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RNIUIG <br />CERTIFICATE OF LIABILITY INSURANCE F2/1 Ol2DAT11112D/Y1YYY) <br />01 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement a . <br />PRODUCER (410) 6655-4625 <br />Maury, Donnelly & Parr, Inc. <br />Commerce & Water Streets A O ` _ O rl `� <br />Baltimore, MD 21202 G I •7 <br />CONTACT <br />PHONE uc Ne: <br />DDraE <br />JAMEGAN-01 <br />INSURERS AFFORDING COVEIRAGE NAIC p <br />INSURED James Ganiere dba Oh Rio Production <br />4900 Californian Ave Tower B-210 <br />Bakersfield, CA 93309 <br />INSURERA : Hartford Insurance Companies 29424 <br />INSURBR0:Chubb Group of Insurance <br />INSURER C: <br />INSURER D <br />INSURER a <br />INSURER F: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />;YJ VMIVI..CLLAIIV IV <br />�f THE <br />_ S.__ ._-..__ _._ <br />1 R <br />TR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />MIDD <br />MY EXP <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE E 2,000,00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />X <br />X30SBMT08465 <br />6/4/2010 <br />6/4/2011 <br />REMI E o e E 360,00 <br />=1=1.1: <br />MED IXP (Any ons parson) E 10,000 <br />PERSONAL S AOV INJURY $ 2,000,000 <br />GENERAL AGGREGATE E 4,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS- COMP/OP AGO $ 4,000,00 <br />X POLICY PRIT F71 O LOC <br />E <br />A <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />30SBMT08466 <br />5/4/2010 <br />5/4/2011 <br />MBINED SINGLE LIMIT S 2,000,000 <br />acGdent) <br />ILY INJURY (Per person) E <br />ALL OWNED AUTOS <br />F(E. <br />ILY INJURY (Par accident) 8SCHEDULED <br />AUTOS <br />AUTOS <br />PERTY DAMAGEHIRED <br />accident) <br />X NON-OWNEDAUTOS <br />8 <br />E <br />UMBRELLA LIAO <br />OCCUR <br />EACH OCCURRENCE E <br />EXCESS LIAO <br />CLAIMS -MADE <br />AGGREGATE E <br />DEDUCTIBLE <br />8 <br />RE=TENTION IF <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIEB R/PXCLUDELEXECUTNE <br />EXCLUDED? <br />N / A <br />WC STATU- 0TH- <br />E.L. EACH ACCIDENT E <br />E . DISEASE - FJ EMPLOYEE 8 <br />(MandaOFFI tory <br />(Mantlatary In NH) <br />In NH) <br />Ir yes descrlbe under <br />OES�RIPTION OF OPERATIC N3 below <br />E . DISEASE -POLICY LIMIT 1 8 <br />B <br />ommercial Inland Marine <br />6620506 <br />5!4/2010 <br />5/4/2011 <br />Rented/Leased Equipment 100,000 <br />B <br />ommercial Inland Marine <br />6620506 <br />W412010 <br />6/412071 <br />Replacement Cosi <br />DESCRIPTION OF OPERATIONS f LOCATIONS / VEHICLES (AHech ACORD 101. Additional Remarks Schedule, If more apace 1, required) <br />The City of Santa Ana is additional insured with respect to general liability per blanket additional Insured endorsement, coverage Is primary <br />and non-contributory. 30 Day notice of cancellation to The City In the event of cancellation or non -renewal. <br />SHOULD <br />EX EXPIRATIONTHE <br />DATE ABOVE <br />THE EOF, NOTICE POLICIES <br />WILL CANCELLED <br />BEFORE <br />IN <br />City of Santa Ana -- ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Drive Laura SL.,.. <br />Santa Ana, CA 92%01--`-'Sistant CAN F>: - AUTHORIZED REPRESENTATIVE <br />© 1988-2009 ACORD CORPORATION. All rights reserved. <br />AUUKU 25 (2009109) The ACORD name and logo are registered marks of ACORD <br />