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<br />ACORD CERTIFICATE OF LIABILITY INSURANCE I CATE(MMlDDIYYYY)
<br /> ~ 7/26/2006
<br />PRODLlCER '11(;j,j()lll-: I\Sl-H.A:\('E SLm\,j( 'ES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> 1::;::;..1..." nnONSIIIRF. ST., SlE- 110 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> '\JISSfON HILLS, C\ 913..::; HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> (HIW)lBU-3-t..jZ N- &.OO{'-O8~
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br />-- --
<br />INSURED HUNT DESIGN ASSOCIATES, INC ~_~_R A: FARMERS I_~SURANCE .Ii:?CCHANGE
<br /> ----
<br /> INSURER B'l'Rl,!CK INSURANCE:__ EXCHANGE -----
<br /> 25 NORTH MENTOR AVENUE INSURERC
<br /> PASADENA, CA 91106 -
<br /> INSUf.lERD
<br /> -
<br /> INSURERE
<br />
<br />Policy Number'
<br />
<br />Date Entered. 7/26/2006
<br />
<br />COVERAGES
<br />
<br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWITHSTANDING
<br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES LJE:SCRIBED 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 />I,N~!"I~~!:::I -~. INRllRAN~F I POLICY EFFECTIVE I POLICY EXPIRATION --
<br />POLICY NUMElER LIMITS
<br /> I "[GENERAL. L.IADII.ITY -T EACHO!::CIJRRFNC:F __IS1,000,000
<br />A ~""ERClAL GENERAL LlABILI1Y 60028 10 13 11/28/2005 11/28/2006 DAMAGE TO RENTED $ 100,000
<br /> ,I"FlEMISES'Eaacourence
<br /> -~ CLAIMS MADE [ZJ OCCUR MED EXP{~_~Yn,?ns person) ! $ 5,000
<br /> ~1~A:G~;::" U"U "r-'''l:~: : PERSONAL&AUVINJUKY sl,OOO,OOO
<br /> GloNl:YAL AGGREGATE s2,000,000
<br /> PRODUCTS - COMPIOP AGG 62,000,000
<br /> POLICY PRO LOC I
<br /> ,
<br /> AUTOMOBILE LIABILITY COMDINCD SINGLCLIMIT $1,000,000
<br />A ANY AUTO 60028 10 13 11/28/2005 11/28/2006 (Eaaocident)
<br /> f-------- - ---- --t------- ____n_____
<br /> ALL OWNED AUTOS I BODilY INJURY
<br /> $
<br /> '~ SCHEDDLEDADTOS I (PtJ, ~",~u,,)
<br /> I --
<br /> HIRED AUTOS A()[)IIYIN.JURY
<br /> (Peral'.cirlemJ $
<br /> NON.OWNEDAUTOS
<br /> I I PROPERTY DAMAGE $
<br /> (Peraocidenl)
<br /> ~RAGE LIABILITY AUTO ONLY - EA ACCIDENT ,
<br /> ANY AUTO OTHER THAN EA/,CC ,
<br /> AUTO ONLY: ACe $
<br /> , EACH OCCURRENCE .
<br /> EXCESS/UMBRELLA LIABILITY /C~~~/I~
<br /> ~OCCUR DCLAIMSMADE , AGGREGATE $
<br /> f-.:~.~ DEDUCTIBLE ,
<br /> ! I -+--!---------
<br /> : 'RETENTION . I.
<br /> 1)< we STATU. IOTH-
<br /> WORKERS COMPENSATION AND , I ----
<br /> EMPLOYERS' UABILlTY $1,000,000
<br /> B1809 49 89 11/28/2005 11/28/2006 E.L_ EACH ACCIDENT
<br />B ANY PROPRIETORlPARTNERlEXECUTIVE $1,000,000
<br /> OFrlCERIMEMBEREXCLUDED? ! E,L, DISEASE _ EA EMPLOYEE
<br /> If yes, des crib a under E.L.OISEASE-POLlCYLlMIT $1,000,000
<br /> SPECIAL PROVISIONS bslow
<br /> OTHER 160028 LIMIT $136,250
<br />A I BUSINESS PROPERTY 10 13 11/28/2005 11/28/2006 COINSURANCE 90'
<br /> DEDUCTIBLE $250
<br />..ribCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
<br /> DAYS FOR NON PAYMENT
<br />JOB: SANTA ANA STADIUM
<br />CERTIFICATE HOLDER IS ALSO NAMED ADDITIONAL INSURED
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />ITY OF SANTA ANA DATE THEREOF, THE ISSUING INSURER WilL ENDEAVOR TO MAIL ~ DAYS WRITTEN
<br />0 CIVIC CENTER PLAZA (M-30) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, BUT FAILURE TO DO SO SHALL
<br />ANTA ANA, CA 92702-1988 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
<br /> CLERK OF CITY COUNCIL REPRESENTATIVES.
<br />TTN: AUTHORIZED REPRESENTATIVE - .::JLLOHl
<br /> ~ , ......~-3-- &1
<br />
<br />ACORD 25 (2001/08)
<br />
<br />c>
<br />
<br />@ACORD CORPORATION 1988
<br />
<br />Produced u,ing Forms Boss Plus ~oftware "\MIo'.FormsBo~sC<lm Impressive Publishing 80020fl-1977
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