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A CERTIFICATE OF LIABILITY INSURANCE <br />DATE 01/28/14Y <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES <br />VOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE <br />,)DES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSU RE R(S), AUTHO )_ Ely1.gF„PRE EN'OA, IV�tOR ODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) mrU t be endorsed. If SUBROGATION IS WAIVED, subject to the <br />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). _ "a <br />PRODUCER <br />Alliant Insurance Services, Inc. <br />CONTACT <br />_NAM .� <br />1301 Dove SL, Suite 200 <br />Pea" ` ac Ho: <br />Newport Beach, CA 92660 <br />_ <br />E. MAIL ADDRESS: <br />949- 756 -0271• Fax 949-756-2713- Leaned No. OC36861 <br />PRODUCER: <br />_ <br />CUSTOMER IDn <br />INSURED: SPECIAL LIABILITY INSURANCE PROGRAM (SLIP)MEMBER: <br />INSURER(S) AFFORDING COVERAGE <br />NAICH <br />PAINT YOUR HEART OUT, INC. <br />INSURERA: ASSOCIATED INDUSTRIES INSURANCE CO. <br />23140 <br />1260 N. HANCOCK, SUITE 103 <br />ANAHEIM, CA 92807 <br />INSURER B: <br />[TAMAGE'TO RE ED <br />PREMISES (Ee Occurrence <br />INSU REP C: <br />MED EXPR (Any one person) <br />INSURER D: <br />PE_RSONAL &ADV INJURY <br />$1,000,000 <br />INSURER E: <br />GL DED:$T000T -` <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN <br />MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />HER <br />LTR <br />TYPE OF INSURANCE <br />ADEL <br />INSR <br />SOAR <br />WVD <br />POLICY NUMBER <br />POLICY ERE <br />(MM/DDIYY) <br />POLICY EXP <br />(MMIDOIYY) <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X <br />PAC 100008202 <br />09/29/13 <br />09/29/14 <br />EACH OCCURRENCE <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />[TAMAGE'TO RE ED <br />PREMISES (Ee Occurrence <br />$1,000,000 <br />MED EXPR (Any one person) <br />N /A_ <br />PE_RSONAL &ADV INJURY <br />$1,000,000 <br />GL DED:$T000T -` <br />_ <br />GENERAL AGGREGATEv <br />NA* <br />GE NIL AGGREGATE LIM IT APPLIES PER: <br />POLICY F7 PRO' LUC <br />PRODUCTS - COMP /OPAGG.' <br />$1,000,000 <br />A <br />AUTOMOBILE <br />LIABILITY <br />PAC 1000082 02 <br />09/29/13 <br />09/29/14 <br />COMBINED SINGLE LIMIT <br />(Ea Accident) <br />$1,000,000 <br />ANY AUTO <br />BODILY INJURY( Per person) <br />BODILY INJURY (Per accident) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />PROPERTY DAMAGE <br />HIRED AUTOS <br />AUTO ED NON-OWNED <br />$1,000 <br />X <br />X <br />UMBRELLALIAB <br />OccOR <br />y� Sb'p q,ti <br />--"� <br />EACH OCCURRENCE <br />EXCESS LIAR <br />CLAIMS <br />5 >F <br />V4�S <br />1/ <br />'��tv attorl%ev <br />Mme' <br />AGGREGATE <br />DDUCE <br />RETENTION <br />WORKERS COMPENSATION <br />AND EMPLOYERS LIABILITY <br />5., <br />we srnru. OTH. <br />TORY uMITS ER <br />ANY PROPRIETORY /PARTNER I E %ECl1rIVE <br />oEPICERr MEMeeR Excwoeox `] <br />N/A <br />E.L. EACH ACCIDENT <br />(MANDATORY IN NR) IF YES, DESCRIBE <br />E.L. DISEASE -EA EMPLOYEE <br />_ <br />UNDER DESCRIPTION OF OPERATIONS BELOW <br />E. L. DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS /LOCATIONSNEH IC LES (Anson Acord 101, Additional Remmm semdull IF more ep oe is required) <br />"POLICY FORM DOES NOT CONTAIN A GENERAL LIABILITY AGGREGATE <br />AS RESPECTS TO THE AGREEMENT WITH THE CITY OF SANTA ANA. THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES SHALL RENAMED AS ADDITIONAL INSURED. WITH <br />RESPECT TO CLAIMS ARISING OUT OF THE OPERATIONS AND USES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED, SUCH INSURANCE AS IS AFFORDED BY THIS POLICY IS <br />PRIMARY AND IS NOT ADDITIONAL TO OR CONTRIBUTING WITH ANY OTHER INSURANCE CARRIED BY OR FOR THE BENEFIT OF THE ADDITIONAL INSUREDS. SEVERABILITY OF INTERESTS: <br />THE TERMS "PARTICIPATING NAMED INSURED" AND "INSURED" ARE USED SEVERALLY AND NOT COLLECTIVELY, BUT THE INCLUSION HEREIN OF MORE THAN ONE "PARTICIPATING NAMED <br />INSURED" OR "INSURED" SHALL NOT OPERATE TO INCREASE THE LIMITS OF THE "COMPANY'S" LIABILITY. ADDITIONAL INSURED ENDORSEMENT ATTACHED. SUBJECT TO POLICY TERMS, <br />CONDITIONS AND EXCLUSIONS. <br />CITY OF SANTA ANA <br />ATTN: FRANK HERNANDEZ <br />MANAGEMENT ANALYST <br />COMMUNITY DEVELOPMENT AGENCY <br />ADMINISTRATIVE SERVICES DIVISION <br />20 CIVIC CENTER PLAZA, M -25 <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 />NO <br />AOORO 252009/W -TM1a, ACORO name and logo are registered marks arACORD @2008ACOROCORPORATION. All Int reservetl. <br />