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'`�`� °� CERTIFICATE OF LIABILITY INSURANCE °ATE,MM/DOIYYYy7 <br />e/a9/2D12 <br />THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. T IS <br />CERTIFICATE DOE8 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 pollcy(fas) must t>o endorsed. If SUBROGATION IS WANED, subject to <br />the forma and conditlorrs of the Polley, certain polleies may require an endorsement A statement on this certificate tloes not confer rlehts to the <br />eartlfleate holder In Ileu of such endonsemontlsl. <br />PRODUCER <br />Julia vino <br />2nauranca Wast Corp. PNONE (805)579 -1900 FAX (805)ST9 -1916 <br />2aso xapo street <br />.jvitto @insurancewest. oom <br />INSURERS AFFORDING COVERAGE NAIC • <br />Simi Va11ay CA 93063 (NSURERA3t;art£ord Casualt Insurance 9624 <br />INSURED <br />INSURER B <br />Artistic Entertainment Sarvicas LLC, DSA: INSURERe:Hart£ord Fire Insurance Com an 9682 <br />12D N. Aspen AYe INSURER D: <br />INSURER E - <br />Azuaa _ _ _ CA 91702 - INSURER F e <br />-- --.... -". � •�"•'•"� �� �-' REVISION NUMBER: - - <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN <br />ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIQD <br />INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR <br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES <br />DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SH01MJ <br />MAY HAVE BEEN REDUCED SY PAID CLAIMS. <br />N <br />TYPE OF INSURANCE <br />O ICY NUMBER EFF MPwDICY EXP LIYITB <br />GENERAL LWBWTY <br />X COMMERCIAL GENERAL LWBIUTY <br />/�, <br />EACH OCCURRENCE S 1 , OOO , yOO <br />A <br />CLAIMS -MADE X OCGVR <br />a 300, QOO <br />2VWJ09284 /21/2012 <br />/21/2013 MED EXP (Myona rson y 10,000 <br />PERSONALBADV INJURY S 1, GOO, QOO <br />- GENERAL AGGREGATE $ 2 , 000 � QOO <br />GE NL AGGREGATE LIMIT APPLIES PER: <br />PR0. <br />X POLICY <br />PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 <br />LOC <br />s <br />AUTOMOBILE LIABILITY <br />2VLNJ09264 IN_ <br />A <br />X ANY AUTO <br />OOO OD <br />fired AatG PhYi D� - <br />ALL OVNVED SCHEDULED <br />AUTOS AUTO$ <br />BODILY INJURY (Per person) $ <br />100,000 ACV /Coat of /21/2013 <br />/21/2012 <br />gppILY INJURY (Per ecriaent) $ <br />HIRED AUTOS pNUOfTJO-0SNMED <br />opair, whiokwver fie 1Baa PERTY AGE <br />� G Coll daQ: $1,000 Par S <br />X UMBRELLA LIAB OCCUR <br />McCiGal r11dtt6 $ 5 DOO <br />A <br />EXCESS LIAB C3JJM5- 1.1ADE <br />EACH OCCURRENCE $ 1 , OOO , OOO <br />AGGREGATE $ 1, DOD, OUO <br />X <br />O RETENTI 10,00 <br />2RBVJ09300 /21/2012 /21/2013 <br />$ <br />WORKER$ COMPENSATION <br />$ <br />AND EMPLOYERS' WBIUTY Y / N <br />- STA V- TH- <br />ANY PROPRIETOR/PARTNER/EXECUTVE <br />OFFlCERIMEMBER EXCWOED? � <br />N / A <br />E -L. EACH ACCIDENT $ <br />(Men4efery rn NH) <br />Ir yyea. tlesMna ulltlar <br />E.L. DISEASE - EA EMPLOYE $ <br />DESCRIPTON OF OPERA710NS Dablr <br />C <br />E.L. DISEASE - POLICY DMIT $ <br />Owned G Rented Egpipmerat <br />2NSYJ09111 1/21/2012 /21/2013 <br />Spacial Form - R/C <br />Llmll $120, 000 <br />oeGr2lble $2,500 <br />( <br />P 8ants /Aaa�20 <br />Tha�C�tY Civic CantAr Plaaa,lu 3an��Ana��Cal3for is 92701, � . <br />ofli cars, employees, aganta and rapraaantativaa era included as additional insured par attached form <br />CG20100704. Pr" tiROrdiraq is„ino uc�(,� r attached Porm 8600010605. <br />A"i O V I3ll AS T� t� U�Z1/I <br />� /,�v _ <br />CERTIFICATE I-IOLn auLu �• -. .� _--._ -_ _ _ -.--- <br />r- .,.�...... y <br />santa-ana.org <br />City o£ Santa Ana <br />Parks, Recreation and Community Sarvicas <br />Attention: Silvia Cuavaa <br />26 Civic Canter Plaza <br />Santa Ana, CA 92701 <br />�� \t.V 1 <br />IIIICD4R ,- v..,.,.�.... <br />BNOULD ANY OF THE ABOVE DESCRIBED POLIC IE8 BE CANCELLED BEFORE. <br />THE EXPIRATK7N DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISION$. <br />REPRESENTATIVE <br />th Tucker /CBERS �� ®�.� -.�" <br />.. ..��.� air .�o.��or�r, rrfarY6 r,t YRrIR r] <br />