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<br />ACORD,aa CERTIFICATE OF LIABILITY INSURANCE Il,-
<br />°AT2"
<br />055/26/26(200f155
<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 BELOW,
<br />HIS 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 pollcy(les) must 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 Ilou of such andorsement(s).
<br />PRODUCER
<br />CONTACT NAME: Mass Merchandising
<br />K&K Insurance Group, Inc.
<br />1712 MagnavoxINWay
<br />Fort Wayne IN 46804
<br />PHONE(A1C, No. E.q: 1.800.325-2317 FAM(A/C, Na): 1-260-459.5502
<br />E-MAILADDRESS: Info@aventinsurance-Irk.com
<br />�
<br />INSURED 2000648858 CP#1108
<br />INSURERS) AFFORDING COVERAGE
<br />NAICH
<br />Kevin Christian Noonchester
<br />DBA: Noteworthy Puppets Inc,
<br />1476 E Chevy Chase Dr. Apt. B
<br />Glendale, CA 91206
<br />INSURER A: Nationwide Mutual Insurance Company
<br />23757
<br />INSURER e:
<br />INSURER C:
<br />5AMiTOR fFTEDPREMISES nce
<br />INSURER D:
<br />MED EXP (An'/ one person)
<br />JA Member of the S ons, Leisure & Entertainment RPG
<br />'THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVC 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
<br />ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF
<br />SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />INSftTYPE
<br />LTR
<br />Of INSURANCE
<br />ADDL
<br />RED
<br />SUBft
<br />wVD
<br />POLICYNUM9ak
<br />POLICY EFF
<br />MMIDOIYY
<br />POLICY EXP
<br />MMIDD/YY
<br />LIMITS
<br />A
<br />PMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE OCCUR
<br />X
<br />6BRP00000OO5578100
<br />04/16/15
<br />12.01 AM
<br />04/16/16EACHOCCURRENCE
<br />12:01 AM
<br />$2,000,000
<br />5AMiTOR fFTEDPREMISES nce
<br />$300,000
<br />MED EXP (An'/ one person)
<br />$5,000
<br />PERSONAL&ADV INJURY
<br />GENT AGGREGATE LIMIT APPLIES PER:
<br />POLICY [:]PROJECT LOG
<br />GENERAL AGGREGATE
<br />$5,000,000
<br />OTHER
<br />PRODUCTS-COMPIOP AG
<br />$2000,000
<br />PROFESSIONAL LIABILITY
<br />LEOAI. LIAR TO PARIICIPANTS
<br />$2,000,000
<br />AUTOMOBILE
<br />LIABILITY
<br />NED SINGLE LIMIT
<br />Audi Or
<br />ANY AUTO
<br />ALL OWNED AUTOS
<br />INJURY (Por person)
<br />IN'TRY(Peraceldens
<br />rR
<br />BAUTOSULED
<br />HIREDAUTOS Nor -OWNED
<br />AUTOS
<br />RTY DAMAGE
<br />o r ant
<br />X
<br />Not provided while In Hawaii
<br />UMBRELLA LIAe OCCUR
<br />EACHOCCURRENCI
<br />EXCESS LAB CLAIMS -MADE
<br />AGGREGATE
<br />Can RETENTION
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOMPARTNER/ I�"'1
<br />EXECUTIVE OFFICER/MEMBER L J
<br />FFR
<br />AT OTHER
<br />C1 EACH ACCIODNT
<br />EXCLUDED'!
<br />(Mandatory in NH)
<br />N 1 A
<br />E.L. DISFASE-EA EMPLOYEE
<br />If yes, dssenbe under
<br />DESCRIPTION OF OPERATIONS
<br />E.L. DISEASE - POLICY LIMIT
<br />below
<br />A
<br />MEDICAL PAYMENTS FOR PARTICIPANTS
<br />6SRPGO000005578100
<br />04/16/15
<br />12:01A.M.
<br />04116/16
<br />1291 A.M.
<br />PRIMARY MEDICAL
<br />$5,000
<br />EXCESSMEOICAL
<br />DESCR N F OPERATIONS 1 LOCATIONS I VEHICLES (ADDED 411, Additnnai Remarks Schedule, may be attached if more apace arequlmiq
<br />Re: Performing as a Puppeteer
<br />City of Santa Ana, Its officers, agents and employees are added as an additional insured, but only for liability caused, In whole or in part, by the acts or
<br />Ornlssrms of the named insured,
<br />Effective: 05/22/2015-04,116120W
<br />-
<br />4MIV I. "R 1[UTI
<br />City of Santa Ana Public Library
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Attn: Monique Rosales
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />26 Civic Center Plaza
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />.. Santa Ana, CA 92701 -
<br />AUTHORIZED REPRESENTATIVE
<br />OwnertManagedLessor of Premises
<br />Coverage is only extended to U.S. events and activities.
<br />— NOTICE TO TEXAS INSUREDS: The Insurer for the purchasing group may nor bo subject to all the Insurance Taws and regulations of the State of Texas.
<br />ACORD 25 (2014/01) h 1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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