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CERTIFICATE OF LIABILITY INSUF'dANCE---FeATSlnrW"C"TY1 <br />05!0212417 <br />THIS CERTIFICATE ha ISSUED AS A MATTER OF INFORMATION ONLY ANU CONFERS KO 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 CERTIFCATE 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 poiicy(les) must he endorsed. If SURROCATION IS WAIVED, Subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. A Statement an this certificate loos not confer rights to the <br />certificate holder In lieu of such endorsemenE(sj. <br />PRvnuceR fiddle Quillares Jr, ONE,c NT r Eddle Qulllares <br />State Fan -n Agency, �"aW°.►��te.ixll:.7t4,� U NI, <br />415 N. Broadway <br />eMA�as eddle eddla Insurance.com <br />All, Santa Ana, CA 02701 INSUMM51 MFOROING COVERAGE AIC I <br />INSURERA.StaleF>IIm G e I Insure Co <br />INsu.Raa Centro Cultural de Mexico Folklorfco INSUFM8: <br />337 N Ross St ENSURER C i <br />.Santa Ana, CA, 92709 INSUPARb <br />UVrIKAUC5 CERTIFICATE NUMBER: 75-0450 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 PERIpb <br />fNDICATED. NOTWITHSTANDINO ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT HATH 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 />A ; RENERAL UAWLrTY <br />n7—J MERGIAL GENERAL LIABILITY <br />CLAIMSnaADE L ^ 1 OCCUR <br />LIMIT APPLIES PER; <br />AUTOMOBILELIAaIWTY <br />-.-- <br />AUTO <br />t� soa,nnc <br />IANY <br />S 5,000 <br />AUYOAIED <br />ASCHE8ULED <br />HIREE)AOTOS <br />NON-OMEr) <br />AUTOS <br />UMBRELLALTAR� OCCUR <br />r4 <br />EXCESS UAB eu,a <br />ANI) I;MMOYERS` LFAB&I <br />ANY PROPRIHTORIFARTNMAmIECUTIVE YIN <br />0'+ICF7MEMaaR lixCUIDi WA <br />(Mandatory In NHI <br />d '.n1 deacdhe Under <br />91 -Ca -Q933-0 I 0510612DT7 1006120117 <br />EACH OCCURRENCE <br />$ t,000,DOq . <br />PR ISEs aaa a <br />t� soa,nnc <br />Met) EXP jpn ope oi: <br />S 5,000 <br />PERSONAL&ACV{NJURY <br />$ 1,000,000 <br />GENERALAOGREGATCe <br />S 2,0on nno <br />PRODUCTS •CpMp1DPAGG <br />S 2, 000,Oi}0 <br />e BCCIden IN LINT <br />S <br />E <br />BODILY INJURY Per persan} <br />S <br />BODILYINJURY (Per aodenp E <br />ParIF9rF DAMR E <br />EL, EACH <br />6.L, DI5EA <br />DESCRIPTION OR OPERATIONS/ LOCATIONS /Ve4ICLE9 (Atrsch ACORI)101, Addklonal Remarks ScMduls, S moreapacs Is requkedt <br />Cinco De Mayo Celebration in Downtown Santa Ana. GentroCulturai de Mexico Folklorico will be performing between 11;30am-1.30pm on the Main Stange <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVE ARE NAMED AS ADDMIONAL INSURED IN REGARDS TO <br />GENERAL LIABILITY PER ATTACHED EXHIBIT B ADDITIONAL.INSU'RED FORM. <br />C <br />CITY OF SANTA ANA <br />20 CMC CENTER PLAZA <br />SANTA ANA, CA 32701 <br />SONIA BATRE S <br />SHOULD ANY OF THE ASOVE DE8Cftl8Ei1 POLICIES GE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, N0710E WILL BE DEUV£RSID IN <br />ACCORDANCE WITH THE PMley PROVISSiON& <br />AU•IHORq:EO <br />'1tPtre-XUcQRS� CC?RPORATION. Ali righ4s res®tved. <br />ACgRi 26 (2010105) The AC4RD name and logo are regi i d marks of CORD 1001486 132849.7 03-01.2012 <br />