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A CERTIFICATE OF LIABILITY INSURANCE <br />DATE , Y 8 /1 22016 <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 INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT, If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy,: Certain policies may require an endorsement, A statement on this certificate does not confer rights to the <br />certificate holder in lion of such endorsement(s). <br />PRODUCER <br />Clayton Insurance <br />SgaieFarn7 1 6167 E Whittler Blvd <br />Al Whittier, CA 90603 <br />G N ACTAIeX Muller <br />NAME: <br />_ <br />PRONE ' 562 -947 -4795 - -� — 562..943 6078 <br />D IL ER1 _- wlc Nov _ <br />MAIL a10X -� <br />ADDRESS: _QGaylOnegenCy;COm <br />LNG URER!$j AFFORDING COVERAGE <br />NAIC <br />INSURER A StatO Farm General Insurance Company <br />2sis1 <br />NSURED ranges e GDUnty Center for Contemporary Art __ __ <br />117 N Sycamore St <br />Santa Ana, CA 92701 <br />INSURERa <br />Y <br />INSURER C; <br />1N4`b2o14 <br />INSURER D __- -..._- <br />EACH OCCURRENCE <br />_..._....._ <br />_INSURER E <br />A EN <br />PREMISES En accurtence <br />$ <br />INSUR511 F, <br />MEU E %P {Any. oOepniean) <br />S 5, 000 <br />l%9l' 659° eau, 401�� 19a:i�FiIA` \t.'\1U11U1:1�.' T3 <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 />R <br />TYPEUFINSURANCE <br />l <br />A 6. <br />- <br />D <br />_ <br />IOLCYNUMBER <br />POWCYnEr <br />M :- <br />D(- <br />MD I <br />LIMITS m <br />X <br />COMMERCIAL OENEHALAA�BILITY <br />CLAIMS -MADE OCCUR. <br />Y <br />Y <br />92 O7.41050 <br />1N4`b2o14 <br />11/11120'16' <br />EACH OCCURRENCE <br />$ 4,000}000 <br />Be <br />A EN <br />PREMISES En accurtence <br />$ <br />MEU E %P {Any. oOepniean) <br />S 5, 000 <br />PERSONAL &ADV INJURY <br />S <br />� <br />AGGREGATE LIMIT APPLIES PER <br />POLICYEl jECT BLOC <br />_ <br />I GENERAL AGGREGATE <br />$_ 2000;03DY <br />DEAL <br />_ <br />PRODUCGS CCMPK)PAGG <br />$, 4000;000 <br />AUTn <br />MOBILE .LIABILITY <br />COMBI E0 INGEEL <br />En nccdent] . <br />-� <br />ANY AUTO <br />ALLOWHED SCHEDULED <br />ILEOS AUTOS <br />BODILY INJURY (Per person) <br />s <br />BODILY INJURY(Peraccldent) <br />—DAM <br />- - - -- <br />§ <br />NK `HIRED AVTOS I AUTO OWNED <br />PRO PERTY AGE <br />,.,(Pereacident <br />$ -- <br />$ _..... <br />UMBRELLA LIAR <br />EXCESS LIAa <br />OCCUR <br />CLAIMS-MAD <br />I <br />EACH OCCURRENCE <br />—---- <br />$ <br />- -�µrr- <br />AGGREGATE <br />$ <br />.. .- <br />DED RETENTONS <br />$ <br />WORKERSOOMPENRATION <br />ANDEMPLOYERTUDU1ILITY YIN <br />ANY PROPRIETOR /PAR] NERIEXECUTIVE <br />OFFICER(MEMBER E %CLI1CFCt <br />MIA <br />P R -0- H• <br />TATUTC_ __,.Eft <br />EL EAGHACGIDENT <br />$ <br />E.L. DISEASE -FA EMPLOYE <br />-� -- <br />__ <br />S <br />IMeedatory in NH) <br />IryyBS, daSpdbE tinFOder <br />OES6RIPTION PERATIONSb.lbw <br />E:L DISEASE- POLICYUMIT <br />$ <br />DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES(ACORD 101; AddRU V.I 110. ft S0ftc,may ba attached if mere syace LS myuired) <br />The City of Santa Ana is listed as additional insured <br />Insurance is: primary 'and non-contributory <br />C I <br />Cityof:Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />ION PATE THEREOF, .NOTICE WILL BE DELIVERED IN <br />. WITH THE POLICY PROVISIONS. <br />ACQRD 25 (2014101) The ACORD name and logo are registered marks of <br />1001486 132849.9 02 -04 -2014 <br />