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ACORDTM CERTIFICATE OF LIABILITY INSURANCE 6/30120 8 ' <br />PRODUCER (949) 852-0909 FAX: (949) 852-1131 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Milestone Risk Management & Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />License No. OB72766 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />8 Corporate Park, Ste 130 <br />Irvine CA 92606 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: Travelers Indemnity t Co . <br />Saint Joseph Ballet Company pg�6g'S? INSURER B: <br />1810 North Main Street A 20 INSURER C: <br />INSURER D: <br />Santa Ana CA 92706 INSURER E: <br />rnvGoer_Fc <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE EEN REDUCED BY PAID CLAIMS. <br />NSR <br />ILTR <br />ADD'L <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATEYMMIDD/YY <br />RATI <br />PDATE MAA/ D/Yl N <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />DAMAGE TO RENTED 100 000 <br />PREMISE Ea occurrence $ <br />X COMMERCIAL GENERAL LIABILITY <br />A <br />CLAIMS MADE FX OCCUR <br />660-529X3801-08 <br />6/24/2008 <br />6/24/2009 <br />MED EXP (Any one arson $ 5,000 <br />PERSONAL 8 ADV INJURY $ 1 , 000 , 000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS- COMP/OP AGG $ 2,000,000 <br />POLICY F1 PE LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />(Ea accident) $ 1,000,000 <br />A <br />ALL OWNED AUTOS <br />660-529X3801-08 <br />6/24/2008 <br />6/24/2009 <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Per person) $ <br />X <br />HIRED AUTOS <br />fi <br />BODILY INJURY <br />X <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />1 <br />ANY AUTO <br />F <br />, ., <br />AUTO ONLY: <br />AGG $ <br />EXCESS/UMBRELLA LIABILITY <br />A $ 1,000,000 <br />X OCCUR CLAIMS MADE <br />AGGREGATE $ 1,000,000 <br />$ <br />A <br />DEDUCTIBLE <br />HRETENTION <br />CUP346H8101-08 <br />6/24/2008 <br />6/24/2009 <br />$ <br />WORKERS COMPENSATION ANDWC <br />STAT U- 0TH - <br />EMPLOYERS' LIABILITY <br />T RY I 1 <br />E.L. EACH ACCIDENT $ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE -POLICY LIMIT $ <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents and <br />representatives are named as Additional Insureds/ Primary as respects General Liability for the "City of Santa Ana's <br />Community Development Block Grant." *Ten (10) day notice of cancellation for non payment of premium. <br />a.r-R i IrII.A I r- MULLIMIK CANCELLATION <br />(714)647-6549 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City of Santa Ana EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL XCrNXWWOW MAIL <br />Community Development Agency *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, X*X <br />M-25 <br />P.O. Box 1988 <br />Santa Ana, CA 92702-1988 <br />ACORD 25 (2001/08) ,! - ©ACORD CORPORATION 1988 <br />INS025 (otos).oea L� Pagel of 2 <br />