Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2014_PS-1401001 thru PS-1401500_ - PS-1401299

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Client#:7520 COLORSKI ACORD,. CERTIFICATE OF LIABILITY INSURANCEDATE(MMOD/YYYY) an4/2014 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CAMIA"NAME: _ Jared Palmer Haas&Wilkerson Insurance P FAX — 4300 Shawnee Mission Parkway A L En:913432-4400 ,,c ADDRESS: - ----- ------ Fairway, 66205 --- INStAiW"AFFORDING COVERAGE NW 913 432-44040 0 !INSURER A:ACE American Insurance Company 122667 INSURED ';INSURER 8: 1 Color the Skies Inc.;Color the Skies Hot Air Balloon and Kite Festival ` SUC: PO Box 1135 INSURER D Ripon,CA 95366 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSLTR TYPE OF INSURANCE !A0, POLICY EFF Y EXP ---------- -- I POLICY NlaalERUMRS --......--- A GENERAL LIABILITY 624605152 2/2$R(i14 0212=015 EEAACCH�GOECTCURpRENCE s1 OOO ,000 Xi COMMERCIAL GENERAL LIABILITY ( i pp EMfSESQEj NTED _ SSW,000 CLAIMS-MADE I ^'OCCUR MED EXP(Any one person) i s EXCLUDED PERSONA_&ADV INJURY _ 61,000,000 GENERAL AGGREGATE S5OOQ000__._...-_.. GENL AGGREGATE LIMB APPLIES PER I PRODUCTS-COMPA�P AGG S 5 000 000 .._' PRO- POLICY JECT DLOC I S A -AUTOMOBILE LIABILITY 1'H08156712 20WO14�02/28/2015lS1,000,000 `!ANY ALTO BODILY INJURY(Per person) IS ALL AUTOS OWNED SCHEDULED AUTOSBODILY INJURY(Per aoaders) S F—NON-OWNED 1 ; :PROPERTY DAMAGE X;HIRED AUTOS 'X AUTOS S -_._._ S UMBREi.LA LIAB OCCUR S EACH OCCURRENCE s } EXCESS UAB CLAIMS-MADE; I 3 AGGREGATE 5 DED `RETENTION s WORKERS COnPENSATFON wC STATV- 'AND EMPLOYERS LIABILITY y/N I i iT -_-_----____-- ANY PROPRIETORiPARTNERJEXECUTIVE I OFFICERIMEMBER EXCLUDED? IN/Ai E.L.EACH ACCIDENT i S (Mandatory in NH) ---- ' i E.L.DISEASE-EA EMPLOYEEi S H yes,describe under -- -- DESCRIPTION OF OPERATIONS wow i i E .DISEASE-POLICY LIMIT i S A ;Equipment Floater i 108462963 OZIM014 02/28/4015 $50,000 Misc Brwd/Rntd i ( $1,000 Deductible I i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101.Additional Remarks Schedule.it more space is required) Governmental Entity(Form CG2026/1-D-22318) San Joaquin County,its officers and employees are named as an additional insured on the general liability policy but only with respect to liability arising out of the named Insured's operations or premises owned by or rented to the named insured per form CO2026/LD-22318. CERTIFICATE HOLDER CANCELLATION San Joaquin County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 222 E.Weber Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Stockton,CA 95202 AUTHORIZED REPRESENTATIVE 019SS-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #SI81446/M175157 PALMJ