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m 03/2 {201� <br />AtDFO CERTIFICATE OF LIABILITY INSURANCE <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 HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the paiicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />ANAHEIM INSURANCE SERVICES <br />P,,A" A.CT Patricia Cartes _ <br />PHONE - FAX 't14-491-3011 <br />(Arc Na Exts 714 - 4 91- 3 O 1 fl _ Arc No : . <br />1769 W LA PALMA AVE <br />ADDE-MARESS: <br />INSURER(S) AFFORDING COVERAGE NJtIC it <br />LNsuRERA: Landmark American -T urance Company: <br />ANAHEIM CA 92801 <br />INSURED <br />Mx Live Marketing Croup Inc. <br />INSURERB: Chartia <br />INSURERC,Kount Vernon Fire Insurance Company <br />INSURER D: — <br />3 Hutton Dr Suite. 810 <br />.......... <br />INSURER€: <br />Santa Ana Ca 92707 <br />INSURERF: <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 />1NSR <br />LTR <br />TYPE OF INSURANCE <br />UBR <br />POLICY NUMBER <br />tAEFF <br />PA11DDMYY LICY EFF <br />LICY EXP <br />�IIVDD/YY <br />LIMITS <br />GENERAL LIABILITY <br />— <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />LBA-132315-00 108/24/201108/24/2012+ <br />EACH OCCURRENCE <br />T' E <br />PREMISES (Ea occurrence) <br />$ 1,000,000 <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL $ ADV INJURY <br />$ _ <br />GENERAL AGGREGATE <br />Is 2,000,000 <br />- <br />•. <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG <br />$ 1,000,000 . <br />--- --- <br />$—_._— <br />POLICY PRO- f LOC <br />jECT <br />AUTOMOBILE <br />LIABILITY <br />COMBINED INGLE LIMIT <br />Ea act4ent} <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />s <br />71/� <br />BODILY INJURY (Per accident) <br />-- <br />.. ......... <br />$ <br />----- -- ... - — <br />PROPERTY` DAMAGE <br />Par�.-� <br />$ <br />i$ <br />UMBRELLA LIAS <br />OCCUR <br />ESU 058087292 <br />04/28/201104/28/2D12 <br />EACH OCCURRENCE <br />$ 4,000,000 <br />AGGREGATE <br />$- _._ 4,000,000 <br />EXCESS LIAR <br />CLAIMS -MADE <br />I <br />DED RETENTION$ <br />_ <br />Crisis Response <br />$ 250,000 <br />WORKERS COMPENSATION <br />I NC STATU QTH- <br />AND EMPLOYERS' LIABILITY Y 1 N <br />ANY PROPRIETORIPARTNERtEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? �' <br />(Maadatory in NH) <br />Kies, describe under <br />DESCRiPTtON OF OPERATIONS below <br />N I A <br />! <br />I <br />- <br />E.EACH ACCIDENT <br />L. <br />I $ <br />E.L. DISEASE - EA EMPLOYE <br />-- <br />$ <br />El DISEASE -POLICY LIMIT <br />Is <br />Liquor Liability <br />MSE 012F2299 <br />105/05/2012 <br />05/07/2012 <br />— �=—/ . "= , 1,000,000/2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS J VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more spate is required) <br />CITY OF SANTA.ANA,its officers,agents,employees,representatives and volunteers <br />arenamed additional insured per attached endorsement: <br />May: Cinco De Mayo Festival <br />Dates: May 5 and May 6 of year 2012 <br />t+CR i. ll'IV7i I C <br />City Of Santa Ana <br />Attn: Risk Management,M-28 <br />20 Civic Center Plaza <br />Santa Ana <br />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 <br />r <br />0 98 010 ACORD CORPORATFON. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered m4rkapt ACORD <br />