PAINT YOUR HEART OUT (3) - 2010 - Laserfiche WebLink

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ISSUE DATE (MM)DD/YY) CERTIFICATE OF.. INSURANCE 9/30/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Alliant Insurance Services, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES 1301 Dove St., Suite 200 NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES Newport Beach, CA 92660 BELOW. COMPANIES AFFORDING COVERAGE (800) 821 -9283 Ext. B161 • Fax (949) 756 - 271390 INSURED SPECIALLIABILRY WSUFW.rE PROORVA (SUP) MU BER COMPANY A ALLIED WORLD NATIONAL ASSURANCE CO. NAIC #:10690 LETTER PAINT YOUR HEART OUT, INC. COMPANY -° - _.,......__._....- -- -•-- --. ..... ...... _._.._ B 1260 N. HANCOCK, UNIT 103 LETTER __.•.__.°---_—__ —__ .............._..__..__._.__ _ ANAHEIM, CA 92807 COMPANY C LETTER COMPANY D LETTER .__. ...----- ------- .- °- _..._. -..._....................._..— .- .-....._ ...... _._ ...... _.. -. __-- °--...._.. __...___..._._.-- COMPA,.1' - _ E LETTER G(SVERAGE3 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSION AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR - "- -~._ -^ --- -_- -' TYPE OF INSURANCE -- •`__-- ._..__ . _ POLICY NUMBER POLICY EFFECTIVE DATE (MM)DDIYY) POLICY EXPIRATION � .n LIMITS DATE MWDD A GENERAL LIABILITY 0010407/002 09/29/09 09/29/10 GENE RALAGGREGATE tie: PRODUCTS - COMP /OP $1,000,000 X COMMERCIAL GENERAL LIABILITY — CLAIMS I� OCCUR IMADE X AGG. - ----- - ---- - - - -- PERSONALBADV.INJURY - - - - $1,000,000 EACH OCCURRENCE J - $1,000,000 OWNER'S & CONTRACTOR'S PROT. X GLDed: $1,000 FIRE DAMAGE (Anyone $1,000,000 fire MED. EXPENSE (Anyone N /A�� person) A AUTOMOBILE LIABILITY 0010407/002 09/29/09 09/29/10 COMBINED SINGLE LIMIT $1.000.000 ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS HIRED AUTOS _, h (Per person) BODILY INJURY X �( NON -OWNED AUTOS ^ lv (Per accident) _..._.. GARAGE LIABILITY ------- ------- ---• .............__.._.. PROPERTY DAMAGE °-----------_.. ----- --- AUTO DIED: $1,000 �SID O CJ� EACH OCCURRENCE UMBRELLA FORM d(�6 "G�ki AGGREGATE OTHER THAN UMBRELLA FORA! �`SN Sc��S�an STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT AND DISEASE -POLICY LIMIT - - EMPLOYER'S LIABILITY DISEASE -EACH ' POCIGYPl10R1.1 OGES NOTOCONTAPf1A GENERAL LU161lITY AGGREGATE AS RESPECTS TO THE AGREEMENT WITH THE CITY OF SANTA ANA. THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES SHALL BE NAMED AS ADDITIONAL INSURED. THIS INSURANCE IS PRIMARY AND NOT AFFECTED BY ANY OTHER INSURANCE CARRIED BY SUCH ADDITIONAL INSURED WHETHER PRIMARY, EXCESS, CONTINGENT, OR ON ANY OTHER BASIS. SEVERABILITY OF INTERESTS: THE TERMS 'PARTICIPATING NAMED INSURED' AND'INSURED' ARE USED SEVERALLY AND NOT COLLECTIVELY, BUT THE INCLUSION HEREIN OF MORE THAN ONE 'PARTICIPATING NAMED INSURED' OR 'INSURED' SHALL NOT OPERATE TO INCREASE THE LIMITS OF THE 'COMPANY'S' LIABILITY. ADDITIONAL INSURED ENDORSEMENT ATTACHED. SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS. "CERTIFICATE HOLDER CANCELLATION _ - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ""AV 01446 MAIL CITY OF SANTA ANA ATTN: FRANK HERNANDEZ "30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MANAGEMENT AIDE STO MAIL. SUG11 010;'Gre 9 11 I;* 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 13F- AN*4QNB-UA4 'EXCEPT 10 DAYS FO NON-PAYMENT 42 A TH RIZED REP NT