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ACORD CERTIFICATE OF LIABILITY INSURANCE 05OATE/06(NM/D/2010-010) <br />PRODUCER C6033 742-2616 FAX C603)1749-6884 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Wells Fargo Special Risks, Snc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />34 Dover Point Road AHOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />LTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_ <br />Dover, NH 03820-9145 <br />[INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Konstantin Hoc ey Sc col, LLC INSURERA: Great American Assurance Co 26344 <br />DBA: dba KHS Ice Arena INSURER B: <br />1000 E. Cerritos Ave. INSURER C: <br />Anaheim, CA 92805 INSURER D: <br />COVERAGES INSURER E I i <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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED HY PAID CLAIMS. <br />1NSR OD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY GLO226669401 04/01/2010 04/01/2011 EACH OCCURRENCE s 1 000 000 <br />X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED a 300 000 <br />CLAIMS MADE O OCCUR MED EXP (My one parson) a Exclude <br />A <br />OENLAGGREOATE LIMITAPI—PLIES PER <br />POLICY r jECOT t ' LOC <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEOULEDAUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS IIII <br />GARAGE LIABILITY <br />ANY AUTO <br />EXCESSNMSRELLA LIABILITY <br />OCCIIIi Q CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION a <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOPJPARTNER/EXECUTNE <br />OFFICER/MEMBER EXCLUDED? <br />II s, Ee J.e lm R <br />SPECIAL PROVISIONS bsiow <br />OTHER <br />j .h. S "f o <br />._ jGi <br />A��istzmL y At(or <br />PERSONAL6ADV INJURY <br />a j <br />GENERALAGGREGATE <br />a <br />PRODUCTS - COMP/OP AGG <br />S 2 <br />INED SINGLE LIMIT <br />Ident) <br />a <br />Y INJURY <br />erson) <br />a <br />01C=8'T'1d'L1 <br />Y INJURY .tl )ERTY <br />DAa Wm )ONLY <br />- EA ACCIDENT <br />a <br />THANACC <br />SONLY:qGGCCURRENCE <br />a <br />AGGREGATE <br />a <br />S <br />utycRrPT�ON OF OPERATIONS / LOCATIONS l VEHK:L S / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />ertificate holder is included as Additional Tnsured solely as respects their interest in the <br />kating programs held at the insured's premises. This insurance will be primary to and <br />on -contributing with any other insurance available to the City of Santa Ana. <br />110 days notice of cancellation applies for non-payment of premium- <br />I.` <br />CERTIFICATE <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BB CANCELLED BEPO R6 TIFIE <br />E�XPAIVRATION DATE THEREOF, THE I8SVINO INSU RUR WILL ENDEAVOR TO MAIL <br />30�' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED To THE LEFT, <br />City of Santa Ana BUT FAILURE' MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />20 CIVIC Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 26 (2001108) <br />rACORD CORPORAXION 1908 <br />