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<br />ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP 10 LM I DATE (MMIDDfYYVY)
<br />EASTL-2 10/01/08
<br />PRODUCER f'J-2001l-/27 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATlm
<br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />INVENSURE Insurance Brokers HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />17912 Mitchell South ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
<br />Irvine CA 92614-6014
<br />Phone: 949-756-4100 Fax:949-756-4199 INSURERS AFFORDING COVERAGE NAIC#
<br />~SURED ---~. - ----
<br /> INSURER A Philadelphia Insurance Cos.
<br /> - .._-~- . -----
<br /> INSURER B
<br /> East L.A. classic Theatre Corp INSURER c:
<br /> Lena Sanchez P.MB378 ._._H
<br /> 2168 South Atlantic Blvd, INSURER D:
<br /> Monterey Park, CA 91754 ,.--..
<br /> I INSURER E
<br />
<br />COVERAGES
<br />
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />Ir;~ ~~~~ - 'O~YE YMM/DDIY~ I DATE'IMM/DD,y~~N
<br /> TYPE OF INSURANCE POLICY NUMBER LIMITS
<br /> GENERAL LIABILITY , EACH OCCURRENCE S 1,000,000
<br />A X ~MERCIAl GENERAlllABllfTY PHPK321591 07/31/08 07/31/09 I ~~~~~~~ ~E~c~~~ce) .100,000
<br /> ! I CLAIMS MADE iXl OCCUR MED EXP {Anyone person) i$ 5,000
<br /> J PERSONAL & ADV INJURY ]$1,000,000
<br /> GENERAL AGGREGATE 'sl,OOO,OOO
<br /> GEN'lAGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO '1,000,000
<br /> ~ ~ POLICY n ~~g. -- LOG
<br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT I
<br /> is
<br />A I ANY AUTO PHPK321591 07/31/08 07/31/09 (Eaaccident)
<br />! - I --
<br /> All OWNED AUTOS
<br /> , - BODILY INJURY ; .1,000,000
<br /> SCHEDULED AUTOS (Per person)
<br /> --
<br /> _lL HIRED AUTOS " BODilY INJURY
<br /> ~ NON.OWNED AUTOS Q; (Per accident) I'
<br /> '., -/'c.
<br /> "y-' I
<br /> - - L{.., ",~-4! PROPERTY DAMAGE .
<br /> , ~ (Per accident)
<br /> ! GARAGE LIABILITY ,; ~ ."tr:::; ., j AUTO ONLY. EA ACCIDENT .
<br /> ~ ANnvro EAACC .
<br /> OTHER THAN
<br /> I AUTO ONLY: AGG .
<br /> EXCESSlUMBRELLA LIABILITY . EACH OCCURRENCE S 2,000,000
<br />A ~ OCCUR D CLAIMS MADE PHU241982 , 07/31/08 07/31/09 AGGREGATE $2,000,000
<br /> ,
<br /> .
<br /> ~ ~EDUCTIBlE .
<br /> X RETENTlON .10000 , .
<br /> I WORKERS COMPENSATION AND I ITOv~l:~rr~ IU~~
<br /> ! EMPLOYERS' LIABILITY
<br /> ANV PROPRIETORlPARTNERlEXECUTIVE I E l EACH ACCIDENT 1$
<br /> , OFFICER/MEMBER EXCLUDED? I E L. DISEASE EA EMPlOYE~ S
<br /> ~ yes, describe under
<br /> SPECIAL PROVISIONS below E L DISEASE. POLICY LIMIT i S
<br /> OTHER
<br />A Sexual/Phys Abuse PHPK321591 07/31/08 07/31/09 Sex/Phy 1,000,000
<br /> Professional Liab Prof Liab 1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES f EXCL.USIONS ADDED BY ENDORSEMENT I SPECIAL. PROVISIONS
<br />*excpt 10 days for non-payment. The City of Santa Ana, and the City of Santa
<br />Ana, and thier respective officers, employees, agents, volunteers and
<br />representatives are addclitional insured and insurance is primary per policy
<br />form for classes held from 9/23/08 to 3/31/09
<br />This supercedes previously issued certificate
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br /> CTYSA-1 SHOUL.D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL.L.ED BEFORE THE EXPIRATION
<br /> DATE THEREOF, THE ISSUING INSURER WIL.L. ENDEAVOR TO MAIL. 30* DAYS WRITTEN
<br /> NOTICE TO THE CERTIFICATE HOL.DER NAMED TO THE L.EFT, BUT FAILURE TO DO SO SHAL.L
<br />City of Santa Ana IMPOSE NO OBL.IGATION OR LIABIL.ITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
<br />Attn Parks & Recreation
<br />20 Civic Center Plaza REPRESENTA~
<br />Santa Ana CA 92701 AUT EP.: ATIVE
<br /> r
<br />
<br />ACORD 25 (2001/08)
<br />
<br />@ ACORD CORPORATION 1988
<br />
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