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CERTIFICATE OF LIABILITY INSURANCE <br />04/16/2013 <br />04/10/2013 <br />THIS <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Pro -Form Sinclair Professional <br />15 Allstate Parkway, Suite 310 <br />NAME CONCT Dafna Warshager <br />AIONNO Ez :9O5- 305 -1054 qIC, No :9O5- 305 -1093 <br />Markham, ON L3R 5134 <br />E -MAIL <br />ADDRESS: 9 dafna.warsha er hubinternational.com <br />INSURERS AFFORDING COVERAGE <br />NAIC N <br />US000085371_113A <br />INSURER AXLE Insurance America, Inc. <br />24554 <br />EACH OCCURRENCE <br />NSURED <br />IBI Group <br />INSURER B: <br />X COMMERCIAL GENERAL LIABILITY <br />INSURER C <br />18401 Von Karman Avenue, Suite 110 <br />Irvine, CA 92612 <br />INSURER D <br />D M E <br />PREMISES (Ea occurrence) <br />INSURER E <br />CLAIMS -MADE M OCCUR <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER:Y9ZXMYGK REVISION NUMBER: <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />LTR <br />TYPE OF INSURANCE <br />ADOL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDNYYY <br />POLICY EXP <br />MMIDDI YYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />US000085371_113A <br />04/30/2013 <br />04/30/2014 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />D M E <br />PREMISES (Ea occurrence) <br />$ 300,000 <br />CLAIMS -MADE M OCCUR <br />MED EXP(Any one person) <br />$ 5,000 <br />PERSONAL& ADV INJURY <br />$ 1,000,000 <br />X Contractual Liability <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER'. <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />X PGUGY PRO- <br />JET LOC <br />$ 1,000,000 <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY I NJURY(Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTO S <br />BODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />LED i I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />WC STATU- OTH - <br />TORYLIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR /PARTNERIEXECUTIVE ❑ <br />OFFICER /MEMBER EXCLUDED? <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ADD RD 101, Additional Remarks Schad of e, if more space Is required) <br />Santa Ana Station District Visioning Concept Design & Analysis; Project # 29614 <br />"The City of Santa Ana" are added as additional insured to Commercial General Liability and /or Umbrella Liability only, but only with respect to liability arising out of the <br />operations of the named insured. The Insurer will provide the Certificate Holder with thirty (30) days written notice of cancellation of the policy. <br />Limits shown are in US Dollars <br />City of Santa Ana <br />20 Civic Center Plaza (M -30) <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATETHEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE W ITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />