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BLUER-2 OP ID: SP <br />DATF. (MMIDDIYYYY) <br />CERTIFICATE OF LIABILITY INSURANCE 03/24/2015 <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 <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), 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 policies may require an endorsement. A statement on this certificate sloes not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER I CONTACT r.,_1_1__ <br />91411 <br />Gregg <br />INSURED Blueray Management LLC <br />PO Box12529 <br />Newport Beach, CA 92658 <br />I�}al-t31 I _._._ <br />NE URER E <br />NBURER F <br />COVERAGES r:FRTIFif`ATF MI IM1IIRFD• nwv,n,.... ... .........� <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 <br />OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH <br />THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE <br />BEEN REDUCED BY PAID CLAIMS. <br />INBRi AbDL SURR���.___� <br />LTR TYPE OP INSURANCE POLICY NUMBER <br />7' _........ <br />MM OI OIVYYY MMADDYYYY I LIMITS <br />�— ___ <br />GENERAL LIABILITY I <br />EACH OCCURRENCE i$ <br />2,000,000 <br />A X COMMERCIALGENERALAL LIABILITY PHPK731149$ <br />I <br />­' <br />03124/20151 103124/2016 <br />, PREMISES Ea oxurrence ($ <br />100 Q00 <br />I <br />CLAIMS MADE XL OCCUR <br />�OANVGMTORENT0J <br />MED EX P (Any one person) $ <br />0 <br />RSONAL_&ADV INJURY ,J,$ <br />2,000,000 <br />1 .............._ _ .._.....___ - - ... ....... .. <br />GENERAL AGGREGATE 1 $ <br />4,000,000 <br />GEN'L AGGREGATEDO_JECTAPPLIES PER <br />__. .__'I.... <br />AGo $ <br />......... ............. <br />4,000,000 <br />POLICY: I PRO- r LOG <br />APRODUCTS-C_OMPIOP <br />F -C $ <br />-- <br />I AUTOMOBILE LIABILITY <br />I - <br />COMBINEOSINGLEL IT <br />I I fEa accidenu __. $ <br />1,000,000 <br />A I X 1 ANY AUTO PHPK1311408 <br />03/24/2015 03/24/20161 BODILY INJURY (Per person) tS <br />I-- <br />- <br />I ALL OWNED ...., SCHEDULED ( <br />• AUTOS X [AUTOS <br />>-- <br />BODILY INJURY (Per accident) $ <br />-- - <br />IX HIRED AUTOS NON -OWNED <br />PROPER11 T /`"DAMAGE�— <br />j LPEft ACCIDENL_ 1.,, <br />�AUTOS <br />$ <br />... <br />UMBRELLA LIAR OCCUR 1 <br />- EACH OCCURRENCE ! $ <br />E%CEEB LIAB MADE <br />-___-- <br />1 AGGREGATE $ <br />DED RETENTION$CLAIMB <br />WORKEas COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />WC STATU OTH� <br />XI TORY LIts1T5� IR r_ <br />B ANY PROPRIETORIPARTNERIEXECUTIVE YIN <br />904636.14 <br />EXCLUOED9 N/A <br />ACCIDENT <br />105/0112014' 05101201$ 1OFFICERIMFMBER _$ <br />- <br />_._._ <br />1,000000 <br />(Mandatory in NH) <br />f EL DISEASE -EA EMPLOYEE <br />1,000,000 <br />If yes, describe under <br />_$ <br />DESCRIPTION OF OPERATIONS below ! ! <br />E.L.DISEASE POLICY LIMIT $ <br />1,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) y y <br />Certificate holder is named as additional insured per <br />the attached <br />endorsements. Primary and non contributory endorsement attached. <br />p <br />Silvia Cuevas <br />►'RCSA/Admin, <br />City of Santa Ana <br />Parks, Recreation & Community <br />Services Agency <br />1825 W. Civic Center <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 />AUTHORIZED REPRESENTATIVE <br />d,i <br />91988.2010 ACORD CORPORATION, All riahts reserved <br />ACURD 26 (2010/U5) The ACORD name and logo are registered marks of ACORD <br />