INTERNATIONAL CITY MANAGEMENT ASSOCIATION RETIREMENT CORPORATION (ICMA) (EXECUTIVE MANAGEMENT) 1D

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+� � CERTIFICATE OF LIABILITY INSU RANCE DATE (MMIDD/YYYY) OBI0412014 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(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 endorsament(s). IODUCER CONTACT NAME: MARSH USA INC. PHONE Fnx A/c No: SUITE400 125523RD STREET, N.W. ApMDARIL INSURERS AFFORDING COVERAGE NAICq WASHINGTON, DC 20037 INSURER A: PhoeniXlnsurance Company 25523 I0356-EO+FI.14-15 BURIED INSURER B: NIA NIA INSURER CTravelers Casualty Insurance Co. Of America 19046 ICMA RETIREMENT CORP. ATTN: D'JUANA THOMAS 777 NORTH CAPITOL ST., NE INSURER D Federal Insurance Company 20261 INSURER E: St. Paul Fire & Marine Insurance Co. 24767 WASHINGTON, DC 20002 - INSURER F : ni c. MWA11eA_14 o r-vIGIr1NI NI UUIRF:R-.5 vra.rvw,�..• ter.. .. _..._.. _...__.-. 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. jR W TYPE OF INSURANCE GENERAL LIABILITY NDDLISUSR POLICY NUMBER 6306E588375 POLICY EFF MMIDD/YY 08/0112014 POLICY EXP M DDIYYYY 0810112016 LIMITS EACH OCCURRENCE $ 1,000,000 DAMAGE ( RENTED PREMISESS Ea o ence) $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR X CONTRACTUAL GOV. INCL. MED EXP (Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,000 $ X POLICY PRO LOD JE AUTOMOBILE LIABILITYEaamidelk COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOAUTOS HIREDSAUTOS NO AUTOS PROPERTY DAMAGE (Per accident $ $ UMBRELLA LIAS OCCUR _EACH OCCURRENCE $ AGGREGATE _ $ EXCESS UAa CLAIMS -MADE DED RETENTION$ $ C WORKERS COMPENSATION UB6508MB94 0810112014 08/0112015 X WC STIMIT OTH- E.L. EACH ACCIDENT 1,000,000 $ ANDEMPLOYERS'DABIUTY Y/N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA E. L. DISEASE - EA EMPLOYE $ 1,000,OOQ E.L. DISEASE -POLICY LIMIT 1,000,000 $ D BANKERS PROF. UAB. 8211-6261 0613012014 $7,500,000 pto$12,500,000 E SIR:$1,000,000 71 M07549 06/3012014 �06/3012015 06/3012015 $5,000,000 pio$12,600,600 IESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) CITY OF SANTA ANA ATTN: EXECUTIVE DIRECTOR OF PERSONNEL SVS 20 CIVIC CENTER PLAZA M-34 SANTA ANA, CA 92702 ACORD 26 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA710M DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukhedee- ©1588.2010 ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD reserved.