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IBI GROUP-2017
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Last modified
7/18/2017 2:53:55 PM
Creation date
6/27/2017 3:57:48 PM
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Template:
Contracts
Company Name
IBI GROUP
Contract #
A-2017-126
Agency
Planning & Building
Council Approval Date
5/16/2017
Expiration Date
11/30/2018
Insurance Exp Date
1/13/2018
Destruction Year
0
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IBIGROU-01 MMCCARTh <br />'4�oRa CERTIFICATE OF LIABILITY INSURANCE DAT1/612017 <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 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 License # 1780862 CONTACT Certificate Desk <br />HUB International New England (AIC, No, Ext: (978) 657.5100 FAx <br />299 Ballardvale Street (Arc, Ne):(978) 988-0038 <br />Wilmington, MA 01887 E,AIL <br />.. nee.certificates@hubinternational.com RE <br />INSURED <br />IBI Group <br />18401 Von Kerman Ave. Suite 110 <br />Irvine, CA 92612 <br />COVERAGE _ _ NAICH <br />f`n%1=DAr_CC r`CDTICh`ATC MII IMDCD• DG\/IClnkl MI IMDCD• <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 AOOL SUBR POLICY EFF POLICY EXP <br />TYPE OFINSURANCE INSO WVO POLICY NUMBER MM ODIY V LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MADE F_ OCCUR <br />DAMAGE1 RENTED <br />PREMISES_(Ea occurrence) <br />$ <br />MED EXP (Any oneperson) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />I'. <br />GENERAL AGGREGATE <br />$ <br />P <br />POLICY7 PRO- n LOC <br />C - <br />PRODUCTS COMP/OP AGG <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident $ <br />BODILY INJURY (Per speechVia__ <br />ANY AUTO_ <br />OWNED F SCHEDULED <br />AUTOS ONLY AUTOS <br />Wyy <br />HRTEDS ONLY AO -OWNED <br />BODILY INJURY Per accident $ <br />PeFaccldent AMAGE <br />$ <br />UMBRELLA LIAB OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE_ <br />$ <br />EXCESS LIAR CLAIMS -MADE <br />DED RETENTION $ <br />_ - _. <br />$ <br />A <br />WORKERS COMPENSATION <br />'AND EMPLOYERS'LIRTNEY YIN <br />OFFICERIMEMB�R EXCLUDED RECUTIVE [N] <br />(Mandatory in NH) <br />N/AE.L. <br />08WEEL0990 <br />01/13/2017 <br />01/13/2018 <br />STA ITX OTH- <br />EACH ACCIDENT <br />1,000,000 <br />$ <br />E. L. DISEASE - EA EMPLOYEE <br />$ 1,000'000 <br />E.L. DISEASE -POLICY LIMIT <br />1,000,000 <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) <br />Endorsement WC000313 Blanket Waiver of Subrogation where required by written Contract, Agreement or Permit, and where permitted by Law. Endorsement <br />WC990394 Blanket Notice of Cancellation to Certificate Holders. <br />Reviewed by: <br />'I <br />Stop Gap provided in Monopolistic States: NO, OH, WA & WY D gilally anode by Mario Espintlo aDN: anHvarig Eepmdole, o=Planung and Bulldog Agency, <br />eae <br />aiieespmdola@m <br />USL&H (All States) where required on.Adminialrelme Serclaee Di,iymn, amm <br />anarg, c -US <br />Dale'. 2017.0149 08:05:11 08'00' <br />SEE ATTACHED ACORD 101 Agreement A-2015-289 <br />City of Santa Ana <br />20 Civic Center Plaza <br />PO 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 />ACORD 25 (2016/03) © 1988.2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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