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Client#: 47646 <br />IBIGROUP <br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE <br />'M <br />[ =TEIODDIYYYY) <br />TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />312 is <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(ios) must be 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 confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />C <br />NAMEONTACT <br />, Certificate Desk <br />HUB International New England <br />PHONE :::=F--X <br />PIC 866 475-7959 <br />(A IN El )� 978..,,657 -51 00 (A <br />(_/C Nal <br />299 Ballard'ivale St <br />, <br />E-MAIL <br />ADDRESS, nee.certificates@hubintornational.com <br />Wilmington, MA 01887 <br />PERSONAL& ADV INJURY_ $ <br />978 657-5100 <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A: see page 2 <br />see page <br />] PRO- LOG <br />POLICY JECT <br />INSURED IBI GROUP US INSURER B <br />18401 Von Karman Ave., Ste 110 INSURER C: <br />Irvine, CA 92612 INSURER R.l <br />INSURER E <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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, <br />TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICfES. <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />.. . ...... .. . ....... . .... <br />NSR ADDL�SUBR <br />TR. TYPE OF INSURANCE �INSR WVD� <br />. ... .. ... ... <br />Y EFYF POLICY Ell <br />POLICY NUMBER MP M08"S M.M YYYY) LIMITS <br />yy Y) ( L <br />QPL <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABIHT Y <br />DAMA( <br />IF T RENTED <br />E a <br />PREMI U?E g�jLurreoce) $ <br />CLAIMS-MADE OCCUR <br />MFD EXP (Any one person) $ <br />PERSONAL& ADV INJURY_ $ <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS COMPYOPAGG $ <br />] PRO- LOG <br />POLICY JECT <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />IEa accident) <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED SCHEDULED <br />)S <br />U TO <br />AUTOS AU AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accident} <br />$ <br />UMBRELLA LIAB OCCUR <br />F, <br />EACH OCCURRENCE <br />EXCESS LIAR CLA MS-MADE <br />AGGREGATE <br />DrD RETENTIONS <br />$ <br />A <br />WORKERS COMPENSATION <br />Y <br />08WEEG7293 <br />01/113/2016 <br />011131201 <br />TU- JOTH- <br />i ��1171 <br />-11FT, LER- <br />AND EMPLOYERS' LIABILITY YIN <br />�X <br />E L EACHAC,CIDENT <br />$1,000,000 <br />ANY PROPRTETORJPARTNEFIEXECUTIVE <br />OFFI,CER)MEMBER EXCLUDE <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />I JMandatoTy in NH) <br />rr yes, describe under <br />DISEASE - POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS d VEHICLES (Attach <br />ACORD 101, Additional Remarks Schedule, if more space is required) <br />Endorsement WC000313 Blanket Waiver of Subrogation <br />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 />REVIEW ) By� EUNICE HERED�A (PG OF'-1 <br />41 <br />(See Attached Descriptions) <br />- <br />City of Santa Ana <br />20 Civic Center Plaza(M-30) P.O. <br />Box 1988 <br />Santa Ana, CA 92702-0000 <br />ACORD 25 (2010105) 1 of 2 <br />#S15318271M1524764 <br />L;ANULLLA I IUN <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 />V 1988-2010 ACORD CORPORATION., All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />MM003 <br />