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CERTIFICATE OF LIABILITY INSURANCE DATE(MM,DDfYYYY
<br />ra6raa(2a1 "r
<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 have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such end'orsementis).
<br />PRODUCER CONTACT
<br />MARSH U3 A INC NAME:
<br />.,PHONE FAX
<br />10'EJ0 C;C7NNFC 1' uCV.J1 AVENUE, SUFF 700 (AIC, No, Ext) _ (ArC, rack
<br />WASHINC1ON DC 20036-5366 E-MAIL
<br />ADDRESS:':... _... _. _..... ..._. ..
<br />INSURERS) AFFORDING COVERAGE NAIC 0
<br />040356-FINPR E041-_17 1ii INSURER A: PI?oenix 25623
<br />INSURED INSURER 8 WA N`A
<br />ICMA, RETIREMENT CORP,
<br />A I TN' R JUANA TI-IOMAS INSURER C . Slandald Fire Insufaice CoLipany 0V) 0
<br />777 N0RTH CAPITOL S'T._ NE 2023"
<br />�NASTIiNGTC7N, DC 20[702 INSURER D : i�@dinrai Insurance Compeldy
<br />INSURER E . Travelers Casually And Surely Company Of Aweric a 311R l
<br />INSURER F :
<br />r^nk/1=0AnrPQ t^FRTIFIt'ATF AIIBWJIRPP- C[F-On6P41484-33, REVISION WtJMRFR 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 CONTRACT OR OTHER
<br />DOCUMENT WITH RESPECT TO WHICH
<br />THIS
<br />CERTIFICATE MAY BE ISSUED OR. MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED
<br />HEREIN IS SUBJECT TO ALL THE
<br />TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS-
<br />WNSR ADDL SUBR:. POLICY EFF POLICY EXP
<br />NSR :. TYPE OF INSURANCE POLICY NUMBER IMMfDOIYYYYI (MMfDDYYYYY)
<br />...
<br />LIMITS
<br />A X GOMGIP,IM1AL 1 tY,i0 E56� it �18(01F21.�1� I UBt0112015
<br />1,000,000
<br />5 tu9.4UEERAXLL9ADYLiT'i
<br />DC.e.JR
<br />pftMAG3ESOF FNTF��nC p a
<br />r I�IJ
<br />X CONTRACTUAL COV INCT.. �
<br />I
<br />-
<br />MEu EXP IAny one person) � S
<br />00 L'
<br />j p
<br />PERSONAL .L EtALA/ INJURY S�
<br />'1 6006L6
<br />. N'L iaGf1RE
<br />.,F GATE LIMIT APPLIES PER f
<br />GF'NF.RAf. AGGREGATEr
<br />-
<br />2.Ut1UJJO0
<br />_
<br />PRO-
<br />X POLICY ,PEC'T ''. LOC
<br />PRODUCTS t
<br />... ... ..... ....
<br />2,000,000
<br />...
<br />L)TJtLR i r
<br />AUTOMOBILE LIABILITY
<br />COMDINEDSINGLE LIMIT
<br />(Ea oedei)I)
<br />ANY AU10 i
<br />BODILY Nf JJR r (Pe, peisoir) 5
<br />SCHEDULED '
<br />_ —
<br />B(.TL71LY INJURY (Per accicerre) &
<br />—
<br />AUCOS' ONLY AUTOS
<br />HI6RFp NON -OWNED �
<br />(�I-�Gd'WsfQTr`6_dAMAGE
<br />''. AU LOS ONLY AUTOS ONLY '
<br />I
<br />tPp;r aw.wuidrmp.. ... `„
<br />a
<br />...
<br />UMBRELLA LIAR OCCUR -
<br />EACH OCCURRENCE S
<br />EXCESS LIAR -_ ' CLAIMS MADE', �,
<br />" AGGREGATE 5
<br />DEL RETENTION$ i
<br />C WORKERS COMPENSATION iU66508M8O4 .107 08101/2018
<br />X PER OTH-
<br />AND EMPLOYERS' LIA 8I LITY YIN
<br />STATUTE ER
<br />r�NYPRI� RIETCIRYPARI NER'IEYGECUTIUE f
<br />N1AFLAI 1
<br />E L E+�r 'rl AL'd:lll�: �J f 5
<br />1 000 00>
<br />OFFICERwEMBEREXCLUDED9
<br />- ._
<br />1.000,000
<br />Mandator In NH
<br />(Mandatory ,
<br />E L DISEASE - t. r E=MPLOYEE ,.,,...
<br />If YOS. aescnbe uiTder
<br />DESCRIPTION OF OPERATICNS below '
<br />E.L.DISEIASE-POLICY LIMIT ,; T
<br />1000 ,01jO
<br />0 BANXhPS hR'CF LIAR '8211-6261 0613012017 06!3012018
<br />$7,500,000 pl0 $12,500,000
<br />F Sl $t-Up0,0UQ 1 U6758'967 06130,017 0&3012018
<br />I
<br />$5,000,000 p{o C 12.500,000
<br />DESCRIPTION OF OPERATIONS f LOCATIONS; VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
<br />CERTIFICATE HOLDER CANCELLATION',
<br />CITY CF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />AITN', EXECUTIVE DIRECTOR OF PERSONNE:L, SVS THE EXPIRATION DATE THEREOF„ NOTICE WILL, BE DELGVERED IN
<br />20 CIVIC CENTER PLAZA M-34 ACCORDANCE WITH THE POLICY PROVISfONS.
<br />SANTA ANA, CA 02702
<br />AUTHORIZED R..EPRESENTATIVE.
<br />of Marsh USA Inc.
<br />MLIL=ISCri MLllchteraee
<br />U`` 1988-2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (20,16103) The ACORD name and logo are registered marks of ACORD
<br />
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