9032003
<br />3/19/2015
<br />3/19/2016
<br />Each Occ. 5,000,000;
<br />Agg.: 5,000,000;
<br />Det 100,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is 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).
<br />veils
<br />12892512
<br />City of Santa Ana
<br />its officiers, employees, agents, volunteers
<br />and representatives
<br />20 Civic Center Plaza (M-30)
<br />P.O. Box 1988
<br />Santa Ana CA 92702-1988
<br />ACORD 25 (2014/01)
<br />VAP1--11V11 0.G-LM1 IH1101101
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />D REPRESENTATIVE
<br />---
<br />©'PM-2014 ACORD MRPOIRAk1110N. All rinhts rPCPrvPrl
<br />The ACORD name and logo are registered marks of ACORD
<br />
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