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`'� �'r CERTIFICATE OF LIABILITY INSURANCE 7/24/2012Y' 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 terns 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 NAME Madge CONCT Blurton Kaliff Insurance PHONE (210) 829-7634 FNC( . (210)a29-7636 iA1C. No. Hot P.O. Box 171225 !-MAIL madce@kal if f . com San Antonio TX 78217-8225 INSURERA:Certain Underwriters @ Lloyds INSURED INSURER e : 0 Entertainment, Inc. INSURERC,. 539 East Bixby Road INSURER0: Suite 59 INSURERE: ILong Beach CA 90807 INSURERF: (2r1VFRARFS CFRTIFICATF NIIMRFR2012 Master 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 1MiICH 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 LT TYPE OF INSURANCEAUDLBUBR POLICY NUMBER POLICY EFF DDIYY POLICY EXP 1g YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLANS -MADE Fx_J OCCUR KKL00596 1,000,000 limits /15/2012 /15/2013 EACH OCCURRENCE $ 5,000,000 DAMAGE TO RENTE PREMISES Es occurrence $ 100,000 MEOEXP one son) $ PERSONAL & ADV INJURY $ 5,000,000 X Liquor Liability GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOG PRODUCTS-COMPIOP AGG $ 5,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS X H REDSAUTOS NON -OWNED AUTOS INEO SINGLESINGIE LIMIT a acc Et 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPE TY DAMAGE Per acciderill $ $ UMBRELLA LIAO EXCESS LIAR OCCUR g '� I %' ' EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DIED I I RETENTION $ $ WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y 1 N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe undef DESCRIPTION OF OPERATIONS below N!A ._ ,. ... -- -""""` I - _ VYCSTATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I 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 & employees only as their interests may appear. (714) 571-4235 scuevas@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 b Community Services AUTHORIZED REPRESENTATIVE Silvia Cuevas P.O. Box 1988 M-23 Santa Ana, CA 92701 Mitchell Kaliff/MADGE ACORD 25 (2010105) 01988-2010 ACORD CORPORATION. All rights resew INS025 (201005).01 The ACORD name and logo are registered marks of ACORD `,