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25B - CARNIVALS
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25B - CARNIVALS
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Last modified
1/3/2012 4:34:44 PM
Creation date
1/1/2008 12:48:07 PM
Metadata
Fields
Template:
City Clerk
Doc Type
Agenda Packet
Item #
25B
Date
1/7/2008
Destruction Year
2013
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FR~7M :0-ENTEFTfi+IMENT FF~~; NC. :55~495~~1 Dec. 17 2©!37 ~?:EBPM P1 <br />'+ DEC-17-2007 MON 03.14 Ft~ FAX N0. 9~7 645 2810 P. 01 <br />~ERT~FICATL~ ~~ ~"N`~UR~T'~TCE <br />~ROC~UC~: pA`C'F l$$UFR: 12lI7RU07 <br />COMPAIyY: <br />!-~~ !'1?R KALAdAigSfYhi At}1'sNCY~ INC. laU'1,~ i.'1?R'fAiN UNi18RWRTC6R5 AT LLOYD'31 <br />P,[i. BOX 440088 LONIAOW <br />MAI't'[.,A!'JD, FL 32794-f40tx6 <br />PH; (40'7) b45-S00© W~I,[C'Y NUErfBER: NCM065'7~4 <br />FAX: (407) ti45,241 i p . <br />Ci BNI'ERTAINMffiUT, IrIC. C.10 Ji0'Y NASStJ'1"i' U5/2S/3007 4512112008 <br />339 E. BL~CBY Itt)AJ), 4 59 <br />LONG BJrAG'~t, CAl.(FURNIA 90817 (BOTH X3A'YS AT 12:41 A.M 1.OCA(. 9y'ANgATIp T1ME) <br />NAMED AHt3N43 Ft'!t~ TtJ}~• F'c~J.IC"Y PPtt10D II~tD1CATED, NOT WITHSTA1VDWti ANY 6R~QtJiR13MFNT, TERM(Sj OR ~- <br />CONpCI'ft)1V(4i) QFANY CONTRACT t)R C?THER, QOCUMEN7' WPJ'N RR.4PP{T T{3 WNIC:H THIS CF,RTTFICATI3(S) i14AYH <br />iS"~UED OR MAY PERTAIN. THE INSEIAANGI~ AFp(1Ri3}:tE3 KY THE POL(CJF«4 ABSt:RIBEG H$REIN IS SUBIJiCT `1't~ AI.I. <br />THE TERMS, £sXCLU$IpN$ AAiI?/C}R CONDI'170]V!R t7F ."~(J4'Fi PDLtG7E.S.I.IMI`TS OF LIABILITY 51~IOWN MAY HAVE E31rF. <br />REDUCBD H'Y ANY PAID Cl.A1MH <br />TYPE 01~ iN13UitANCE: <br />._ _ .._ <br />E LIMtT!~Q F~UC'Y ~, AG{#ItFGaTF ~-t~ <br />X OW'Nliitti, i.A,TJDI.ORD9, ~ TCNA1d'I'S PZ3ItSONIAI.4• aDV'. IN'It3ttY~ S-0- <br />FACN OCCURR[~VCIf: S 1,000,000.00 <br />RGTRO DATf;: US/ZSiZ006 FI1tQ DAMAGE (ANYONE FIRE) S-0~ <br />A17DCTIQNAI. IAISUIi.EI](S):1'F1E #:11'Y l)F SANTA ANA. IT3 4FFICE>~t8, FMPLQYEES, AOENT$ AND It~'RFSBN'I'A'Ili <br />JF,ROMC PARK. C9IA,RE HEREBY ADDED A43 ADDITJt)NA>a MST,lRED ObrI..Y AF TIJ3~:X.1't !N'l'lrtt>~i'1' MAY APPI:.AR [N <br />RT'SPECTS TO THE OPERATIQN(9} AERFORMED HY THE NAMEJq IN3UItJD ANJq/dR 1'f'4 EMPI.UYl=E(S) ONLY <br />"T'~#J431't31,ICY 1$ PRIMARY AND N4IV-CONTRIB[]7'URY" <br />S~ ATTAC'fIED AI)I)$NI1C i'14( "A" FUR IaF 9CRIPT((~1 OIL LIA>3rI.[TY CC~VERAGE(Sj AFF'URDBD_ - <br />N'(' t~A'l'F:(S): MARtrf # 2#, 2008 THROUGH A4ARCFI 3p, .2008 <br />L,QCATION: JEItOMB PARK IIV THls CITY OF SAN1~A A1uA GAJ.(Fi)RNIA 9Z7g1 <br />THI3 GF~TIFICATF I3 ISSCJ~3 A'S A MATTER OF IIVFORMATILIN QNGY AND CONFERS N©RICR•!T9 UP41rT THl~ <br />CBCt't'iF1t:.A•t'ir I1+.~LCfPR.TH15~ GF3RT1PiCATE DOES t+1QT AMENDS E7iTEND OR ALTER THE t~OVBRAQrF(S) AFFORI)P.f~ <br />J7'IE POLICY(S) LISTIsD. "LIMITS SI{ONN' ARE Ti106E NrI E>J~+'>I'L'T A41'£1F Pp3.-CY 11YCEPTIOI~i." <br />SHgULD ANY OF TI~EJ A80VI? pE.SCIIiH~j] I~OI.~CY(~)13F: CANC:I3LLTiD HBF(]1.tE THE EXPIRATI(?1+1 BATE THE~04~, <br />THE ISBUTAiG CQM~'At+l'Y 1V'11..4. ~tMA IL ~0 DAYS WRTI"($N I~TICB TO TEIE CERTII'ICAT~; IiU1,p6R <br />'~ IQ DAY NOTICE OF CAt`I'C~SL.LATIC)N VVII.Y. APY't-'Y !'A~i N(N+l-PAYMI'.NT (aP PRBMI~IM" <br />CERTIAICA'f& HOLDER I ADDITiCII~JAL INSYJ)7ECti~ A[1T1 IOR17..RIS RFPR FNTATTVG: <br />TH$ C[TY OIL 5AN'I'A ANA <br />2a c1~rIC C~f7'ER Pt-A~A <br />t~aNTA ahTn, t~A,WF't)RNIA 92781 <br />A'ITN: Pl.1R{:NASIhi4 DEPAItTM$N'T <br />1''AX4 3ti2/495-54ti! 7141171-4235 714/647-6944 I S <br />X <br />25B-125 <br />
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