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UtK 11r-1(,ATE OF LIABILITY INSU,.ANCE DATE(MM1DDJYYYY) THIS CERTIFICATE IS ISSUED AS A 1 3/2/2012 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 Aolicy(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 CONTACT NAME: Lisa Grant Kaliff Insurance PHONE (210) 829-7634 - P.O. Box 171225 E-MAIL FAX N (210)(324-7636 ADDREss, lisaa@kaliff . com San Antonio INSURER(S) AFFORDING COVERAGE NAIC # TX 78217-$225 INsuRERA:First Mercu Insurance Co. INSURED Davis Enterprises INSURER B: Tom & Sharie Davis INSURERC. 17010 Windflower Avenue INSURER D: Fontana INSURER E CA 92336 INSURERF: COVERAGES CERTIFiCATFwIMP9=0-1"T.1'71OACV� n THIS INDICATED, CERTIFICATE EXCLUSIONS IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY AND CONDITIONS OF SUCH OF PERTAIN, POLICIES. INSURANCE - - - - --- LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY THE INSURANCE AFFORDED BY LIMITS SHOWN MAY HAVE BEEN ISSUED TO CONTRACT THE POLICIES REDUCED BY THE INSURED OR OTHER DESCRIBED PAID CLAIMS. POLICY EXP MMlDDflY /1/2013 KtVI5l1JN NUMBER: NAMED ABOVE FOR THE DOCUMENT WITH RESPECT HEREIN IS SUBJECT TO LIMITS EACH OCCURRENCE POLICY PERIOD TO WHICH THIS ALL THE TERMS, TYPEF INSURANCE LIABILITY GENERAL LIABILITY rACLAIMS-MADE � OCCUR L R POLICY NUMBER -CGL-0000003451-01 POLICY EFF M DOtYYYY /1/2012 $ 1,000,00C D A E N O PREMISES !Ea occurrence' $ 50,000 MED EXP (Any ona person) g EXCL PERSONAL & ADV INJURY $ 1,000,000 GENE AGGREGATE LIMIT APPLIES PER: X POL€CY PR 7- t.00 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG 3 1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO NED SCHEDULED AUTOS AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT -Ea accidenn BODILY INJURY (Per nerson $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE ,Per acc;dent'- S $ LLA L1A6 *LIAS S LIAR X OCCUR -EX-0000003419-01 /1/2012 EACH OCCURRENCE $ 4,000,000CLAIMS-MAOE.AGGREGATE $ 4,000,000RETENTION$ OMPENSATION YERS LIABILITY IETORIPARTNERIEXE%,UTIVF YINOFICERIMEMBER EXCLUDED" M (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N!A /1/2013 $ WC STATU- E.L. EACH ACCIDENT g E.L. DISEASE - EA EMPLOYE - $ £ L DISEASE - POLICY LIMIT - i; DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It mont space is required) ADDITIONAL INSURED AS RESPECTS TO INSURED'S OPERATIONS: City of Santa Ana Parks, Recreation and Community Services Agency, Bob Acosta. Event Location: Cesar Chavez Park, 3311 W. 5th Street, Santa Ana, CA 92703. Event Dates: October 12-14, 2012. (On Site: October 9-16, 2012) (714)571-4211 SCuevas@santa-ana,org City of Santa Ana Parks, Recreation and Community Services Agency Attn: Silvia Cuevas 26 Civic Center Plaza TION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE Santa Ana, CA 92701 Mitchell Kaliff/LAG�� ACORD 25 (2010/06) O 1988-2010 ACORD CORPORATION. All rights reserved. INS025 2olocs)a1 The ACORD name and logo are registered marks of ACORD