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ACi p® CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 08109 /2DIYYYY) 08/09/2012 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(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 Pro -Form Sinclair Professional 15 Allstate Parkway, Suite 310 CONTA pafna Warsha er NAME: 9 IPA HONrE . ?05- 305 -1054 FAX No): 905- 305 -1093 Markham, ON13R 5B4 E -MAIL ADDRESS: dafna. warshager @hubinternalional.com INSURERS AFFORDING COVERAGE NAIC M 04/30/2013 INSURER A:XL Insurance America, Inc. 24554 INSURED IBI Group INSURER B :XL Specialty Insurance Company 37885 INSURER C: 18401 Von Kerman Avenue, Suite 110 Irvine, CA 92612 INSURER 0: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:96MQ3HSZ REVISION NUMBER: 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 MAYBE 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. INSR R TYPE OF INSURANCE ADDL SUe POLICY NUMBER MMI��/YYEYW MMIOOYYXYY LIMITS A GENERAL LIABILITY US000085371_112A 04/30/2012 04/30/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE 1 RENTED PREMISES Ea occurrence $ 100,000 CLAIMS -MADE M OCCUR MED EXP(Anyone person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP /OPAGG $ 1,000,000 JECT X POLICY PRO LOC Non -Owned Automobile $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E. eccldent $ BODILY INJURY (Psrperson) $ ANY AUTO ALL AUTOS OWNED AUTOS r' APPROVED APPRO VED AS .y 1's6f A ay�}� ✓ 1E'V L`w'�"r' e001LY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS ,ter ;i� I PROPERTY DAMAGE Par accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE Stitt 6 aura Mitt She /'9,SSASYBDC CrCY At Orn.:' EACH OCCURRENCE $ AGGREGATE $ DIED RETENTION$ WORKERS COMPENSATION WCSTATU- OTH- ANOEMPLOYERS'LIABILITY Y/N TO RV LIMITS ER E. L. EACH ACCI DENT $ ANY PROPRIETORIPARTNEWEXECUTIVE OFFICER /MEMBER EXCLUDED? F-1 N I A E. L. DISEASE EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below I I E.L. DISEASE - POLICY LIMIT $ B Professional Liability Insurance DPR 9699233 04/30/2012 04/3012013 Each Claim 1,000,000 Annual Aggregate $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) SARTC Parking Plan "City of Santa Ana, it officers, employees, agents, volunteers and representatives" are added as additional insured to Commercial General Liability and /or Umbrella Liability only, but only with respect to liability arising out of the operations of the named insured. With respect to Commercial General Liability /Non -Owned Auto, the policy described above shall apply as primary for the operations of the Named Insured on behalf of the City of Santa Ana. The Insurer will provide the Certificate Holder with thirty (30) days written notice of cancellation of the policy. Limits shown are in US Dollars, CERTIFICATE HOLDER CANCELLATION Page 1 of 1 ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza (M -30) P.O. Box 1988 Santa Ana, CA 92702"' - Page 1 of 1 ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD