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-"# CERTIFICATE OF LIABILITY INSURANCE <br />N-2009-067-003 <br />DATE (MM/DD/YYW) <br />all <br />PRODUCER Kimbrell Insurance Agency <br />950 E Katella Ave Ste 4 <br />Orange, CA 92867 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />0619648 714-538-8723 <br />www.Kimbrell-Insurance.com 714-538-8724 <br />INSURED Images Dance Company, Inc <br />dba: Images Dance Place <br />2017 N Main St <br />INSURER A:Insurance Company <br />INSURER B: <br />NSURER C: <br />Santa Ana CA 92706 <br />INSURER D: <br />LIMITS <br />INSURER E: <br />GES <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 />20 Civic Center <br />Santa Ana CA 92701 <br />DO' <br />AUTHORIZED REPRESENTATIVE r�7f <br />Jon Kimbrell <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY <br />CP2574432 <br />6/20/2012 <br />6/20/2013 <br />EACH OCCURRENCE S 1,000.000 <br />COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea occurrence $ 50.000 <br />rA <br />CLAIMS MADE F71 OCCUR <br />MED EXP An one arson $ 5,000 <br />PERSONAL 8 ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ InclDded <br />POLICY PRO LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT $ <br />(Ee accitlen[) <br />BODILY INJURY <br />(Par parson) $ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />IF, aeeident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGO $ <br />EXCESS / UMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />OCCUR CLAIMS MADEAGGREGATE <br />AF�'R�3W <br />13S I J <br />CORM <br />$ <br />$ <br />$ <br />DEDUCTIBLE <br />RETENTION <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/NLa <br />ANY PROPRIETOR/PARTNEWEXECUTIVE <br />OFFIGER/MEMBER EXCLUDED'! <br />AsS1SI''SRI. <br />CI. �[ _ :CC <br />Tt]MT, <br />�.ILY A1t.0 <br />y <br />T1C�/ <br />WC STATU- OTH- <br />E.L. EACH ACCIDENT S <br />E.L. DISEASE - EA EMPLOYE S <br />(Mandatory in NH) <br />If yea, tlescribe ISIO <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 />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2009/01) (c' 1968-2009 ACORD CORPORATION_ All rights reserved. <br />CERT MO.: 130 '0 CLIENT CODE: IMAGE Steve Wa11ey 8/13/2012 -8:3B PM Page 1 0£ 5 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana, its officers, agents, <br />employees and Volunteers. <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 39 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />20 Civic Center <br />Santa Ana CA 92701 <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. ' tO De a for Non -Pe mant of Premium. <br />AUTHORIZED REPRESENTATIVE r�7f <br />Jon Kimbrell <br />ACORD 25 (2009/01) (c' 1968-2009 ACORD CORPORATION_ All rights reserved. <br />CERT MO.: 130 '0 CLIENT CODE: IMAGE Steve Wa11ey 8/13/2012 -8:3B PM Page 1 0£ 5 <br />