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CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br />114� 4/21/2011 <br />PRODUCER Kimbrell Insurance Agency THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />950 E Katella Ave Ste 4 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Oran e, CA 92867 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />g ALTER THE COVERAGE AFFORDED BY THE POI ICIPS RFI OW <br />0619648 714-538-8723 <br />www. Ki mbrel I-Insurance-com 714-538-8724 <br />INSURED images Dance Company <br />2017 N Main St <br />Santa Ana CA 92706 <br />rwcowr_cc <br />INSURERS AFFORDING COVERAGE I NAIC # <br />INSURER A: Mt. Vernon Fire Insurance Company <br />INSURER M <br />INSURER C: <br />INSURER D: <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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />DD' <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />A <br />GENERAL LIABILITY <br />CP2151225B <br />4/24/2011 <br />4/24/2012 <br />EACH OCCURRENCE $ 1,000,000 <br />COMMERCIAL GENERAL LIABILITY <br />PREMISES Ee occurrence $ 50,000 <br />MED EXP (Any one person) $ 5,000 <br />CLAIMS MADE [�] OCCUR <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GEN -L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG *Included <br />POLICY I.CT F7 PRO - <br />[:::]LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT $ <br />(Ea accitlent) <br />BODILY INJURY $ <br />(Per person) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Par accitlent) S <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT S <br />OTHER THANEA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />EXCESS / UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />qp U <br />�Y 1 1 <br />L <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DEDUCTIBLE <br />{/f/','1'. - <br />uy` <br />RETENTION $ <br />�. �J <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />G -q ASI. �. <br />WC STATU-OTH- <br />IQRY LIMITS ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYE $ <br />(Mantlatory In NH) <br />S Yea,desc ribe <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT $ <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />L.cKI Ir Ia.AI c nVLUCK GANGCLLAI IUN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana, its officers, agents, DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />employees and volunteers. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />20 Civic Center IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana CA 92701 REPRESENTATIVES. ' 10 Days for Non -Payment of Premium. <br />AUTHORIZED REPRESENTATIVE <br />Jon Kimbrell \\\\\AVy{'•�M_ <br />A(.;UKU "LS (2UB9/Ol) © 1988-2009 ACORD CORPORATION. All rights reserved. <br />CERT NO.: 1002155a CLIENT CODE: IMAGE SCeva Walby 9/21/2011 10:39:19 AH Page 1 — 4 <br />