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<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 />
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