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MAY-16-07 WED 04;00 PM KALMANSON FAX NO. 4076452810 F, Ul/U4 <br />CERTIFICATE OF INSURANCE <br />DATE ISSUED: 051042D07 (revised 4 1) 05/16/2007 <br />COMPANY: <br />I.ES'lERKA1,MANSON AGENCY, INC. <br />100% CERTAIN UNDERWRIT)kRS AT LLOYD'S <br />F.D. BOX 940008 <br />A -,A00 —D/ <br />LONDON <br />MAITLANU,FL 32794-0008 <br />` Pit! (407)645.50M t>Z��S— OJs- <br />645-1910 <br />OI POL.ICY\UIvffiER: NCb406574 <br />FAX: (407) <br />�NAMED INSt1RED: <br />LF11iC1'IVE DATE: <br />EXPIRATION DA] E: <br />0 FNMTAINMENT, INC. CJO ROY HASSIJIT <br />0525/2007 <br />05252008 <br />539 �; **IXBY ROAD, 4 59 <br />LONG'9VACH, CALMOW RA 90813 <br />W111 DAYS AT 17:01 A.M <br />LOCAL STANDARD TIS1K.) <br />—" — COVERAGE <br />INFORMATION <br />Ti i tS 1S TO CERTIFY THAT 1'111? POLICY(S) OF INSURAN + LISTED BELOW HAVE BEEN ISSUED TO THE INSUR :O <br />NAMED ABOVE FOR TUR POLICY PERIOD INDICATED. NOT WITHST'ANDINGANY REQU EMENT,1'IiRM(S) 01, <br />(XNDITIONS) OF ANY CONTRACT OR OTIIM DOCUMENT WVl'HRESPEtT I)O WHICH THIS CRRIIFICATE•(S) NAY <br />OR MAY PE'LN tTA, TI-14 INSURANCE AF1'ORDED BY 1IM POLICIES DBSC.'RIDED HEREIN IS SUBJECT TO <br />ALL TI IB 1'EILYLS, EXCLUSIONS ANDIOR CONDITIONS OF SUCH POCKI133.LIMITS OF LIABILITY SHOWN MAY <br />HAVE BEI?N REDUCED BY ANY PAID CLAIMS <br />TYPl 017INSURANCE: LIMITS: <br />t?X GENERAL LIABILITY GF,Nf•:RAL A.GGRE(,A'!E: S 2,OW,000.0) <br />._CL VMS N-ADL LIMITED PRODUCTS AGGREGATE S-0- <br />. ?N':LCRDS,94'-ENANITS PERSONAL&ADV.INJURY: S•0- <br />EACH OCCURRENCE: S 1,000,000.0) <br />FIRE: DAMAGE (ANY ON13 FIRE) S-O- <br />ADDTI70NAL INSURGu(S): THE CITY OF SANTA ANA, SANTA ANA DEPARTMENT OF PARKS AND RECREA110N, - <br />11iltOME PARK 4n' OF 1ULY.15/ARF. HEREBY ADDBU AS ADDITIONAL WSURED ONLY A S THESR INTEREST M \Y <br />AFPLAR IN RESPCCGS TO THE OPCRATION(S) PERFORMED BY THE NAMED INSURED AND/Olt IT'S EMPLOYE E(S) <br />ONLY <br />Siff i Al TACHCD ADDENDUM "A" FOR DESCRIPTION OF LIABILITY COVF, RAGE(S) AFPORI)F.O. <br />EVEN' OATE(S): ]UVP, 25, 2(307 TIiROUGII JUNP. 28, 2007 (SET-UP) )W- 29, 2007 TIIROU(iH JULY 03, 2007 (F:VF.4T) <br />JULY 04, 2007 (TAKF-DOWN) <br />JE )M PARK SAN'A ANA CALIFORNIA 92701 <br />CERTIFICAIT IS lSSIlED*AS A MATTER OF INFORMATION CNI,Y AND CONFERS NO RIG111'S UPON THE <br />1 CERTIFICATE HOLDER.T1115 CrwBFICATE DOES NOT AMEND, EXTEND OR ALTERTHE COVERAGE(S) AFFOPMED <br />BY 111E POI..ICY(S) LISTED. "Y,wr S SLLOSVN ARE THOSR TN CFNBCT AS OF POLICY INCEPTION." <br />S! ICJLD ANY OF 117E nBOVL DERCRfRED POI.ICY(5) BE CANCEL[ ED B4FOR$1HE LJ MATION DATE TAEFEOF, <br />7*17Ir; ISS ING COMPANY WILt. ENDEAVOR TO MAIL. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER <br />NAMED BCI OW, BUT FAILURE TO MAIL SUCH NOTICE SHALI, IMPOSE NO OBLIGATIONS) &/OR LIABILITY (S) OF <br />ANY KIND UPON IVC COMPANY, IT'S AGENTS &./OR REPRESENTATIVES &/OR KALMANSON ET AL. <br />CERTI1lCATF'.HOLDERIADDITIONAL INSUTtBD: f.URFIORIZEDREP •SEN1'A1'IVE: <br />T-HF CITY 01' SANTA ANA <br />Pf <br />.-.. Cr � 3.N1A92701 <br />". ' :..,t"'c A1.IL::I/ TO CER7IIOLur;II ON OSl1G2007 <br />5 Z-193 -5961 7141571.4209 <br />4" <br />i <br />:c <br />MTTCIICL KAI, NSON/PPRESIDENE <br />i <br />u <br />