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<br /> Client#: 66114 2DOWNINC OA7E (MMroomYY) <br /> ACORQn CERTIFIC/a: E OF LIABILITY INSU[ XNCE 06/17/2010 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Willis Ins. Serv. of Ca. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Lic 00371719 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_ <br /> 18101 Von Karmen Ave 6TH FI <br /> Irvine, CA 92612 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURERA Philadelphia Insurance 23850 <br /> Downtown Incorporated INSURERS' Preferred Employers Ins. Co. 10900 <br /> Attn: Vicky Baxter, Executive Director INSURER C: <br /> 305 East 4th Street # 200 INSURER D: CERTIFICATE SUPERSEED PREIOR <br /> Santa Ana, CA 92701 INSURER E: CERTIFICATE ISSUED 06-16-2010 <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO M7I/1IITH <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 /> L R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> A X GENERAL LIABILITY PH PK578659 06/05/10 06105111 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $300 ,000 <br /> CLAIMS MADE O OCCUR MED EXP (My one pemO $10,000 <br /> PERSONAL 8ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE s2,000.000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $2,000,000 <br /> POIJCY PRO LOC <br /> JECT <br /> A AUTOMOBILELU\BIUTY PHPK578659 06/05/10 06105/11 COMBINED SINGLE LIMIT $1,000,000 <br /> ANY AUTO (Ea acddenl) <br /> ALL OWNED AUTOS <br /> BODILY INJURY S <br /> SCHEDULED AUTOS APP (Per parson) <br /> X HIREDAUT(S ^rr~6"V~ FOR BODILY INJURY S <br /> X NOM-OWNEOAUTOS (PBfH °^II <br /> J - LETCHE (P.'I PROPERTY DAMAGE $ <br /> POrecHdenl) <br /> GARAGE LIABILITY NEY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC 5 <br /> AUTO O <br /> AUTO ONLY: qGG E <br /> A EXCESSNMBRELLA LIABILITY PHUB309839 06/05110 06/05/11 EACH OCCURRENCE $1,000,000 <br /> X OCCUR F 1CLAIMS MADE AGGREGATE 51 OOO OOO <br /> S <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10000 $ <br /> B WORKERS COMPENSATION AND WKN1378281 0$/17/09 08/17110 X We sTATU- 0, <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT S11,000000 <br /> ANY PROPRIETOR/PARTNER/FXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? YES _E-L. DISEASE - EA EMPLOYEE S11,000,000 <br /> II X- u *d or <br /> SPECIAL PROVISIONS bek- E.L. DISEASE - POLICY LIMIT $1,000,000 <br /> A OTHER Directors & PHSD513571 06105/10 06/05/11 1,000,000 <br /> Officers <br /> DESCRIPTION OF OPERATIOIIS I LOCATIONS! VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> THE POSSE ON BROADWAY SERIES AND FOURTH STREET SUMMER CONCERT SERIES EVENTS <br /> CITY OF SANTA ANA AND COMMUNITY DEVELOPMENT AGENCY ARE NAMED ADDITIONAL INSURED WITH RESPECTS TO GENER <br /> LIABILITY PER POLICY BLANKET FUND RAISING EVENT ENDORSEMENT NO. PI SE 001 AND INSURANCE IS PRIMARY PER <br /> POLICY FORM cg 00 01 12 07. ° 10 DAY NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM. <br /> (See Attached Descriptions) <br /> CERTIFICATE HOLDER CANCELLATION 10 Days for Mon-Payment <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> CITY OF SANTA ANA DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL Win' DAYS WRITTEN <br /> COMMUNITY DEVELOPMENT AGENCY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> 20 CIVIC CENTER PLAZA, P O BOX IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br /> 198SM-25 REPRESENTATIVES. <br /> Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE <br /> ACORD 25 (2001/08) 1 of 3 #S683075/M680980 2JMEN o ACORD CORPORATION 1988 <br />