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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 certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WANED, subject to <br />the terms and conditions of the policy, certtin policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsernent{s)• I <br />PRODUCER CONrACT <br />f,"SH USA INC NAPyE......_ <br />SUITE AGO PHONE FAX <br />725523R0 STREET N!fJ. <br />NASHINf JN.. CC 2CO37 ADDRESS: <br />INSURER(S) AFFORMING COV=FAGE IIAICm <br />CA035`EOr'+415 INSURER A: PhLervxinsuru;:ce Comparry <br />INSURED UdSURER a; NIA FUA <br />ICMA REITREMENT CORP. - - <br />ATTN:UJUA.NATHOMAS INSURER c: Ttveins Casualty lralra:a Co. Of Arreri 1" <br />III seas <br />A7 NORTH N DO <br />002IJE ! INsuRERD: - 1 1lrsur..-Cargany .—._ _—_-.__....__12028I_..__.- <br />'aVASH14iGTCiV. DC 26tX72 I --- - - - <br />COVERAGES CERTIFICATE NUMBER: CLE-M3743124-15 REVISION NURMBER:5 <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE ^JAY 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 SHONM MAY HAVE BEEN REDUCED BY PAID CLAIMS. ) <br />INSR I <br />LTR <br />PfPE CFktdaURANCE !�qp <br />�; <br />UBR — <br />MoI POLICYNUMeER I <br />r POL'C`f EPP POLICY EXP i <br />imyN JD" ._(MPAIDDNYYYt.�LIMS <br />A I <br />I�COiv10.tERCW. <br />GENERAL <br />_ <br />LIABIurr <br />GENERAL LWBILIT'f <br />CLAIMS -MADE a OCCUR <br />i6306E585375 iO81OV2014 <br />10810V2015 1 EACH OCC�0URRREEMNCFDE LI <br />l vRlEa Paurterxe <br />i htED EXP (AM ' Fer+PP) <br />1.OW,TAO <br />�s <br />S i,C�'CFfd <br />S t0.� <br />�xCONiRACTUAL <br />COV. {NCI. <br />! <br />ON Y� <br />gy <br />i >'CnF /a <br />F'eRSONALBADV INJURY <br />�yy �� i 10E0ERAL AGCROGA E i <br />_� ( l PRODUCTS COMP/DP AGG_J5_ <br />S 1.L'".,C•006 <br />S 2•�•� <br />GENOL AGGRECATE LIMIT APPLIES PER <br />�^ p <br />X EOLICY C ("' 7 11 LOC <br />2,000,GCG <br />5 <br />AULMOBILE LIAa'LRY I <br />ANY AUTO <br />ALL OANEC SCHEDULED <br />_- hlON-OYMIEU <br />HIRED AU'OB 705S9"1S <br />I <br />� N .?�P, <br />1 l$i�• L� <br />q ILCM I a' SINGLE LIMIT <br />Boot Y INJURY(P., s'sar) <br />BODILY IN URY (Pxr ate ari):5 <br />*J IPfi(, c '.)AMAGE <br />.Pr au -! <br />----� <br />IS ...1 <br />S f <br />E <br />! iUNGRELLALIAR _1 OCCUR <br />L EXCESS UAB ! CLAIMS'MAOE <br />-I <br />I� <br />1 <br />! <br />I <br />hCH CCCJPJ2J_NCE <br />AGCR ATE <br />5 _ _ <br />5 <br />= <br />C <br />r RETENTIONS <br />DED <br />WORKERS COMPENSATION <br />AN" EMKOYERVLIASIUrY YIN <br />ANY PRCFRIETCRPARTNERfEXECIIriVE <br />0 FICERIMEMSER EXCLL-DE07 N <br />(Mandatory in NH} <br />If ye d1 ti1V I'de' <br />DESCRIPTION OF OP -on IONS teicw <br />9lAl <br />w <br />08f01261d GEfC n0.5 X 1 %IJC 5TAtU- OTH. <br />TD"'1�AiC(S <br />i E.L EACHACCIDENT <br />r"' "" ' <br />LEL D SrAS__ EA EMPLOYE <br />E.L D GEASE -POLICY LIMB <br />S 1 CC4.007 <br />D EANK Rs PROF. LIA6 82'11326i 0302014 0613M015 $7,S00000 pfo S12,500,CC0 ! I <br />E ,SIR: $1 ;C-0.X0 1711VD751S 0161?012014 05DQ12015 S5,Cr0090:10 S12,500,!,00 <br />I I <br />DESCRIPTION 09 OPEP.AT ONE 1 LOCATIONS! VEHICLES (Attaor ACOFV 101, Additoral Ranarks Z.h.duhr, i4 more sy, ea !s regnired) <br />i <br />�) I <br />I. A?/•GF a ATtr.nl <br />i <br />CITY CF SAN N ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />AifN eX r'J'I ✓'DIREUI P FPERBCNNEI S'/S <br />THE EXPIRATION DATE TEER'_-OF NOTICE. <br />VA L BE C=AVERED IN <br />20 CIVIC CS"TER P,AD, i,-3A <br />A.•OORDANCE k =' THE POLICY PRO $10NS. <br />1 <br />AU'N PlI D R - SEYlTS.TNE� <br />' <br />1 <br />I 1 '. y, ashiKhe 1 <br />M <br />I <br />L-----.�,�__.�...___ 7 <br />�._._..._. <br />J'i nflg.;?3'diaAC'?R?D C:OP.PORATSOH1. A3f rlrn".5` r25e0✓etl. <br />ACOR^ 26 (201,NO~ The .ACORD name and tog.^ a;G registerad marks; Gf ACOPO <br />