|
<br />"OM
<br />
<br />nHU)APR 27 20D5 21 43/n 21 '42/i'lo 6921~5457i P
<br />
<br />,
<br />
<br />ACORD CERTIFICATE OF LIABILITY INSURANCE Oil TE (MMJOD/VYYVl
<br /> ,. 04JUt/2oa6
<br />I"ROCiUCER "'I<ln", y;:.t.!~J_IH4 FIl~: 582~47 ' 1lI~7 THiS CERTIFICATE IS ,:UUf:O AS .. MATTER OF INFORMATION
<br />BL.AKE p, SANBORN IHSlURAN'CI! ONLY ANg CONFERS NO R1GI1TS UPON THE CERTIFICATE
<br />1126.4 WHITTIER BLVD, HOLDER. ~~~~"1lI"IC"TE ~:~ :~T AMEND, I::xr:? rZ.
<br />WHITTlER CA 90603 ALTER THE A.A~ AFFDRD T~' POLICIES .
<br /> I I
<br /> IN$URlifU AFFORDING COVERAGE I HAle'
<br /> IV -J..C)O(,- 0_6 7 ,
<br />- ^~MV I....... ~27"O l- -
<br />INSURED INSURER ^: CNA Commereial .-
<br />THE ART eAR STUDIO AND GALleRV -.
<br /> INSURER B:
<br />207 N. BROADWAV. SUI'I'E BG ... ---- .-
<br />!.ANTA ANA CA &2701 INSURER C _.~. ..
<br /> INSURER 0 -_._- ---.
<br /> .
<br /> ! INSURER E
<br />
<br />COveRAG~5
<br />
<br />nIt POLiulj;, or INtiUKANCf lISTEO anow HAVE !'IEEN 1.:>5UED TO THE INSI/::,..O NAMfr. AelOVf F(l~ TI'1f. POllC'::r~::::,,~ INQ'I,;....'f[O. NOl'MTI~ST^NDI"C
<br />ANY ReOUIRH.II"N"J TI:RM on. COJorjDITION OF ANY CON'r'RA,(;T on OHleR DOGUMENT wr'l'H It!'sr!'CT TO MilCH TklS CfR'IWICA'T!' MAY m: Issueo OR
<br />MA'f l'IofUAlN. 11'11:: IIII~Un:ANCC ^~~OIl.f)Fn 'w THE POUCIE5 DESCRI()[D HIOoU;I!\1 1'0 :.UlIJECT TO All nil' T[~M:;. ~~ClVliIUN~ AND CONOlTtClN" 00:; :;U('.H
<br />"'Olll.:lI:~ ....Ql3flfQATl:: liMIT:'; S...O...... MA'I HAVE BE'-N nEOUCfiO !;IY PA.IO CLAIMS,
<br /> --..----- I .. --
<br />,~~:I,~~~ TYrEor-''''SlIrtANC[ ,-o~ICYNlJlllfl!'. I I'OUaYUfEIlTMI ~Q~'I;' ~AAnoN lI1111IT!!
<br /> , O"WIllM'DCIIY'l' , ..
<br /> I or"',,""'- llA81UTY 20721H4G8 , 12/04/08 1./0-4107 !:Ac.1-t OCCUR~fNCt: ,s 1,000,000
<br /> I I X COMMERCIAL GENERAL lI....blllTyl I t;:~';CIO-REPmD I, 1ClO,DOft
<br /> I . 'CI.AiMSM40i:! X OCCUR I l"~ ~I".' 1'_~J'!"'~'"""} I'
<br /> I Mf,O EXP rAn~ 'Orli) pl!-rSIlr"lf ',1lOO
<br /> ~ES! ~ , I . !,
<br />. , "ERSONAl & AOV INJUIl:Y 1,QOO,000
<br /> ..-..-
<br /> , c,r;NERALAC,(';P.F(";AU! ., 2,OGa,oaG
<br /> ...-.-.--. I ,- _.- I.
<br /> : GFN'I. A06RtGATf LIMIT Ai>PLlfS PEn.' I.~~ODUCTS.COM"IOP ~:~__ , 1.000,~
<br /> !-'nO n ,
<br /> I r"(lUCY I IceT IlOC! ,
<br /> AUTO"08'~E 1.1AlJll.I," COMl'ltNl'.O SINGlI': IllMllT
<br /> ! fIIHAlllQ i \UttCl(lIt1I) ,
<br /> -.
<br /> : Att OWN!:O AUlDS I MOllY INJURY
<br /> , -1 ;;CHECUU;CAIJTOf, , (~"I>'H.u,,) .,
<br /> I I I I
<br /> ---...--.-..- I -
<br /> I HIREOAUlO{; I I 60DltYlJiJUAV
<br /> NO~\HM"'IEO^UTO~ "'fl(lOUid.ntJ "
<br /> I I -- , ..
<br /> . ;-1 ... ",.~?~,~..:;~,,~^NAGE I'
<br /> , I
<br /> 1 i CAiU.~E ..1o\81LlTY I I AurO ONLY. ~ ACCICENT I,
<br /> I JlN."h,JT(l I -.'-r.
<br /> I I OTHER. lHAN EA~'5l_I_$
<br /> , I AUTO ONLY AGG S
<br /> I exCE55 I UMBRelLA LIABlLln' I !:ACH CCCURR.fNCE I,
<br /> : CLAIMS MADE I, ~
<br /> I OCCUH: MOGl!Ef,ATr
<br /> -----.- I, ~
<br /> - -
<br /> OCDUCT![jL[ "IH-, H: I "
<br /> n flI:'r~"HI(\N s i~..j /,~;, , " .---
<br /> , , , "
<br /> I #k~& . I':ci:'~~~n liOll'lI!1( I
<br /> I.....OR"il'li t:OMPE~5ATlaN AHO
<br /> f"MPlOYERS'lIA81LllY El EACH ACCIDENT I'
<br /> 'l>H\(tllOHl*'(Ift<~'Nt*'1J;~(\lTln ... ~j .~
<br /> 'OHlOt:RiUEIlI8EIlEllCLU<<D' EL DI5EM;E.I'^ PJlPLOV(E$
<br /> \'.,-. . ,
<br /> l.t.............M.. ':r.:" .;'. ,'-' i .. .-. -+- .
<br /> 'P'CIALP~O'oItlltIlNI,"I<I... ; , . I It:.l DlSEASE.....OlICYlIMn I'
<br /> IOTHER , i I !
<br /> I I ,
<br /> , , I
<br /> ,
<br />DESCRIPTION OF OPERATIONS/LOCATION$Nl;HltoI.1;5fI;XCL.USIONi AOCI;D BY ENDOASEMIi:NTf SPECIAL. PROV1$10NS
<br />~I;E I;NOORSEMNT
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANC~LLAT'ION
<br />
<br />CITY OF SANTA ANA I'ol-lrlULIl AloI'i' O~ 'Tl-IF .AOVI' IlFfir:Alfl~1'l "OII('.I~1: kr I;AN(.I'I I 1'1) JlH(lRl' T"~
<br />EXPIRATION OArE THf.,fOF l'HE 18gUJNC IJ-tSUAf... 'MlL EHCE.A"()A TO MJlIl'O D.An
<br />,,~ CIVIC Cf:NTE:R PLAZA 'M'!ITTl;N NOTICE TO THE CERTifiCATE HOLDER NAMfl) TO THE lEFT. BUT FAllunE
<br />SANTA ANA, CA 92101 TO 00 SO !lI1ALlIMl"OSE NO 08LIGATlON O~ LIA61U1Y ot: ANY IONO urONll1I" IN!.UR[ll:
<br />Irs AGENTS OR RePReseNTATives
<br /> r\UTHOAfZfC REMfSENTATIVE
<br />Attention:
<br />
<br />ACORD g. (2001108l
<br />
<br />CertlflCJlteil
<br />
<br />10170
<br />
<br />r[I ACORD CORPORA T10N 1'88
<br />
<br />G ~
<br />
|