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ACORD. CERTIFICATE OF <br />LIABILITY <br />INSURANCE <br />DATE(MMIDDIYYYY) <br />O8/27/2014 <br />PRODUCER (714) 841-5830 <br />Buckle & Associates Insurance Svca Inc <br />�' r <br />16651 Gothard St Ste A-1 <br />Huntington Beach CA 92647- <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 <br />NAIC# <br />INSURED ,/� _ V i(L^pG <br />Stage Plus, Inc Y"$ 4+ 4 1 <br />P.O. BOX 11060 <br />Santa Ana CA 92711- <br />INSURERA: Liberty Mutual Insurance <br />INSURER B: <br />wsuRERc <br />NSURER D: <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />LSR <br />ADDILINSAD <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MMFDDIVYE <br />( I <br />FDATE MMIO�IYYN <br />( 1 <br />LIMITS <br />GENERAL LIABILITY <br />02BR6280578 <br />07/29/2014 <br />07/29/2015 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE FRIOCCUR <br />DAMAGE TO RENTED <br />PREMISES Ee occurrence <br />$ 1,000,000 <br />MED EXP �Any one person) <br />$ 10,000 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMP/OP AGO <br />$ 2,000,000 <br />X1 POLICY 7 JECT LOG <br />I <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accldent) <br />$ <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />//�'�TO <br />Appy'�pp LO\r AS <br />q� <br />/ <br />/ / <br />AUTO ONLY - EA ACCIDENT <br />$ <br />THAEA ACC <br />$ <br />$ <br />QED <br />OTHERUTO NLYN <br />AGO <br />EXCESSIUMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />L Sj�-� , <br />LISA �' S (,O A <br />Assistant City <br />G.K <br />tomey <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />$ <br />RETENTION $ <br />/`r <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />TORY LIMITS 'ER' <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. DISEASE - EA EMPLOYEE$ <br />OFFICER/MEMBER EXCLUDED? <br />If yes, descrlbe under <br />SPECIAL PROVISIONS below <br />E. L. DISEASE -POLICY LIMIT <br />5 <br />OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSWEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />The City of Santa Ana, its officers, agents and employees are named as Additional Insured with respect to the General <br />Liability as their interest may appear. Primary & Non -Contributory wording applies. 10 days notice of cancellation due <br />to non-payment of premium. <br />(714) 5 <br />Attn: Silvia Cuevas <br />City of Santa Ana <br />Parks, Recs & Community Svc <br />26 Civic Center Plaza <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2001108) <br />INS025 (Cos).os <br />© ACORD CORPORATION 1988 <br />Page 1 of 2 <br />