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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 cerbillcats holder is an ADDITIONAL INSURED, the policy{ es) must be endorsed. if SUBROGATIOAd 4S WAIVE0, subject to <br />the terms and conditions of the policy, carialn policies may require an endorsement. A statement on this osirtificate does not confer rights to the € <br />PRODUCER <br />MARSH USA INC. <br />SUITE400 <br />126523RD STREET, N.W. <br />WASHINOTON, DC 2LO37 <br />WMS-EO-Fi-V 15 <br />INSURED <br />ICMA RETIREMPNT CORP. <br />ATTN'. UJUANA THOMAS <br />777 NORTH CAPITOL ST., NE <br />WASHINGTON. DC 20W2 <br />II" <br />Falerld h'walce <br />SL Pain Rie & Ma <br />AGE <br />COVERAGES CERTIFICATE NUMBER: CLE-003743124.15 REVISION NUMBER:5 <br />THIS <br />IS TO CERTIFY THAT THE POLICIES <br />OF INSURANCE <br />LISTED BELOW HAVE BEEN <br />ISSUEG TO 7HE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, <br />NOTWITHSTANDING ANY REQUIREMENT, <br />TERN? OR CONDITION OF ANY <br />CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE <br />MAY BE ISSUED OR MAY <br />PERTAIN <br />THE INSURANCE AFFORDED BY <br />THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS <br />AND CONDITIONS OF SUCH <br />POLICIES, <br />LIMITS SHOWN MAY HAVE BEEN REDUCED <br />BY PAID CLAIMS. <br />y3-DOLT <br />� <br />A <br />TYPE OPINSURAPlCE <br />GENERALUASurrt I <br />L.X COMWERCIALGENERALUABILMY <br />nh� CIAIMS-MADEu OCCUR <br />X COIVIr CTUAL COV. INCL. i <br />�� <br />1630SE588375 <br />i <br />� POLICY NUMBER IdNNR1D�Y[,�, <br />10870112014 <br />� <br />I <br />MY E � <br />1MMNQfYYYY___�}�_,,,_� 13YTP3 <br />1081011-XIS I I <br />� EACH <br />! I'REM15^^S (Ea occunance <br />r! - MEO EXP (Any �a Person) <br />i.,PERGONAL B ADVINJURY <br />S 1,000,0W <br />$ 10=0 <br />3 t0,000 <br />^�� <br />3 2- <br />1 <br />' <br />i <br />O'o <br />p oS'� r,�_ <br />n,,,,qi..mh <br />,. ,y05�� <br />`agg�C <br />�y§$'tS <br />��yBplp <br />k�'"- i GENCWaL AGGREGATE_ _ <br />j �� yPR000CTS COMPIOP AGG ,j <br />p.� CORd3tA+ Q INGLE LIYt{T�� <br />E®" ICOM It <br />�(.Ct�' g'e®( BODILY INJURY (Per <br />�yttq S 1 BODILYINJURY(Px awidJ ) <br />.��,�_ <br />iP_ctatt] K�AM.AGE <br />_.._ <br />GENI. AGGREGATELIMIT APPLIES PER. <br />X POLICY 1 PRO- I r i LOC <br />AUTOMOBILE L(AS:LiTY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />1 AU tCS - AUTOS <br />HIRED AUTOS AUTOS <br />,. _. <br />S__ 2,0(#1,000 <br />S <br />S—R_..__._„_. <br />5 € <br />5 --Ii <br />S I <br />I <br />1 <br />UMGRELLA LIAR f OCCUft <br />"Fi1CHCCCURRENCE <br />S <br />EXCESS LLRR i . CLAIMS -MACE <br />_._ <br />i AGGREGATE <br />$ <br />$ <br />DFU RETENTIONS <br />���-_., <br />�. <br />C <br />- -. <br />i1 <br />WORKERS COMPENSATION <br />AND CJAPLOYERS' LIAMLITY <br />ANY PROPRIETORMAR7NERIEXECLTIVF-(N <br />OFFICy-kIMEMBER EXCLUDED? <br />Q9aadacwy in NE1) <br />if yyees do."heand2 <br />DESCRIPTION OFD EFWTIONS below <br />NIAi <br />- <br />U86503N%94 <br />08101 t054 08(0112015 X iWC STATU OTH- <br />..... TORY Lures_ Ea- <br />i E.L EACH ACCIDENT <br />IE.L DISEASE EA EMPLOYE <br />E.L. DIBEAS'< POLICYLIWIR <br />S_ <br />1,OW,0t)it <br />S <br />D <br />BANKERS PROF. LIAR, <br />18211.6261 <br />081301s.A14 0&0015 $7,500A00 pto$IZHO,000 <br />E <br />SIR: 51,Or,0,4'40 <br />171M754S <br />05130t2014 fi5"12015 $5,000000 pio$12,500,W0 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLE$ uMadh ACORD 101, Additional RemAaka Sch*dU10, V morn SE 10 Iv rcyulmdi <br />CITY OF SANTA ANA. <br />ATTN: EXECUTIVE DIRECTOR OF PERSONNEL SVS <br />20 CIVIC CENTER PLAZA Nd 30 <br />SANTA ANA, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WR4 L BE CF01ERED W <br />ACCORDANCE Wlr I THE POLICY PROVISIONS. <br />AUTH(122ED REPR£SENTN IVE <br />of Marsh USA Inc. <br />Nlsn2shi Mukheijee-�-^E-�- <br />�.. 0 5a3RR..9nin ACCIRT1 CORPORATION- MI rinhSs rpss-4nd. <br />ACORD 2E (2010195) TM ACORD name and logo are registered alarks of ACORD <br />