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CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIDD WV)
<br />05/05/2017
<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 BELOW.
<br />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 endorsement(s).
<br />PRODUCER
<br />CONTACT
<br />NAME;
<br />AOn Rick Si lees Central, Inc,
<br />Minneapolis MN OBice
<br />5600 West Byrd Street
<br />8200 TOwer, Sblle 1100
<br />PHONEFA%
<br />plc, No. E ac, Not
<br />EMAIL
<br />ADDRESS;
<br />INSURERS) AFFORDING COVERAGE NAIC #
<br />Minneapolis MN 55437 USA
<br />INSURER A: Liberty Mutual Insurance Company
<br />MMIDDAYYY
<br />INSURED
<br />INSURER B:
<br />IBI Group
<br />X COMMERCIAL GENERAL LIABILITY
<br />18401 Ven Kerman Avenue, Suite 110
<br />INSURER C; Bei Insurance Company, Inc.
<br />INSURER D:
<br />Irvine, CA 92612
<br />INSURER E:
<br />EACH OCCURRENCE $ 1,000,000 USD
<br />INSURER F:
<br />X
<br />COVERAGES CERTIFICATE NUMBER: US181-559-1718 REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
<br />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 />TYPE OF INSURANCE
<br />ADDL
<br />suers
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMITS
<br />LTR
<br />been
<br />VIVO
<br />MMIDDAYYY
<br />MMIDDIYYYY
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />TB1-571-171213-027
<br />04/30/2D17
<br />04/30/2018
<br />EACH OCCURRENCE $ 1,000,000 USD
<br />X
<br />DAMAGE TO RENTED $ 1,000,000 USD
<br />PREMISES Ee occumame)
<br />CLAIMS -MADE OCCUR
<br />MED EXP (Any one person) 62,500 USD
<br />PERSONAL &ADV INJURY $1,000,000 USD
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $5,000,000 USD
<br />PRO-JECT
<br />X ❑PRO 71LOC
<br />PRODUCTS - COMP/OP AGO $1,000,000 USE,
<br />POLICY
<br />OTHER
<br />A
<br />AUTOMOBILE LIABILITY
<br />ASI-EIR-171213-017
<br />11
<br />04/30/2018
<br />COMBINED SINGLE LIMIT $1,000,000 USD
<br />a a. rent
<br />BODILY INJURY (Par person) $
<br />X ANY AUTO
<br />OWNED SCHEDULED
<br />BODILY INJURY (Per accident) $1,000,000 USD
<br />AUTOS ONLY AUTOS
<br />PROPERTY DAMAGE 51,000,000 USD
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />Wsracddanl
<br />UMBRELLA LIAB
<br />OCCUR
<br />_
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />WORKERS COMPENSATION
<br />PER 01
<br />AND EMPLOYERS' LIABILITY
<br />STATUTE ER
<br />E.L, EACH ACCIDENT $
<br />ANY PROPRIETOWPARTNER (EXECUTIVE YIN
<br />OFFICEWMEMEER EXCLUDED?
<br />N/A
<br />E.L. DISEASE - EA EMPLOYEE y
<br />(Mandatary in NH)
<br />f yes, describe under
<br />E.L. DISEASE -POLICY LIMIT $
<br />DESCRIPTION OF OPERATIONS below
<br />C
<br />Professional Liability
<br />PSDEF1700298
<br />04/30/2017
<br />04/30/2018
<br />Per Clelm$1,000,000 NEC
<br />Annual Aggregate $1,00(0,000 USD
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />IBI Prefect 30866 Santa Ana General Plan Circulation Element Update
<br />Only with respect to the above and arising out of the Named Insured's operations are the following names) added to the policy as Additional Insured(s). The policy limits are not Increased by the addition of such Additional Insureds)
<br />and remain as stated in this Certificate
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives where required by written contract or written agreement with respect to commercial General Liability, Automobile Liability and/or Umbrella Liability
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />20 Civic Center Place, M-20 P.O. Box 1988
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Santa Ana, CA 92702-1988
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORD:ED REPRESENTATIVE
<br />ol1v
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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