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A Y^f� w`A F✓ CERTIFICATE OF LIABILITY INSURANCE DATE (MM /2013 V) 04/10/2013 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 CONTACT Dafna WafShagef NAME: A GNNO Ext ; 905- 305 -1054 n%C No : 905- 305 -1093 Markham, ON L3R 5134 E -MAIL dafha hubinternatlonal.com 9 er ADDRESS: dafna.mrshager@hubinternational.com INSURER(S) AFFORDING COVERAGE NAIC a US00008537LI13A INSURER A :XL Insurance America, Inc. 24554 EACH OCCURRENCE INSURED BI Group INSURER 5:XL Specialty Insurance Company 37885 INSURER C: X COMMERCIAL GENERAL LIABILITY 18401 Von Karmen Avenue, Suite 110 Irvine, CA 92612 INSURER D INSURER E: CLAIMS -MADE FxIOCCUR INSURER F: COVERAGES CERTIFICATE NUMBER:MHWF7NSF 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR R TYPE OF INSURANCE ADDL U D POLICY NUMBER POLICY NYYV MM /DDIIYYYY LIMITS A GENERAL LIABILITY US00008537LI13A 04130/2013 04/30/2014 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxIOCCUR MED EXP(Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 X Contractual Liability GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGO $ 1,000,000 X POLICY PRO- LOC ECT $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION AND AND EMPLOYERS'LIABILITY YIN TWO STATU- OTH- TORY LIMITS EL EACH ACCIDENT $ ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA E, L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) III satrap under IPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT 1 $ B Professional Liability Insurance DPR 9707260 04/30/2013 04/30/2014 Each Claim 1,000,000 Annual Aggregate $ 1,000,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additl on al Remarks Schedule, If more space Is pass red) Project 32961 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 (Ml 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