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OP ID: BORE
<br />,aCoRO CERTIFICATE OF LIABILITY INSURANCE
<br />UATE(MMIDDYYYY)
<br />08/11/2015
<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 INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the polley(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 does not confer rights to the
<br />certificate holder in lieu of such endorsoment a .
<br />PRODUCER
<br />Schwelckert & Company
<br />15 Peters Canyon Road
<br />Irvine, GA 82606
<br />CONTACT
<br />E: Laura K. Hicks
<br />NNA _ FAX
<br />ac No Ext :714- 689.1772 A/c No : 714- 689 -1773
<br />aM MA L lours
<br />ADDRESS: (o7snhweickert.com
<br />PRODUCER
<br />CUSTOMERID#! PACIF11
<br />INSURERS AFFORDING COVERAGE
<br />NAIL 9
<br />INSURED Pacific Symphony
<br />Attn: Sean Sutton
<br />3631 S. Harbor Blvd. Suite 100
<br />INSURERAI Groat Divide Insurance Company
<br />25224
<br />INSURER a: Chartis
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />Santa Ana, CA 92704.6951
<br />INSURER C:
<br />12129/2014
<br />12129/2015
<br />D MAO TORE
<br />PREMISES Es accurre ce
<br />$ 1,000,000
<br />INSURER D:
<br />$ EXCLUDE
<br />INSURER E:
<br />$ 1,000,000
<br />•
<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
<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 />ILTR
<br />_ TYPE OF INSURANCE
<br />20 Santa Civic Center Plaza, M -25
<br />Santa Ana, GA 92701
<br />AuruoalzED FRE9 NTAIIVE
<br />POLICY NUMBER
<br />POLIOnYYY
<br />MMlO�/YYYP
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />CPA1010346
<br />12129/2014
<br />12129/2015
<br />D MAO TORE
<br />PREMISES Es accurre ce
<br />$ 1,000,000
<br />MED EXP(Any one person)
<br />$ EXCLUDE
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />•
<br />X Soxual Misconduct
<br />CPA1010346
<br />12129/2014
<br />12129/2015
<br />X
<br />Business Income
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />•
<br />$600,000
<br />GENL AGGREGATE
<br />LIMITAPPLIES PER:
<br />PRODUCTS- COMPIOPAGG
<br />$ 1,000,000
<br />—�
<br />POLICY
<br />PRO- LOC
<br />IFCT
<br />$
<br />•
<br />AUTOMOBILE
<br />LIABILITY
<br />ANYAUTO
<br />CPA1010346
<br />1212912014
<br />12129/2015
<br />COMBINED SINGLE LIMIT
<br />(Ea0colden0
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ALL OWNED gUTOS
<br />BODILY INJURY(Por accident)
<br />$
<br />X
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />PROPERTY DAMAGE
<br />(PER ACCIDENT)
<br />$
<br />X
<br />NON- OWNEDAUTOS
<br />$
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 6,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />•
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />CUA1010349
<br />12129/2014
<br />12/2912015
<br />ADEDUCTIBLE
<br />$
<br />X
<br />RETENTION $ 10,000
<br />$
<br />A
<br />WORKERS AND EMPLOYERS' (ABILITY
<br />ANYPROPRIETORIPAR TNERIEXECUTIVE YIN
<br />OFECERIMEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />under DESCRIPTION OF OPERATIONS beloW
<br />NIA
<br />WCAIOOB117
<br />1010112014
<br />10/01/2015
<br />X ORY LIM TS O7FI
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E,L, DISFASE-EA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE POLICY LIMIT
<br />$ 1,000,000
<br />A
<br />PROPERTY COVERAGE
<br />CPA1010346 (SPEC FORM)
<br />1212912014
<br />1212912016
<br />LIMIT: 554,000
<br />B
<br />ACCIDENT COVERAGE
<br />SRG B06 7675
<br />0712212016
<br />07/22/2016
<br />ACC 60,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, ACdltlunal Remarks Schedule, it more spoon Is required)
<br />Certificate holder Is named as A d�tloo I Insured with respects to the
<br />opera 10 of tho Named Insure T�TIs�nsuranae shall be primary and
<br />non- conPilbutmg. r,-- ----
<br />IJII -�
<br />CERTIFICATE HOLDER CANCELLATION
<br />© 1988.2009 ACORD CORPORATION, All rights reserved.
<br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City f Santa Ana
<br />y
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Community Development Agency
<br />20 Santa Civic Center Plaza, M -25
<br />Santa Ana, GA 92701
<br />AuruoalzED FRE9 NTAIIVE
<br />.Q,
<br />© 1988.2009 ACORD CORPORATION, All rights reserved.
<br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
<br />
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