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<br />ACORD~ 'CERTIFIC~; OF LIABILITY INSU~NCE T DATE (MM/DDIYY) <br />07/25/02 <br />PRODUCER IRM INSURANCE BROKERS THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION <br /> P.O. BOX 17939 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ANAHEIM, CA 92817 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> LICENSE # 0532703 INSURERS AFFORDING COVERAGE <br /> PHONE # (714) 688 -1167 <br /> -- -- <br />INSURED RELAMPAGO DEL CIELO, INC. INSURER A SCOTTSDALE INSURANCE COMPANY (VULCAN) <br /> BALLET FOLKLORICO INSURER B: <br /> 1010 W. MCARTHUS BLVD #22 INSURER C <br /> SANTA ANA, CA. 92705 INSURER 0 <br /> FAX 19491 794-0209 - <br /> INSURER E" <br /> <br />, <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEAMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />b,- ,POLICY EXPIRATION -- <br />Il~.;: TYPE OF INSURANCE POLICY NUMBER i PnOH2Y EFFECTIVE UMITS <br />A ~ERAL Uh61IJTY CLS0806344 02/13/02 02/13/03 EACH OCCURRENCE ,$ 1000000 <br /> X ' COM",E"C'A, GENERAL LIABILITY I FIRE DAMAGE (Anyone fire) 1$ 100000 <br /> , CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ 5000 <br /> PERSONAL & ADV INJURY -$ 1000000 <br /> c- 1000000 <br /> c- GENERAL AGGREGATE $ <br /> : GEN'L AGGREn LIMIT APPUES PER: PRODUCTS. COMP/OP AGG $ 1000000 <br /> ~ POLICY ~~~T~. LOC <br /> nOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> , (Eaaccident) $ <br /> ~ ANY AUTO <br /> f-----.. ALL OWNED AUTOS , BODILY INJURY $ <br /> f------, SCHEDULED AUTOS (Per person) <br /> , <br /> f-- : HIRED AUTOS BODilY INJURY $ <br /> H NON-OWNED AUTOS (Per accident) , <br /> PROPERTY DAMAGE 1 <br /> I -- (Per accident) !$ <br /> ==i~GE UABIUTY AUTO ONLY. EA ACCIDENT I $ - <br /> ANY AUTO OTHER THAN EAACC ! $ <br /> AUTO ONLY: AGG $ <br /> EXCESS UABIUTY EACH OCCURRENCE $ <br /> t5 OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> =1 ~EDUCTlBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I,WC STATU-' 10TH- <br /> __~_1:0fl'LLI.MJTI?_L _~Fi ---, -...- -.- <br /> EMPLOYE~S'lIAB;L1TY I E l. EACH ACCIDENT $ <br /> ----- <br /> EL DISEASE. EA EMPLOYEE $ _.-- <br /> E.l. DISEASE. POLICY LIMIT $ <br />X OTHER <br /> '10 DAY CANCEL <br /> NON PAYMENT. <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHIClES/EXClUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: THE CITY OF SANTA ANA IS NAMED AS ADDITIONAL INSURED AS PER ATTACHED <br />ENDORSEMENT. <br />CERTIFICATE HOLDER Ix I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER Will ENDEAVOR TO MAIL 1Q.... DAYS WRITTEN <br /> CITY OF SANTA ANA COMMUNITY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> DEVELOPMENT AGENCY (M-25) IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 20 CIVIC CENTER PLACE <br /> SANTA ANA, CA 92701 REPRESENTATIVES. <br /> ATTN. JOHN MALONEY AUTHOA1ZEOREPRES;~IV~r ~ ~ ~ <br /> JACK L. SMITH (. ,...l<.c, <br />ACORD 25-5 7/97 \ @ACORDCORPORATION19S8 <br />