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—rv} ,� � j�i ! " �•�.' V f1i0 ISSUE DATE (MMmoNY) �P 10/31/08 . PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Alliant Insurance Services, Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT 1301 Dove St., Suite 200 AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Newport Beach, CA 92660 (800) 821-9283 Ext. 190. Fax (949) 756-2713 COMPANIES AFFORDING COVERAGE License No. OC36861 INSURED SPECIAL LIpBILMYINSURANCE PROGRAM PRUP) MEMBER: COMPANY ALLIED WORLD NATIONAL ASSURANCE LETTER A PAINT YOUR HEART OUT, INC. COMPANY 1260 N. HANCOCK, UNIT 103 j LETTER 6 ANAHEIM, CA 92807 COMPANY C LETTER � COMPANY LETTER D COMPANY E LETTER CONERACrE$ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSUR INCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSION AND CONDITIONS OF SUCH POLICIES. LIMITS__S__H_O_ WN MAY HAVE BEEN REDUCED PAID _BY_C_LAIMS. CO - TYPE OFINSURANCE POLICY NUMBER LTR POLICY EFFECTIVE —PoLICY EXPIRATION LIMITS DATE(MWDDM) DATE MMIDDYY A GENERAL LIABILITY C0104071001 09/29/08 j 9129/09 GENERALAGGREGATE NA` X COMMERCIAL GENERAL LIABILITY I 'I, PRODUCTS-COMP/OP $1,000,000 I CLAIMS 1 OCCUR I MADE AGO. PERSONAL & ADV. INJURY $1,OOD,000 OWNER'S&CONTRACTOR'S EACH OCCURRENCE PROT. ! $1,000,000 X GLDed: $1,000 FIRE DAMAGE (My ane fie) $1 000,000 MED. EXPENSE (My one eraon _. N/A A AUTOMOBILE LIABILITY C0104071001 V9129/08 9129/09 $1,000,000 ANY AUTO 1 I ALL OWNED AUTOS --.._.__._ BODILY INJURYSCHEDULED -.._ _..._.__--.-._.-.-. AUTOS (Per pePR,n) dXX HIRED AUTOSBODILY INJURY NON -OWNED AUTOS (Per acdBaM) GARAGE LIABILITY PROPERTY DAMAGE AUTO DED: $1,000 j i EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM I �'L� as 61c®a. +rg � ; i STATUTORY LIMIT 6 { ('1'{Ae WORKER'S COMPENSATION I EACH ACCIDENT : AND DISEASE -POLICY LIMIT j EMPLOYER'S LIABILITY j DISEASE -EACH EMPLOYEE ' I I pE cxwr 'POLICY FORM DO[S rvUT I:ONTA�N P GENEAIALiL1tlPLITY gGGREGATE AS RESPECTS TO THE AGREEMENT WITH THE CITY OF SANTA ANA. THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES SHALL BE NAMED AS ADDITIONAL INSURED, THIS INSURANCE IS PRIMARY AND NOT AFFECTED BY ANY OTHER INSURANCE CARRIED BY SUCH ADDITIONAL INSURED WHETHER PRIMARY, EXCESS, CONTINGENT, OR ON ANY OTHER BASIS, SEVERABILITY OF INTERESTS: THE TERMS'PARTICIPATING NAMED INSURED" AND "INSURED" ARE USED SEVERALLY AND NOT COLLECTIVELY, BUT THE INCLUSION HEREIN OF MORE THAN ONE "PARTICIPATING NAMED INSURED' OR "INSURED" SHALL NOT OPERATE TO INCREASE THE LIMITS OF THE "COMPANY'S" LIABILITY. ADDITIONAL INSURED ENDORSEMENT ATTACHED. SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS. CERTIFICATEHOLDER" E,i��!„;t. Y �. 40";'-w ' < . ,.. .... ,",. "SHOULD /.0 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ' CITY OF SANTA ANA IN EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL GNT DGAVGR O MAIL _ ATTN: FRANK HERNANDEZ M DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MANAGEMENT AIDEjJart 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 `EXCEPT 10 DAYS FOU NON-PA4MENT AU I H RIZED REP ENT .. NkiIIbiaCii' , nrw. mlalsaalmrL NIWMpNWAA>+-e »..wmrw>xinRPem -. ewsw+ISPa lam Mn .w .ae,_ay.. u�.rt ,.r>r,an