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<br />09/22/2008 12:54 <br /> <br />9093930943 <br /> <br />M 5ANCf-EZ <br /> <br />PAGE 11/14 <br /> <br />fjkQRD. CERTIFICATE OF LIABILITY INSURANCE CJl> III LM I IlAT'EIMM/lIOIYYVV) <br />BASTL-2 09/16/08 <br />PftODUO~ I nlls CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO <br />INvENSURE lns~ranoe ~rokers ONLY AND CONFERS NO RiGHTS UPON THE CERTIFICATE <br /> HOlDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />17912 Mitcheli SQQth ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Irvine CA 926i4-6014 <br />~Qne:949-75G-4100 Fax: 949-756-4199 INSURERS AFFORDING COVERAGE NAICII <br /> -I <br />INSUFtE:;O East l.~. Classle Theatre INGll..IRMA IhilWlphb. l:IlAU~1!lfte(I QDlIl". <br /> """flf!.. <br /> Lena san~e~ fMS378 Co:<p INSUReR 0, <br /> 2168 Sou ~tlantie 81vd. INSURER D: <br /> Monte"",y Pa"k, CA 91754 1NS\JItERB: <br /> <br />COVERAGES <br /> <br />THE POlICIES OF INsORANre LISTEO eaow !-lAVE BeI":N 1S$1.l~ TO 11'IE INSl.JFlE!O NAM:D ABOVE FOR THE POUOY PliR10D INOICAliig, NO'l"Wf'I"tiSTANDING <br />AJoN .EQUIflIlMeNT, TERM OR CONDITION OF NIY CONTRACT OR OTHER OOClMNT WITH REspeCT TO WHICH THIS ~RTlI'1CATIi MAY BI" "SUllO OR <br />MAY PERTAtl, _INSURANCE AFFOROIiO BY THE POLICIES CESORIBI"O HEMIN IS SUBJEOT TO oII.L THE TERM', I!XCW''''N' AND CONOrTIONS OF SUOH <br />POuot;e, AOOREGA'lE lIM1TO eHOlllN MAY ""VE Bl"EN .eDUCED BY PAlO CLA""", <br /> <br />~ TYPE OF INSUMNCE I POLICYNIMIEA . ~ ~ ' I..lMtf'$ <br /> <br />I !:...EI'ffifl^t.UAatlrrv I. I!!"'CHOCCIStRI!NCle $1,000,000 <br /> <br />~ I X .!- """","".dAlOfNE.,,!-.,~""LITV] PHP1t321591 07/31/08 07/31/09 ""SMISES(E.""".....' '100,000 <br /> <br />_ ,_ CLAtM^"" [ij occ'"' M""""IA"....___I. 5 000 <br /> <br />_~_ _ PC;ltaoNAL " ADV *WRY S 1, 000 000 <br /> <br />~_." I GENl;ftALAGGRIiG"re $1~OOO,OOO <br /> <br />!l6ENl.....GGR~E:.LIMlT^~fl~; PROOUCTS.COMP/l'JPAGG $1,000;000 <br /> <br />JPol.IC'f1 ')~~i I iLOC <br /> <br />~ULrMn.ftY <br /> <br />"NYAlITO ; <br />- ' <br />.~ ALL OWNEb Autos <br />sctIEDULEb AUTOS <br />X HI""'AUTbs <br />i! NON..O~/NJD I\UTOS <br />'I I <br />H ---t--_.._-,~ <br /> <br />A~GE UAB1u:rV <br />HA"J'r'AlltOl <br /> <br />6X1;E5stUMBRB.u. UAl!I.IL1TV <br />p COCU. J 0 CLAlMSMAOE PHl12419B2 <br /> <br />~~=1 .10000 <br /> <br />WOFtKI!Fl:$ OCIMPEHMtloH AltO <br />EMPl.OY!:ftS' UABlUTY <br />,o\NV P'~(EToM'AritNER1EXECUTlVI! <br />QFlFtCS1~~MBEft l!XdLutleo'l' <br />~ytlJ,d8IJCII~und!t I <br />S?~I\I.F'ROV1EllON$(,eJOYt <br />O'HER l' <br />A S"""a1/ Phys Abuse <br />Profe~8icn Liab <br />OJ!.$CRIPTlON OF Of!ERAT!OlQi 1 LOCATIONS 1 VB1ra.ES I EXa..USIOtI& ADDS) BY eNDORS!MEN'I' I SPECIAL PROVISIONS <br />*exept 10 d.aYSlfQ~ non-payment.n... City of Santa Ana, and. the City of Santa <br />Ana, and thi~r re.speet.iv~ officers I emplorees I agt!ln't.a, volunteers and. <br />~ep%eBQn~at1v@ are addditional ~nBu~d. (endQresmen~ to ~o2~ow f%om <br />oa",,~~~)for olr~~es held f"om 9/23/08 to 3/31/09. <br /> <br />A <br /> <br />PIlPK~215n <br /> <br />07/31/08 <br /> <br />COMBINEO 19INQL6 LDAIT <br />(ElI~IdI!'ht) <br /> <br />. <br /> <br />07/31/09 <br /> <br />BOOIl Y INJUllY <br />[Plll"pefS(lM) <br /> <br />.1,000,000 <br /> <br />BOOlI.YlN.Jl.IRV <br />(PofIlQC!(lent) <br /> <br />, <br /> <br />PROPERTY Oi\N1AGE <br />(P~~ee~ <br /> <br />, <br /> <br />Al"ITOONLV.!i^^OC(QENt" <br />SA Ace <br /> <br />. <br />. <br />, <br />. 2 ,000 ,000 <br />. 2,000 000 <br /> <br />aTHER tHAN <br />AUTO ONL'f: <br /> <br />AGG <br /> <br />E;ACH OCCURRENCE <br /> <br />A <br /> <br />07/31/08 i <br /> <br />~GGR!;Gf"TE <br /> <br />07/31/09 <br /> <br />, <br /> <br />. <br />. <br /> <br />ITORV UM"" I I"",' <br />'"'.t,. EMH ACCIDENT $ <br />E.l. OISI!;AGg. ~ EMPlOYE: S <br />e.I..otatASE-POUCYLlMIT $ <br /> <br />PHP1t321591 <br /> <br />07/31/08 <br /> <br />1,000,000 <br />1,000,000 <br /> <br />07/31/09 <br /> <br />S""/lIhy <br />Prof loial:> <br /> <br />CERTIFICATE HOLDER <br /> <br />I <br /> <br /> <br />City ol San~a Ana <br />At.t.n PArks & ~e:~a.tiOD <br />20 Civic Cente~ pl~~a <br />Santa Ana CA 92701 <br /> <br />CANCELLATION <br />:;JoIOULD ANY ~ TtU; AIi'QVf:: DISSCRIBf!D ~OLtc1U aE CANCEllI!O BElFO'fIIE THE EXPlRATICN <br />DATE! TMl!RImF, THE ISSUING tN$URER WILL ~N~EAVOR TO MAJI. 30 ~ DAYS W!:ttTreN <br />NOTICE TO THE CEJmFlCATE HOLl)!~ ~MED TO TH'r: lSl1, IWt (""AI....mE TO DO so SHAll. <br />IMPOSE NO OBLIGAtION Oft LIAB1L.lTY OF ANY KINO Uf"OId tHti IN$UREA,ITS AGENTS 011: <br />RSf'ft~l';l.Ir"TlVi"S, <br />^u ATPVE <br /> <br />CTYSA-l <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORDCORPORATION 1988 <br />