GANIERE, JAMES DBA SEE ME LEARN (OH RIO! PRODUCTIONS) 1A - 2012

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-°�k.___ �® CERTIFICATE OF LIABILITY INSURANCE DATE WIVID 04-20-2012 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MAURY DONNELLY & PARR INC/PHS 721336 P:(866)467-8730 F:(877)538 -8S26 NAM n-' F x A/c No E"" (855)467-873o A/C, Not: �R77�538-8526 PO BOX 29611 ADDRESS: CHARLOTTE NC 28229 CUSTOMER ID u: INSURER(S) AFFORDING COVERAGE NAIL N AUTOMOBILE LIABILITY INSURED INSURER HartfOrcl Casualty SRS Co INSURER B JAMES GANIERE DBA RIO VISTA UNIVERSAL 1040 N LAS PALMAS AVE INSURER C: ANYAUTO LOS ANGELES CA 90038 INSURER D INSURER E aUC) _ > �c I INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.. TERAS OR CONDITION OF ANY CONTRACT OR OTHFR DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ^' TYPE OF INSURANCE LIMITS LTR INSR WVDi POLICY NUMBER, (MM/DD/YYYY) (MWOD/YYYY) GENERAL LIABILITY EACH OCCURRENCE 5 2,000,000 COMMERCIAL GENERAL LIABILITY PREMISES (Ea occwrenca) 5 300,000 �I CLAIMS -MADE X� OCCUR A, XII General Liab MED EXP (Any one person) $ 1-0,000 X 130 SBM 708465 05/04/201211 05/04/2013 PERSONAL &ADV INJURY 9 2,000,000 j GENERAL AGGREGATE 5 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: POLICY I PRO- �'aLOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Y� (Ee accident) 2,000,000 ANYAUTO j BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY IPer eccldenU 5 A SCHEDULED AUTOS 130 SBM 708465 OS/04 /20121 05/04/2013 PROPERTY DAMAGE $ X HIRED AUTOS (Per nccid-0 NON -OWNED AUTOS $ I 5 UMBRELLA LIAR I (OCCUR EACH OCCURRENCE 5 EXCESS LIAB CLAIMS -MADE( AGGREGATE 5 5 F DEDUCTIBLE RETENTION $ 5 WORI(ERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER ANY PROPRIETOR PARTNEMEXECUTIVE E.L. EACH ACCIDENT 5 OFFICERWEMBER EXCLUDED? (M endarory in NH) �N/AI E.L. DISEASE - EA EMPLOYEE $ yes, descundF � ' IPTIOribeN OOPer DES below DES I .I E.L. DISEASE -POLICY LIMIT 5 I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule. if mora space I.--i—d) Those usual to the Insured's Operations. Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy, CERTIFICATE HOLDER CANCELLATION City of Santa Aria SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Parks, Recreation and Community BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Services Agency DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZE R PRESENTATIVE ^�� - / ,,z-- et-,�-Z,^,-- PO BOX 19 8 8 SANTA ANA, CA 92702 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD