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FAX No. :5624,355661 Dec. 17 2007 02:e0ril r, <br />FROM :0 ENT�TRIMENT EAR NO. 407 645 2810 P. 01 <br />DPC-17-2007 ttON 03:14 PM <br />CERTIFICATE OF INSj�A1�iCE <br />PRODUCER: DATE MUSP: 12/17id007 <br />ODMIl <br />LI;S'IERKALMAN80NAOSNCY,INC. 100Yo CERTAINUNDBRWRTIERSATLLOYD'91 <br />P,O. BOX 94000E LONDON <br />MAITLAND, FL 32794-i100B pOLICY NUMBER: NCM66574 <br />PH: (407) 645-SM <br />FAX: (4M 645,2810 <br />NAMED INSURED: RPPF.CTIVG DATE: 05r& We <br />DArE: <br />0 9NIERTAINMBNT. INC. C/0 ROY HASSUTT CU M007 <br />$391. BIXBY ROAD. R S9 OW PAYS AT 12:01 A.M LOCAL STANDARD TIME) <br />LONG BEACH, CAWFORNIA 90817 <br />COVAAA tNFORMAT[ON r <br />TJUS IS TO CERTIFY T THE POLICY(3) OF INSURAN LISTED BELOW HAVE ISS IN URCsD <br />NAMED ABOVE port TjW K)j fGY PERIOD RgDICATED, NOT VIMOTANPtNO ANY Q.FAUIREMI•TVT, TERM(S) OR <br />WITH' RMFJT TO WHICH THIS <br />ISSUED ORNMAY FPAERNY <br />ERT cY�INSURANCE APFOR0817 YB POdCIIES DESCRIBED HEREIN ISSSSUB7EGT tO AYBE <br />THE TERMS, EXCLUSIONS AND/OR CON011101i OF SUCH POLiCM.LiMTM OF LIABILITY SHOWN MAY HAVE H <br />REWCBD BY ANY PAID CLAIMS <br />TYPE OF INSURANCE; LJMI'TS: ' <br />0 RAL L1ABDdCY AGGREGATE: S 2 OOO Q00.00 <br />IiiiiiCLADASMADE LSMRRD VIRMUCCS A0GREOATE 8-0- <br />OWNUS,t.ANDlARD9.A,TENANTS PERS(iEACij CCURRORCM: URY: S0 <br />RETRO DAZE: 051I5/2006 <br />FIRE DAMAGE (ANY ONE FIRE) •000.00 <br />ADDITIQNAL 1NSUREII(S): 11R "R OP SANTA RNA. irs OFFICERS, SMpLOYBEH, AGENTS T ENl'A'17V1r <br />JEROME PARK 191ARE HEREBY ADDED AS ADDMONAL INSURED ONLY AS THi'IR IN'1`ERE9T MAY APPEAR IN <br />RESPECTS TD THE ONLY <br />OPERATTONH) Roof yl IS BY THE <br />AND �N�G OR�EMPIAYEE(S) <br />SITE A I (ACHED ADD U14,711, " FOR DE9C1 1PT1CM OFLIABILCCY COVERAGH(S} AFFORIJBD. <br />EVENT PATF(S): MARCH 28. 200E THROUGH MARCH 34 2M <br />LOCATION: JEROl4R PARK IN THE CITY OF SANI A ANA CALIFORNIA 9Z701 <br />THL4ri <br />CRBLTiFiCATE 1311111.4111 () A A MAT76R OF [NFORMATiON ONLY AND CONFERSNO [tlOHTB <br />".,EPDLICY(S)LISTED. OL MITSBROWNAMRTHOSB RCTAS-O FO4ilCYRINCICPPIONTHE mw�S)AFFORPFAR <br />SHOULD ANY OF THB ABOVE POI ICY(Sj BF: CANCELLED BEFORE TILE EXPIRATION DATE THEREOP, <br />THE ISSUING COMPANY WU.L 00200MILTtMAIL-30_ DAYS WRITTEN NOTICE TO THE CERTIFICAT a HOLDER <br />NAMEP111LOW, _.._ ... <br />• 10 DAY NO77CR t]F CANC&1d.A1TpN WILL APPLY PUR NUN -PAYMENT OP PREMIUM' <br />CERTIFICATE HO8 D ! ONAL IN AT1T1 RaR17.RD REPR ENTATIYL': <br />THE CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CAUFORNIA 92701 <br />ATTN: PURCHASING DEPARTMENT <br />FAX# 567/495-5%1 7141371-4235 714/647-6944 <br />X.... <br />LMANSON/PRH91llE'N7' <br />