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d o1/ - '�'2 -4'8 -- (-)I AII640R 7� CERTIFICATE OF LIABILITY INSURANCE GAp&R14 /20'4 THIS CERTIFICATE 1$ 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endoreemen s . PRODUCER, MARSH USA INC. SUITE 490 125523RD STREET, N.W. WASHINGTON, DC 20037 GENERAL LIABILITY X COMMERCIFU. GENERAL LIABILITY CLAIMS -MADE ®.00CUR X CONTRACTUAL COV.INCL. PHONE q..E.alh— IBC N Y E.p Aa, - ------ 08101014 Q 0810112015 / INSURERS AFFORDING COVERAGE NAIC4 INSURER A: Phcen"I"U"rance COmpsny 25623 040355- EO+Fbi415 INSURED RETIREMENT CORP, ATTN: UJUANA THOMAS INSURER a: NIA WA INSURER C TaMera Casultylnsuranm CD.OfAmedca 1904 6 777 NORTH CAPITOL ST., NE WASHINGTON, DC 20002 INSURER O: Federal Insurance Company 20281 INSURER E: St. Paul Fire 8 Marine insurance Co. 24787 W INSURERF: S COVERAGE$ CERTIFICATE NUMBER: CLE- W374312415 REVISION NUMBER:$ 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NYSR TYRE OP INSURANCe O ML POLICY NUMBER POLICY M DOfYY DC EXP IDO LIMITS A GENERAL LIABILITY X COMMERCIFU. GENERAL LIABILITY CLAIMS -MADE ®.00CUR X CONTRACTUAL COV.INCL. 630BESS8375 �rrr n wy i7 p/•F 08101014 Q 0810112015 / EACHOCCURRENCE S 1'000,006 PREMISES (Ea �oceUMM $ 1'000'000 MED EXP (Any one Parson) $ 10,00 PERSONAL&AOVINJURY $ 1,006,009 GENERAL AGGREGATE $ 2,090,000 GEN'L AGGREGATE X POLICY LIMIT APPLIES PER: PRO- LOC JECT —1 PRODUCTS- COMPfOPAGG $ 2,000,000 S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS HIRED AUTOS NON-OWNED h POP J k gSYSta�t G, I+ v RT`A�C`A .L tt® !� `a 8y COMB EU SINGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per aaitlen9 $ FR e cR —DAMAGE S UMBRELLA LIAR excess LIAM OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE S $ DED I RETENTION$ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICERMEMBER EXCLUDED4 ECUTIVE® (Mandatory9n NH) If yes, desalt* Under DESCRIPTION OF OPERATIONS below MIA I U86508MB04 0810112014 08101/2015 WC STATU- 0 EL EACH ACCIDENT 99- 0,000 $ E.L DISEASE EA EMPLOYE $ 1,000400 E.L.OISEASE- POUCYLIMiT $ 1,000,000 D E BANKERS PROF. LIA2. SIR: V,000,000 82114261 71W7549 0613012014 0613012014 0613012015 06012015 87,500,000 BIC312,500,000 $5,000,000 Po 112,500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANach ACORD 101, Addidonet Remarks Schedule, if morn space Is required) CITY OF SANTA ANA ATTN: EXECUTIVE DIRECTOR OF PERSONNEL SVS 20 CIVIC CENTER PLAZA W34 SANTAANA, 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. Manoshi Mukherjee - -+*•�� ,a -'-�- (J 7NBd3 -LU1U AtiOHU CUKPUKAI WN. All ngntS reserve9. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD