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Client#: 47645 IBIGROUP ACORD., CERTIFICATE OF LIABILITY INSURANCEDt2/(mMIU. n TYPE OF INSURANCE 4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pDlicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEA T Certificate Desk HUB International New England PHONE FAX r - ac Na Ext : 978 657.5100 A1C, Me : B66 47� 7959 299 Ballardval@ St E-MAIL nee.certificates@h ubinternational.com RESS,i............. ._ WilminADD MA 01$87 _....... 97865 -510ton, 97$ 65T-5100 INSURERS) AFFORDING COVERAGE NAIC# - INSURERA: S@@ Page 2 see pg 2 INSURED IBI GROUP US INSURER B: _ INSURER C: 18401 Von Karmen Ave., Ste 110 INSURER D: Irvine, CA 92612 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NIIMRER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS .SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTRR TYPE OF INSURANCE INSR BURR me POLICY NUMBER MM@�1YYYYY INM+D�NEYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ ENSUORONTUWOeaqca $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR MED EXP (Anyone 2.rsand $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE S GEML AGGREGATE LIMIT APPLIES PER: "ITIUCTS-COMPIOPAGO $ POLICY PIECTRI LOC $ AUTOMOBILE LIABILITY C a acct eD SINGLE LIM T F cid¢nl $ BODILY INJURY(Perperson) $ ANYAUTO AU OS SCHEDULED AUTOS AUTOSNCN-O BODILY INJURY ParecCident $ I 1 HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per eccitlent S UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS HAS CUdMS,MAOE DEB I I RETENTIONS s A AND WORKERS YERS'LsnnoN ANDEMPLOYERS'PARTNER ANYCERIMEETOREXCLUER)EXEGDTIVE YIN OFFICER/MEMBER EXCLUDED? � NIA OBWEEG7293 1/13/2015 01/13/201 X Wo STATLL br`H- EL. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE 91 000 000 (Mandatory in NH) it y¢s, dssprins ander E.L. DISEASE -POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS belay DESCRIPTION OF OPERATIONS l LOCATIONS I VEHICLES (ARech ACORD 101, Addltlonal Remarks Sahedale, it more space is required) Endorsement WC000313 Blanket Waiver of Subrogation where required by written Contract, Agreement or Permit, and where permitted by Law. Endorsement WC990394 Blanket Notice of Cancellation to Certificate Holders, (See Attached Descriptions) f'� l 1 1tNV Iy1/ �� G J YYAP City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICB WILL. BE DELIVERED IN 20 Civic Center Plaza, M-20 PO ACCORDANCE WITH THE POLICY PROVISIONS. Box 1988 Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE IS) 1968-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 .oft The ACORD name and logo are registered marks of ACORD #51272670/M1271320 MM003