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04/25/2097 17:01 7152464257 <br />CLOWNSOFTFIEIJS <br />PAGE 02/07 <br />Av °~ CERTIFICATE OF LIABILITY INSURANCE °"'~'""°°"""' <br />0425@007 <br />PRODUCER I$ CERTIFICATION S AS A MATTER TqN <br />RJF Apendes. kle. Pyeloutlm ONLY AND CONFERS NO RNiI1TS UPON TFIE CERTIFICATE <br />6000 f4aIhM1 Lane NoM, SWte 400 HOLDER. THtB CERTIFICATE DOER NOT AMEND. EXTEND OR <br />Milxx:apotis, MN ti5az ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />N - 2(~O~I - 0 ~ 4 INSURERS AFFORD{NG COVERAGE NAIC r <br />PedOrmBra Otlhe U.S S CWb Members -Phone: 715-Z40-0906 <br />ABre Stephanie Weiss -Fax: 715-24&1257 <br />PO Box 24 <br />New Wctmora, VN 5[017 <br />THE POLICIES INSURANCE LISTED BELOW HAVE SEEN INEDT THE INSURED NAMED ABOVE FOR THE PERIOD INDICATE .NOTVNTHSTANOING <br />ANV REDUIREMENT, TER4 OR CONDITIai t>F AMy CONTRACTOR OTHER DOCUMENT VVITII RESPECT YO YMIICH THIS CERTIFlCATE /MY BE ISSUED OR <br />MAY PtERTANJ, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN LS SUBIECTTO ALL THE TERMS, EXCLUSIONS AND CONDrt10N5 OF SUCH <br />POLICIES. AGGREGATE U WTS SHONM MAY HAVE BEEN REDUCED BY PAD OIAIMS. <br />Q p <br />YEx <br />TR TYPEOFMSUMNDE PDLrCNgIlllaaR 0~7E WODm ~ <br />~m WIrB <br /> GEJIERALwMUtt CE07CGL00772000 04252007 04252008 encH OCCURRENCE s 1,000,000 <br />A X COMMPAGALOENERAL LIAMUTY aya,o f 50.000 <br /> nJUMSMAOE QX OCCUR uEOPJWIwpansyawV j 5,000 <br /> X CG201011 $5 PERSONAL aAwINJURY j 1.000.000 <br /> X 00200211.85 GENERAL AOGIffGATE i 2.000.000 <br /> GENT AGGREGATE LIMIT APPLIES PERK pRODUCiS •CWPA'W ASiG S 2•~•~ <br /> X POLICY h T LOC 3 <br /> AUl 0Y0a1LEUABILITY COMBNEDfNGLE Leet S <br /> ANY AVID tEa acdamy <br /> xLGANEOAUros <br />BDDRY INJURY <br />S <br /> SCHEDULED AUTOS (PK PRaon) <br /> HWEDNJTOS <br />BODILY INJURY <br />S <br /> NON-0IMIED AlfTOa (P~raedsudJ <br /> PRCPERTY0.AMAOE <br /> <br />tPS auMeAU j <br /> cAIUGELA:eam nuro aNLY-EAACAxOEM s <br /> ANYALITD OTHER THAN ~"~ S <br /> AVTOONLY: PDD j <br /> l7ICESSANABAfiU l1ABLlTV AR5160513 04!262007 04!252008 Ee.CN aDwRRENCE s 2.000.000 <br />A X OCCUi ~C1NM5 MADE AGGREGATE f 2,000,000 <br /> S <br /> DEDUCTIBLE S <br /> RETENTION i O S <br /> VN)11 PERS CDMPHJRATN)NANO TORY LIWTS ER <br /> EMP <br />ANY LOYtJIa' wNLm <br />PROPRIETOWPARINERIE%ECUPVE <br />l.L. GCH ACCIDENT <br />a <br /> oIER:EWMEMBEIt E%CWDEDi EL pSEABE•EA EMPLOYE S <br /> a7.a Gadlb wqN <br /> IN. EL DISEASE •PWCY LadT j <br /> OTHER <br />DESCRIPTION OF OPEMTIONaIIGCARONaI VE/YCLEa/q(qyfqN$A00®BY INDORfEM61Tl9pECMl pRO`AagN3 <br />Pedorrtler Is an ulwJed as a member of Performers Dt tlIe U.S. (Form CG2002 17-65): Adrk+nne Chavez McMMan <br />Additkrnal Inwred: COy at Santa Ana, its DfScerc, a0enls, employees, reproseMaOves, and volunteers. -~----- - <br />..;LCIa 11.L' SL_„ <br />a ,..kd19nL Llty Atl r.:cy <br />SNWLD ANY OF THE ABOVE DESCRIBED POLICIES 0E Glrtp 1 CD BEFORETNEExPIM1xIN <br />City Ot Santa Ana DARTHEtiEOF,TNE ISwWGMSOREA YALIF°^ • romMAIL ~ DAYS wWTfftJ <br />Parks. Recreatan,6COmmunlty Services AOeney NOTICEIG THE CERIIFIGTE HOLDER NAMED TO TIE IER~eYiFe.~.,ocmm_y <br />ABn: Coda Mack-Thompkins <br />P.O. Box 7988 M-23 <br />Santa Ana, CA 92702 u,rNwD~ aEewcsENT - <br />[2M <br />f /Z <br />