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.4 a CERTIFICATE OF LIABILITY INSURANCE /28/2011 <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 HOIL�DF-Ii. <br />the terns and conditions of the policy <br />certificate holder in lieu of such endor <br />PRODUCER <br />Ka1>_££ Snauranca <br />P.O. SOX X71225 <br />San Antonio TX 78217-9225 <br />INSURED A �^ \ \ <br />O Entertainment, 2nc. <br />539 East Bixby Road <br />Suite 59 <br />Long Beach CA 90807 IN URERF: <br />/"f1VCOAl�CC I�G�T,t•,l�w TC Y of _!T T /17 f7 f1C1 "fC e'f ��i, •���� �,, ,����e�_ <br />may require an endorsement. A statement on this certificate does not confer rights to the <br />NAPE: ��_ Madge 8lurton <br />PHONE <br />IA/C No _E�id): (210) B29-7634... <br />FAX <br />I.C/yCy NoJ: (210)829-7636 <br />_. <br />D AD ESS: madga@kalif£. CoIn <br />PRODUCER <br />Cl)sLOIMER ID #D O O O O 191 <br />1NSURER(S) AFFORDING COVERAGE <br />NAIC # _ <br />INSURERA:Cartaln Underwriters @ <br />L lOyds <br />_._ <br />INSURER B : <br />INSURER C : -._._ <br />_ <br />_... .... _.. <br />INSURER D: <br />INSURER E: <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 />OF INSURANCE ADC SUER POLICY NUMBER MMIDDY/YYYY MM/DD/WYY LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />- DAMAGE -TO RENTED <br />PREMISES. (Ea occurrarxs) <br />$ 100 , 000 <br />CLAIMS -MADE I X I OCCUR <br />00347 <br />/1 /2011 <br />/1/2012 <br />_ <br />MED EXP (Any one person) <br />$ excluded <br />[LTSPTYPE <br />X LSC;ilOr Liability <br />PERSONAL & ADV INJURY <br />$ 2,000,000 <br />$1,000,000 Limits <br />GENERAL AGGREGATE _$ <br />3,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 3,000,000 <br />- _- <br />PRO- <br />X POLICY LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br />(Ee accid ) <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />SCHEDULED AUTOS <br />_. <br />PROPERTY DAMAGE <br />-- - <br />HIRED AUTOS <br />(Par ar-cidant) <br />_.._ <br />$ <br />_._. <br />NON -OWNED AUTOS <br />$ <br />$ <br />UMBRELLA LIAR OCCUR <br />,r�`'y� t �. <br />):-' /� w_J V e ''1/ "� <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAB CLAIMS -MADE <br />.DEDUCTIBLE <br />AGGREGATE <br />$ <br />$ _... <br />RETENTION $ <br />- - -c-- <br />hl"ff`---_: <br />$ <br />WORKERS COMPENSATION" <br />_ <br />_ <br />\ <br />\NC STATU- OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />/�1 ��I:.. ..i -... . <br />SORY. LIMITS ER <br />_. <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E L EACH ACCIDENT <br />$ <br />OFFICER/ME M BER EXCLUDED? F <br />N / A <br />-- -- - <br />(Mandatory In NH) <br />E L DISEASE - EA EMPLOYE <br />$ <br />H yes. daacriba under <br />- <br />_.$ <br />DESCRIPTION OF OPERATIONS below <br />EL DISEASE -POLICY LIMIT <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, AdcIft1 al Remerfls Schedule, It more space Is requlmd) <br />ADD2T20NAI. SNSURED AS RESPECTS TO XMSURED•S OPERATSCWS: City Of Santa Ana, it. oPf_t a a, agent. 6 employee. only Be <br />their inteze.t. may appear. <br />Event : Santa Ana Summer P'asti 3_ <br />Dates: August 12-14, 2011 <br />(714) 571-4235 <br />city of Santa Ana <br />Santa Ana Parks, Facraation 6 Community S <br />Editha, Santiaaa <br />P.O. Sox 1996 M-23 <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />IM,SUZb (200900) 1 nB ,Ii{.,Vrcv namB ano 1080 a— raglsLerao ma — yr /ra --- <br />