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<br />AcvRQ CERTIFICATE OF LIABILITY INSURANCE
<br />-
<br />DATE (MM/DD/YYYY)
<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(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
<br />CONTACT
<br />LIMITS
<br />NAME:
<br />Aon Risk Services Central, Inc.
<br />PHONE FAX
<br />Minneapolis MN Office
<br />A/C, No, A/c, No:
<br />E"NIAIL
<br />ADDRESS:
<br />5600 West 83rd Street
<br />8200 Tower, Suite 1100
<br />INSURER(S) AFFORDING COVERAGE NAIC 9
<br />Minneapolis MN 55437 USA
<br />INSURER A: Liberty Mutual Insurance Company
<br />INSURED
<br />INSURER B:
<br />IBI Group
<br />04/3012018
<br />18401 Von Kansan Avenue, Suite 110
<br />INSURER C: Beazley Insurance Company, Inc.
<br />INSURER D:
<br />Irvine, CA 92612
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: USIBI.557-1718 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 POLCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUER
<br />POLICY NUMBER
<br />POLICY EFF
<br />POUCYEXP
<br />LIMITS
<br />LTR
<br />INSRD
<br />WVD
<br />MMIDD
<br />MIDD
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />T81.B71-171213-027
<br />04/30/2017
<br />04/3012018
<br />EACH OCCURRENCE $ 1,000,000 USD
<br />CLAIMS -MADE � OCCUR
<br />E TO RENTED
<br />PREM SES Ea occurrence) $ 1,000,000 USD
<br />MED EXP (Any one person) $ 2,500 USD
<br />PERSONAL & ADV INJURY $ 1,000,000 USD
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $ 5,000,000 USD
<br />X El PRO ❑
<br />PRODUCTS — COMP/OP AGG $ 1,000,000 USD
<br />POLICY JECT LOC
<br />OTHER
<br />A
<br />AUTOMOBILE LIABILITY
<br />AS1-871-171213-017
<br />04/30/2017
<br />04/30/2018
<br />COMBINED SINGLE LIMIT $ 2,000,000 USD
<br />Ea aaidenl
<br />BODILY INJURY (Per person) $
<br />X ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident) $ 2,000,000 USD
<br />HIRED NON -OWNED
<br />PRO=
<br />PROPERTY DAMAGE $ 2,000,000 USD
<br />AUTOS ONLY AUTOS ONLY
<br />Per
<br />$
<br />UMBRELLA LAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED I I RETENTION $
<br />$
<br />WORKERS COMPENSATION
<br />PER OTH-
<br />I
<br />AND EMPLOYERS' LIABILITY
<br />STATUTE ER
<br />E.L. EACH ACCIDENT $
<br />ANY PROPRIETOR/PARTNER /EXECUTIVE Y / N
<br />OFFICERIMEMBER EXCLUDED?
<br />N / A
<br />E.L. DISEASE - EA EMPLOYEE $
<br />(Mandatory In NH)
<br />If yes, describe under
<br />E.L- DISEASE - POLICY LIMIT $
<br />DESCRIPTION OF OPERATIONS below
<br />C
<br />Professional Liability
<br />PSDEF1700298
<br />04/3012017
<br />04/30/2018
<br />Per Claim $ 1,000,000 USD
<br />Annual Aggregate $ 1,000,000 USD
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />SARTC Parking Plan
<br />Only with respect to the above and arising out of the Named Insured's operations are the following name(s) added to the policy as Additional Insured(s). The policy limits are not increased by the addition of such Additional Insured(s)
<br />and remain as stated in this Certificate
<br />City of Santa Ana, its officers, agents, representatives, volunteers and employees where required by written contract or written agreement with respect to Commercial General Liability[Non-Owned Auto
<br />With respect to Commercial GenerallNon-Owned Auto, the policytes) described above shall apply as primary for the operations of the named insured on behalf of the City to Ana. A cross liability clause Is included in the policy
<br />wording.
<br />REVIEWED BY: EUNICE HEREDIA (PGI OF )
<br />GtK I If-IGA I t t1ULUtK GANGELLATIUN
<br />City of Santa Ana
<br />20 Civic Center Plaza (M-30) P.O. Box 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Santa Ana„ CA 92702 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />REPRESENTATIVE
<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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