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CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) <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 BELOW. <br />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 policy(les) must be endorsed- If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain pollcles 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 />FRANCIS L. DEAN 8. ASSOCIATES, LLC <br />1776 S. NAPERVILLE ROAD, BLDG -B <br />CONTACT <br />NAME: <br />Aj NNo Eat : 800-745-2409 ac Ne : 630-665-7294 <br />P.O. BOX 4200 <br />WHEATON, IL 60189 <br />W W W.fdean.com <br />E-MAILinfo@fdean.com <br />ADDRESS: <br />INSURERts) AFFORDING COVERAGE NAIL f <br />MBURERA: River ort Insurance Company 36684 <br />(800)745-2409 <br />INSURED SPORTSAND RECREATION PROVIDERSA55OCIATION(PURCHA5INGGRWP)AN3 <br />RS PARTICIPATING MEMBERS: <br />INSURER B: <br />INSURERC: <br />Suzy Diaz <br />22962 Aspen Street <br />Lake Forest, CA 92630-2907 <br />INSURERD: <br />INSURER E : <br />GENERAL AGGREGATE $1,000,000.00 <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: APIS4533-00 REVISION NUMBER: <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 />LTR <br />TYPEOPINSURANCE <br />!� <br />% D <br />POLICYNUMBER <br />pulp <br />y�vyppUy P <br />UMITs <br />GENERALLUIBILITY <br />GENERAL AGGREGATE $1,000,000.00 <br />X GONNERt}AL —R, UAIaLDY <br />PROOUCTS-COMP/OP AGG $1,000,000.00 <br />PERSONAL 6 ADV INJURY $1,000,000.00 <br />CIFUHaFMADE FTJ --- <br />EACHOCCURRENCE $1,000.000.00 <br />A <br />FLOG180412 <br />6/3/2012 <br />6/3/2013 <br />FIRE DAMAGE (Any ole ills) $300,000.00 <br />OEfYI. AOOREGATE LIMT M—L PER: <br />MED EXP (Any one pe—) $50000.00 <br />X POI _ JER <br />S <br />AUTOMOBILE LIABILITY <br />$ <br />5 <br />AIVI' wuro <br />au o�nNED acllEouLm <br />wutos_ <br />HON -OWNED <br />HIREDAUTO �� <br />- <br />f� ^� �(� <br />� <br />J-� �� <br />BOOR.Y INJURY (PeTaWtlenO j <br />PP <br />PKROERIYOAYAOE S <br />S <br />UMBRELLA UAB <br />EXCESS LIAR cuuC>HWDE <br />--�--- <br />Y �jZ _� SJ <br />- i , <br />/.:---.._.. <br />EACH OOCVRRENCE _ <br />AGGREGATE <br />t <br />ed. a:�1:e12; ;' _ <br />DED RETENTION s <br />$ <br />WORE WL0Ot sUABION <br />ANDEYWLOYERB'LIABBJTY YlN <br />ANY PROPRIETO(LPMITNEWEXECVT{VE <br />OFRCEWMEMBER EYCLUDEDT O <br />N/A <br />- <br />OTH- <br />ER S <br />(Mandatory In NH) <br />oESGR�IPiIION oo R4TION8 eaev, <br />E.L. DISEASE - EA EMPLOYEE 5 <br />E.L. DISEASE - POLICY LIMIT S <br />LIQUOR LIABILITY <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VENIRES (AMaeM1 ACORD IDI, Add Moral ROmartu3ehedWe,3 more apace is required) <br />THE CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL INSURED. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CITY OF SANTA ANA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />PARKS, RECREATION AND COMMUNITY SERVICES AGENCY ACCORDANCE WITH THE POLICY PROVISIONS. <br />ATTENTION: CARMEN ACOSTA AUTHORIZED REPRESENTATIVE <br />1825 W. CIVIC CENTER 9Prancis L. mean <br />SANTA ANA, CA 92702 <br />(D 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />