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CERTIFICATE OF LIABILITY INSURANCE 1 2/11/D11/213/013Y) THIS CERTIFICATE IS 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 SUBROGATION IS 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 Kaliff Insurance P.O. Box 171225 San Antonio TX 78217-8225 CONTACTNAME: Madge 8111rton PHONE (210)829-7634 FAX N ; (210)829-7636 E-MAIL .madge@kaliff.com INSURERS AFFORDING COVERAGE NAIC If INSURERA:Certain Underwriters Ca Lloyds INSURED O Entertainment, Inc. 539 East Bixby Road Suite 59 Long Beach CA 90807 INSURER B : INSURER C : INSURERD: INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER:2013 Temp 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, TERM OR CONDITION OF ANY CONTRACT OR OTHER 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. INSR LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER MOLI CY EFF D/YYYY POLICY EXP MM/DDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 5.000,000 PREMISES Ea occurrence $ 100,000 X COMMERCIAL GENERAL LIABILITY A CLAIMS -MADE a OCCUR NKL00596 /15/2012 /15/2013 MED EXP (Any one person) $ PERSONAL &ADV INJURY $ 5,000,000 eaeaal of MKL00596 /15/2013 /15/2014 X Liquor Liability GENERAL AGGREGATE $ 6,000,000 1,000,000 limits GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 5,000,000 X POLICY PRO LOC JF $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO A ALL OWNED SCHEDULED AUTOS HI)REDSAUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ r $ WORKERS COMPENSATION WC STATU- OTH- TORY LIMITS ER AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If as, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) ADDITIONAL INSURED AS RESPECTS TO INSURED'S OPERATIONS: City of Santa Ana, its officers, agents &art employees only as their interests may appear. To FOR Ns CK 1_ISP E' t AttOC�ey CERTIFICATE HOLDER CANCELLATION ASS0-6 ` I (714) 571-4235 scuevao@santa-ana.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Parks, Recreation & Community Services AUTHORIZED REPRESENTATIVE Silvia Cuevas P.O. Box 1988 M-23 Santa Ana, CA 92701�^�1' Mitchell Kaliff/MADGE ACORD 25 (2010/05) INS025 (201005).01 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD