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AC014I~ CERTtF~G~-TE O~ ~.I~•IBILITY INSURANCE D"'~'~"~°°~Y'"Y' <br />as/it/aoa7 <br />PROmJrsa (425) 954-3386 FAX (425) 451-3716 <br />Arthnr J_ Gallagher Sisk ~eanagement Sez~vices, inc. <br /> <br />P.O. Sox 367 7H1$ GER3lFICATE IS ISSUED AS A MATTER OF INFORIIAATION <br />ONLY AND CONFERS NO 131GHTS UPON l7iE CERTIFICATE <br />HOLDER_ THIS C>=RTIFIGA7E DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDE6 RY THE hOLICiESRELOW_ <br />Bellevue, RA 980Q9-0367 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />nasu~ED Ghristians~n Ansusements, F.nC. INSURER~I American States insurance Co <br />~--~-- <br />P. O. 84x 997 INSURER B& <br />Escondido, CA 92033-0997 INSURER C: -!.~_r.r _.._...,...., _~ <br />-". -..... <br />. <br /> __ <br />INSURER D: _-_-_ <br />_.~_ <br /> INSUREFI E•` <br />nnvcown_cc <br />THE POLIC185 OF INSURANCE LISTED BELOW HAVE BEEN ISSt rFn TO THE WSUHED NAMED ABOVE FOR THE POLICY PER~SD IN6ICATED_ NOTiNITHSTANDlNG <br />ANY REOUIREMENT.l-ERM OR CONDITION OF ANY COKTRACT OR OTHER DOCUMENT Wffii RESPECT TO W HIGH THI$ CERTIFICATE AAAY BE SUED OR <br />MAY PERTAIN, THE RVSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREg1i iS SUBJECT TQ ALL THE TERM, EXCLU$IQpIS AND CQNOR1pNS E1F $LJCH <br />POLICIES. AGGREGATE L]MITS SHOW N MAY HAVE BEEN REDUCED BY PAI] CLAMA.S. <br />~ <br />M4R O' TYPE OF INSURANCE POLIOY NU116ER POLY ~~ ~~ P~(P~A7gN L1f1t1`S <br /> pENERAt Ly161L11ry EACH OGCLIRRENCE S <br /> OOMMERCUiL GENERAL LIABILITY paMAQE T~O RENTEO <br />FP111SES.(E.ifcwceprej_... S <br />.,.r <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one porsor~ _ x _ ..,_._.. <br />µ <br /> PER$pNAL 6 AOY INJURY ~ <br />, <br /> OENERALAO(3REpATE S -._.....- <br />. <br /> GEN'LA(i{aAECiAYE(1MITAPPLIESPER: PRODUCT'S-COMPlORAG6 S <br /> PODGY Jgy~7 LOC <br /> AlrroIrlDBU.ELwBILnw 01CB.49116161 04/01/2607 04/41/2008 <br />OoMa1NED slNaLe uMrr <br /> X ANYAUTa IEsz~d~xl ~ 1, 400, 60 <br /> ALL OWNED AUTOS <br />90QILY R~Ul1RY <br />g <br /> SCHEDULED AUTOS IPa ~~nl <br />A N[RED AllTO$ <br />@ODILY INJUFCY <br /> <br />NON-0WNED AUT06 <br />(Pa amdenf~ S <br /> PROPERTY DAMAGE <br /> <br />. <br />(Per aoodmt) S <br /> GARAC~ELLiBiLiTY AUTO ONLY-EAACCIDENi S <br /> ANY AUTO ~~.D.I~ EA ACC S <br /> AUTOONIY: AGG S <br /> - --===BBELlALWt3LLrtY <br />...-. EACHOGCURIRENOE 6 <br /> OCCUR ~ GIRTHS MADE AGiGREGATE $ <br /> S <br /> CEpUCYIeLE g <br /> REr~rmoN S S <br /> WORKERS COMPENSA'RON AND WC 5TATlY OTH- <br /> Fa1PLOYERS' LIABILlfY <br />ANY PRCPRIETORIPAA7NER/E)~CUTNE <br />E,L.EAp-IACCtOENT <br />S <br /> OFFICERIM3dBt3~ EKCLUDEO? EL DISEASE - EA EMPLOYE S <br /> >;PC{,IAL Pgbv1~10N5 below EL DISEASE -POLICY LIMIT . S <br /> OTHER <br />DGSGRO~YION OF OPERATIONS t LflCAT70Nfi l V~`~ ~ ~ EXCLUfi1DN6 ADDED BY EMOOBBEMEN7/ SPE(:IwL PRgYRj7QN$ <br />The City of Samoa Aaa, its officers, agents, employees, representatives aad volTmteer$ are included <br />as additipaal in$uradet but only as reape4t8 ttLe operation of the nsaled fs-sued per galicy tErma and <br />conditions for the dates June 25, 2007 through July 3, 2607_ <br />City of Santa Ana <br />nttn: GarlB• Tompkirss <br />688 W_ Santa Ana Blvd-, 8200 <br />Santa Ana, CA 93702 <br />SHbI B h ANY OF THE ABOVE DE9(~BED P4LIGtE@ 8E ¢ANC,ELLEO BEFORE THE <br />EJ(P1RAT18N DATE THEREOF, 7'M6165UING INSURER Wltl )q~p[4q~D PAIL <br />30 DAYS WRRTEN NOTICE T O THE CERTIIaCATE MOLDER NAMED TO THE LEFT, <br />AVI't{ORQ.EO REPRESENTA7SVE _ - <br />Daye H~•,•,~*+/,70ASiNE I7,e~:~.;=.~ta.'~-- <br />ACORQ 2S (20091(18) FaX' (719) 571-A209 ~IACORD CORPORATION 1988 <br />25A-123 <br />