Laserfiche WebLink
(J <br />0 <br />i <br />Q <br />.FEB-25-2010 THU 04.55 PSI <br />FAX NO. 407 645 2810 P. 01 <br />CERTIFICATE OF INSURANCE <br />RODIICI R: DATE ISSUED: OV06MO9 <br />COMPANY: <br />LESTRR KALMANSON AGENCY, INC. 1000A t EkTAIN VNDEKWfJTMkS A►I' LLOYD'S/ <br />P.U. BOX 94m LONDON <br />MAITLAND FL 327Q4•QX101i <br />PH: (407) 645.5000 P(ILICY NUMBER: NCMOUM <br />FAX: (407) 643-U10 <br />AbOD INSURED <br />O ENTERTAINMENT, INC. <br />C/Q ROY HASSUTT <br />539 Z BIXBY ROAD # 59 <br />LONG RUCK CA 908W <br />ROVE, FOR TM POLICY PFRIOD INAiCATWJ NO <br />N(S) OF ANY MNTFtACT (* OTHER DO CI#NW <br />t MAY PERTAIN. THE INSURANCE AMRDED IX <br />9, EXCLUSIONS AND/OR CONUITUONS OF SUCH <br />BY ANY PAID CLAIMS. <br />OW25/24ff9 05I23/Mio <br />0=0 DAYS AT 12:01 A.M..t a T ANDARD TDa) <br />'I(S) OR <br />SMMAYBE <br />fC£ TO ALL <br />Y HAVE REM <br />IL CLAIMS MADE 1.1 ERPRODUC1sAQ0KEGA"Fi+: W. <br />X OWNERS, LANDLORDS & IT%NANTS P)M"4 A ADV_ INIIiIM $-0- <br />EACH OCCUlkRENCE: S 1,000,000.00 <br />ftMO DAM; 05I25/'I0% FIRE DAAfAG8 (ANY ONE FMkE): S-0- <br />p6TAILTmENT Or PARKS & RECREATION ISIARB HEREBY ADDSO AS ADDITIONAL INSUREDS ONLY AS THEIR <br />WTERE.STS MAY APPEAR 1N RESPECTS TO THE OPSRATiON(S) P'ERFORMC05 BY THE NAMED INSURED ANDIOR "S <br />amn-OYEE(S) ONLY. <br />CaTRICATEVA 1D ONLY WfTH ATTACHED AM "A FOR DESCRIPTIDN QF UA431TM COW-RAGS(S) AIFFURDED. <br />EVENT: SANIA ANA FIESTA DAYS <br />EVENT DATL(S): MARCH 9 14 2010 (PATES INC LUD9 SETUP AND TAKE DOWN) <br />LOCATION; MOMS RARK, 726 S. CENTER Sr, SAWA ANA, CA <br />THUS CGR"M— CA S IS 1WI33D Ag A MATTER OF INFORMATION OKY AND CON NO WAITS UPON THE <br />CBKMCATX HOLDERJUS CER791CATII DOES NOT AMEND, W=ND OR ALTER TiM COVERAGEM AFT'ORDrd) <br />BY'I'NE POLICY(S)USTSI? <br />MOLD ANY Ob THE ABO'VS DES=ft BD POMY(S) BE CANCBLLr.D W-O-RE THS rmmAirioN DATE TMREOF, <br />rft ISSUING COMPANY WILL MAIL jL DAYS' 1NR T HNOTICS To TfIE CERTIFICATSHOLDER NAMED SELOW. <br />CEIiTWICATE UIOL= / ADDITIONAL INSIMED(S): AUT1IORM SENT/IT1VE, <br />CITY OF SAN'TA ANA PPRO TO FORM <br />20 CIVIC (ENTER PI.A2A <br />SANTA ANA. CA R2701 <br />JOS W. ET ER <br />MAILED TO. CITY OF SAWA ANA PA?XS, RECRPAT(ON, Ci Y A R Y <br />AND COMMUNITY SERVICES AGENCY <br />ATTN-. EDITHA SANTL4NO <br />P.O. box 1"s M 23 <br />SANTAANA. ,CA P701 <br />FAX: 714-571.4266 X -. <br />WTaISL NIPIlf 8UDlNT <br />