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%f <br />IBI GROUP RFCA 11/3/15 AGR # PENDING REVIEWED BY: G^'(,. 4//-�- . <br />Client #: 47648 IBIGROUP <br />ACORDT„ CERTIFICATE OF LIABILITY INSURANCE <br />EUNICE HEREDIA (PG 3 OF 6) <br />GATE IMM(OOIYYYYI <br />M A 1.1 .11nnn e <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 INSURERtS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder iIS an ADDITIONAL INSURED, the policyjies) moat Ue Endorsed, If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an Endorsement. A statement on this certificate does not confor rights to the <br />certificate holder in lieu of such ondorsementis). <br />PRODUCER <br />CRUPCT Certificate Desk <br />°= <br />v <br />HUB International New England <br />288 Baltardvale St <br />o ° - -- FXK --' -- <br />I" 476.7969 <br />i EML978 667-.....__...._.... <br />EACH <br />....— .........___L1ap�.Ng;._886 <br />,..AIL <br />AP9..EF@s• nee. cortificates @hubinternational.com <br />Wilmington, MA 01887 <br />IN6URER3 AFFORDING COVERAGE' <br />__NAIGp <br />978 6674100 <br />INSURER A:. See Page 2 <br />—_ <br />_ <br />See 2 <br />. <br />INSURED <br />IBI GROUP <br />TsuaEa B <br />L- <br />INSURER C; <br />_PREMISESj,EnomT,ED <br />MED EXP (AnV Onepomenl <br />18401 Von Korman Ave., Ste 110 <br />INSUAERO! <br />$ <br />Irvine, CA 92612 <br />INSURER E: <br />_.._.._.........._ <br />. <br />INSURER p: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTCO BELOW HAVEBEENISSUED TOTHE INSURED NAMEDABOVE FORTHE POLICYPERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH <br />THIS <br />CERTIFICATE MAY 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />.— <br />_ ... .._— ____.........._____..._.... ._..— ._._.__...._.— ._..P„ �i6_ k PO <br />I,ZR- TYpE OFINSURANCE <br />LM38 .... NCO LIMITS <br />�..._...— .____. <br />tlENERAt <br />LIABILITY <br />EACH <br />_ <br />S ._ <br />_ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE ❑OCCUR <br />A GOECCiqURpRENCE <br />L- <br />_PREMISESj,EnomT,ED <br />MED EXP (AnV Onepomenl <br />5 <br />—. <br />PERSONAL BADV INJURY <br />$ <br />_.... <br />_.._.._.........._ <br />. <br />�.�._.... —_ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO LOC <br />Eli <br />PRODUCTS - GOMPIOP AGO <br />$ <br />_ <br />AUTOMOaILE <br />LITY <br />LIABILITY <br />� <br />COMDINEDSINGLL LIMIT <br />BODILY INJURY (Par porwm) <br />— <br />3 <br />,_ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS _.. AUTOS <br />HIRED AUTOS NOtWVVNED <br />AUTOS <br />j <br />"— '--- "' —'– <br />BODILY INJURY (Per amdanp <br />- -- <br />5 <br />F'ROPER'IYDAMAGE "" <br />_IPal-- MULL_.. .... ___. <br />'—' -- <br />6 <br />LALIAB GCCUR <br />EACH OCCURRENCE` <br />S`" <br />EXCESS <br />— <br />AGGREGATE <br />�> <br />WORKERS COMPENSATION <br />YiN <br />tl1113f201 &, <br />NCSIATU YpTMT <br />ACCIDENT 91000,000 <br />OESC ..... __. — _.._____ <br />—.. _ _.7293...— <br />- -.. <br />E.L. mscasE POLICY UMgjs1�000.000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES lAflach ACORD 1e1, Addelonal Remarks Schedule, if mom space It required) <br />Endorsement W0000313 Blanket Waiver of Subrogation where required by written Contract, Agreement or <br />Permit, and where permitted by Law. Endorsement WC990394 Blanket Notice of Cancellation to Certificate <br />Holders. <br />(See Attached Descriptions) <br />City of Santa Ana <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />AUTHORIZED REPRESENTATIVE <br />CO 1988.2010 ACORD CORPORATION. All rinhts rneen,nrl <br />ACORD 25 (2010105) 1 of 2 Tho ACORD name and logo are registered marks Of ACORD <br />#$14924261M1271320 CW001 <br />