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10 2004 3:05PM ALLIED SPECIALTY TEXAS 2103412050 p.2 <br />®CORD- CERTIFICATE OF LIABILITY INSURANCE <br />p3/10� %0 <br />mowAllied Specialty of Texas <br />THIS CERTIFICATE 1313SUED AS A MATTER OF INFORMATION <br />85 N.E. Loop 410 <br />Suite 600 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLI�= BELOW, <br />San Antonio, TX 78216 <br />800/235-8774 <br />INSURERS AFFORDING COVERAGE NAICB <br />ws o O Entertainment, Inc. <br />539 E Bixby Road #59 <br />Long Beach CA 90807�� <br />^ 44 6 3 — <br />,NSURERA T.H.E. Insurance Company <br />LBURER& <br />INSURERC <br />INSURER O <br />INSURER E: <br />14 UU <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VNTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INBR <br />POLICYNUMBER <br />PIXICY EFFECTNE �PoLICYEIfPS <br />=N <br />A <br />pFMRAL <br />X <br />WwuTY <br />COMMERCIALGENERALLIABILITY <br />I <br />M3MT8210 <br />05/15/03 <br />05/15/04 <br />EncH DCCURRENCE <br />S1,000,000 <br />°`L'A°ETORENTED <br />S 50,000 <br />CLAIMS MADE X OCCUR <br />MED IXP (Mv one PMw11 <br />S <br />PERSONAL A AM INJURY <br />8 110001000 <br />GENERAL AGGREGATE <br />5 10,000,000 <br />1 <br />_ <br />PR00tXiB-COMPgP AGG <br />1,000, 000 <br />GEWAGGREGATELIMRAPPUESPER: <br />__. <br />PRo- Lac <br />ALIT <br />MILE MwL <br />ANYAUTO <br />M3MT8210 <br />05/15/03i <br />05/15/04 <br />COMRNEDSINGLEUMR <br />(Ea each Q <br />E 1,000, 000 <br />_ <br />X <br />BODILY INJURY <br />R'er PERP 1 <br />$ <br />ALL OVINED AUTOS <br />SCHEWLEDAIfT05 <br />BODILY INJURY <br />(Par ecmerrt) <br />g <br />HIREDAUTOS <br />NONJDWNED ALROS <br />PROPERTY <br />(Pera[uCBeli) <br />S <br />QARAGE <br />W0R <br />AUTOONLY-EAACCIDENT <br />S <br />HAIJ EAACC <br />AUTO ON <br />AUTO ONLY: �G <br />_ <br />5 <br />ANYAUTO <br />_— - <br />"CEBSNMBRELLALIAWJTY <br />'OCCUR C MS MADE <br />n <br />EACH OCCURRENCE <br />$ <br />_ <br />S — <br />DEDUCTIBLE___--- <br />-AGGREGATE <br />S <br />RETENT" S <br />✓ <br />MMRNOIH Cp ENMWW MDOTH- <br />- <br />E L EACH ACCIDENT <br />.--_--.. <br />L <br />EMPWYERS'LVIBWTY <br />ANY PROPRIETOR?ARMER£%ECUTNE <br />O ERMEMBER EXCLUDEW <br />5Y !ALGIEsueoer <br />ELDISE E-EA EMXOYEE <br />i <br />E.L.DISEASE-POLICYUMR <br />S—. <br />OMER <br />i <br />pE8CW1pN OF OPEMTIDNH/LOGTIONH I VEHMAE8I IXCLUBIDNB ADDED HY FNOOITBENENTI SPECNU. PROVISIONS <br />ADDITIONAL INSURED: <br />CITY OF SANTA ANA PARKS, RECREATION & COMMUNITY SERVICES AGENCY AND THE <br />CITY OF SANTA ANA <br />LOCATION: CAMPRESINO PARK <br />FOR THE DATES: MARCH 30-APRIL 6, 2004 <br />PARKS,RECREATION & COMMUNITY <br />SERVICES AGENCY <br />888 W SANTA ANA BLVD, 2ND FLOOR <br />SANTA ANA CA 92702 <br />ACORD 29120011091 <br />MOULD ANY M ME ABpVE DESCHI POLICIES DE CANCELLED BEFOI>E THE EZRMMM <br />GTE MEREOF. THE 188UING IMURER30 GYSWR m <br />NOTN:E M THE CO MWATE MOLDER NAMED M ME LEFT. ALL <br />rnu:P;�TryT. <br />M <br />IGRR <br />1' —I— <br />