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• Client#:7520 COLORSKI <br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE DAT7/005/205/20DIYYYY) <br /> 12 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO 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 CERTIFICATE 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 policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> ACT <br /> PRODUCER NAME: Carol Porter,CPCU <br /> Haas 8r Wilkerson Insurance PHONE 913-676-9258 ac,No): 913-749-4758 <br /> AIC,No Ext <br /> 4300 Shawnee Mission Parkway E-MAI <br /> ADDLRESS: p carol. orter hwins.com <br /> Fairway,KS 66205 INSURER(S)AFFORDING COVERAGE NAIC# <br /> 913 432-4400 INSURER A:ACE American Insurance Company 22667 <br /> INSURED INSURER B: <br /> Color the Skies,Inc.;Color the Skies INSURERC: <br /> Hot Air Balloon Festival INSURER D: <br /> Po Box 1135 <br /> INSURER E <br /> Ripon,CA 95366 <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 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 PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSR WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY <br /> A GENERAL LIABILITY G24950827 7/05/2012 07/05/201 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea oocurrrence $500,000 <br /> CLAIMS-MADE 51OCCUR MED EXP(Any one person) $EXCLUDED <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERALAGGREGATE $5,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $S,000,OOO <br /> PRO- $ <br /> POLICY JECT LOC COMBINED SINGLE LIMIT <br /> A AUTOMOBILE LIABILITY H08156189 7/05/2012 07/05/201 Ea accident $1,000,000 <br /> BODILY INJURY(Per person) $ <br /> ANY AUTO <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS PROPERTY DAMAGE $ <br /> X HIRED AUTOS X NON-OWNED Per accident <br /> AUTOS <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY YLIMIT <br /> ANY PROPRIETOR/PARTNI R/EXECUTIVE YIN <br /> N E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS below <br /> A Equip.Floater 108462586 7/05/2012 07/05/201 $50,000 Misc Borrowed/ <br /> Rented Equipment <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> Governmental Entity(Form CG2026/LD-22318) <br /> San Joaquin County,its officers and employees are named as an additional insured on the general liability <br /> policy but only with respect to liability arising out of the named insured's operations or premises owned <br /> by or rented to the named insured per form CG2026/LD-22318. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> San Joaquin County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 222 E.Weber Avenue ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Stockton,CA 95202 <br /> AUTHORIZED REPRESENTATIVE <br /> �L9 `Try- <br /> ©1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S121766/M121761 PHILJ <br />