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AC., L/Af.J
<br />CERTIFICATE—OF LIABILITY—INSURANCE LIf' BI
<br />I-
<br />DATE(MMIDDIYYYY)
<br />-L—IT — I�Vd- IJiFAI-Y -b -E
<br />�.... -�'
<br />o713112015
<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(ies) 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 />MARSH USA INC.
<br />1050 CONNECTICUT AVENUE, SUITE700
<br />WASHINGTON, DC 20036 -5386
<br />CONTACT
<br />NAME:
<br />PHGNE. Extl FAX No:
<br />E -MAIL
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAICq
<br />040356 - FINPR- EO.FI.15 -16
<br />INSURER A: Phoenix Insurance Company
<br />25623
<br />INSURED
<br />ICMA RETIREMENT CORK
<br />_INSURERS: NIA
<br />NIA
<br />INSURER C: Travelers Casualty Insurance Co. Of America
<br />19046
<br />ATTN: D'JUANA THOMAS
<br />777 NORTH CAPITOL ST., NE
<br />WASHINGTON, DC 20002
<br />_INSURER D: Federal Insurance Company
<br />pppgl
<br />INSURER E: St. Paul Fire & Marine Insurance Co.
<br />pg767
<br />INSURER F:
<br />$ 1,000,000
<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 DOCUMENT WITH RESPECT TO WHICH 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 />INSR
<br />LTR
<br />TYPEOF INSURANCE
<br />AODL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />IMMIDDNYYYt
<br />POLICY EXP
<br />(MMIDDIYYYYI
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE � OCCUR
<br />CONTRACTUALCOV.INCL
<br />6306E588375
<br />0810112015
<br />OBI01I2016
<br />EACH OCC URRENCE
<br />$ 1,000,000
<br />DAMAGES Rz, cc rr
<br />PREMISES Ea occurrence
<br />$ 1,000,000
<br />X
<br />MED EXP(Any one person)
<br />$ 10,000
<br />$ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />X PRO -
<br />POLICY JECT LOC.
<br />GENERAL AGGREGATE
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRODUCTS - COMPIOP AGO
<br />$ 2,000,000
<br />$
<br />OTHER'.
<br />AUTOMOBILE
<br />LIABILITY
<br />��
<br />COMBINEDSINGLE LIMIT
<br />(Ease cden
<br />$
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO1
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />$
<br />BODILY INJURY (Per accident)
<br />$
<br />HIRED AUTOS NED
<br />AUTOS
<br />AUTOS
<br />PROPERTYDAMAGE
<br />Per accitlenl
<br />$
<br />UMBRELLA LIAR
<br />OCCUR
<br />RRENCE
<br />$
<br />E
<br />$
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DIED RETENTION$
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y/N
<br />ANY PROPRIETOR /PARTNER /EXECUTIVE FN
<br />OFFICERIMEMBER EXCLUDED?
<br />1A
<br />UB6508M894
<br />0810112015
<br />0810112016
<br />OTH-
<br />E ER
<br />WPOLICY
<br />CCIDENT
<br />$ 1,000,000
<br />-EA EMPLOYEE
<br />1,000,000
<br />If yes describe toryin and
<br />If yes,ate, in under
<br />- POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />D
<br />BANKERS PROF. LIA3 .
<br />8211 -5261
<br />0613012015
<br />0613012016
<br />$7,500,000 plo $12,500,000
<br />E
<br />SIR: $1,000,000
<br />ZPL -71 M07549-15 -N2
<br />0613012015
<br />0 6I3012016
<br />$5,000,000 pIo $12,500,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />CITY OF SANTA ANA
<br />ATTN: EXECUTIVE DIRECTOR OF PERSONNEL SVS
<br />20 CIVIC CENTER PLAZA V34
<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 />of Marsh USA Inc.
<br />Masashi Mukherlee ��r
<br />Q9 1Ut3t3-ZU14 ACUKU CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD _ ( J
<br />Lq
<br />
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