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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID LM DATE(MMIDDIYYY <br />EASTL-2 07 22 09) <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOP <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 />INSURED INSURER A: Philadelphia Insurance Cos. <br />INSURER B: State Comp. Insurance Fund <br />East L.A. Class c Theatre Corp INSURERC: <br />Lena Sanchez #PMB378 <br />2168 South Atlantic Blvd. INSURER D: <br />Monterey Park, CA 91754 <br />INSURER E: <br />COVERAGES <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 />INZK <br />LTR <br />KUU � <br />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMIDDIYY <br />POLICY EXPIRATION <br />DATE MMIDD/YY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1 , 000 , 000 <br />PREMISES (Ea occurence)$ <br />100,000 <br />A <br />X <br />X COMMERCIAL GENERAL LIABILITY <br />PHPK438976 <br />07/31/09 <br />07/31/10 <br />MED EXP (Any one person) <br />$ 5,000 <br />CLAIMS MADE [j�] OCCUR <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />AP P <br />ED A TO F <br />RM <br />X <br />sex/phys 1RRn <br />GENERAL AGGREGATE <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 1 , 000 , 000 <br />POLICY71 PRO LOC <br />JECT <br />' <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ATTORNEY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1000000 <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />— <br />X <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PHPK438976 <br />07/31/09 <br />07/31/10 <br />BODILY INJURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGG <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />s2,000,000 <br />AGGREGATE <br />$2,000,000 <br />A <br />X OCCUR F—ICLAIMSMADE <br />PHLTB276942 <br />07/31/09 <br />07/31/10 <br />$ <br />DEDUCTIBLE <br />$ <br />X RETENTION $ 10000 <br />WORKERS COMPENSATION AND <br />X TORY LIMITS I I ER <br />E.L. EACH ACCIDENT <br />$ 1000000 <br />B <br />EMPLOYERS' LIABILITY <br />ANY PP.OPRIETORrPARTNERIZXECUTIVE <br />OFFICER/MEMBEREXCLUDED? <br />1917043-08 <br />02/01/09 <br />02/01/10 <br />E.L. DISEASE - EA EMPLOYE <br />$ 1000000 <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT <br />1 $ 1000000 <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />* except 10 days for non-payment. Certificate holder is additional insured <br />per attached form CG2026 07/04 <br />111l912 [Me\ I ;M:1010 93 •1G10 L•1;I R ■_IIl• <br />CTYSA-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIt <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />City of Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Attn Parks & Recreation <br />20 Civic Center Plaza REPRESENTATIVES. <br />Santa Ana CA 92701 AUT EP ATIVE <br />ACORD 25 (2001 <br />988 <br />