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Client#:7520 COLORSKI <br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MIWDD/YYYY) <br /> 4/24/2014 <br /> THIS CERTIFICATE IS ISSUED ASA 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(fes)must be endorsed.tt SUBROGATION IS WAIVED,su <br /> the terms and conditions of the policy,certain y eq ghts o <br /> Po Y polices may vire an endorsement A statement on this certificate does not confer rights to the <br /> certificate holder In lieu of such endorsement(s). <br /> PRODUCER NAME Jared Palmer <br /> Haas&Wilkerson Insurance — <br /> 4300 Shawnee Mission Parkway .'Nao _:913432-4400 ,�,�M <br /> Fairway,KS 66205 !ADDRESS: <br /> 913 432-4400 11"ER(S)AFFORDING COVERAGE NAtC <br /> —.---------.._._.._--..__---._—.------"--_._-____----.---------._..__.-...-_-._. INSURER A:ACE American Insurance Company 122667_ <br /> INSURED <br /> Color the Skies Inc.;Color the Skies ;INSURER e <br /> Hot Air Balloon and Kite Festival =INSURER <br /> PO Box 1135 `INSURER 0: <br /> Ripon,CA 95366 j INSURER E <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 CLAIM. <br /> INSR <br /> DO <br /> LTR —_.TYPE OF INSURANCE i� yryD POLICY NUMBET2MM01 <br /> F Y Exp <br /> --.-- YYLIMITSA624605152 Y2 402/2SM15 EACH OCCURRENCEXl COMMERCIAL GENERAL LIABILITYp�rence) 55W,WOCLAIMS-MADE L^'OCCUR MED EXP(Any one person) pSEXCLUDED <br /> PERSONA-d ADV INJURYS1,0W,0DD <br /> GENERAL AGGREGATE 55OW,000GENL AGGREGATE LIMIT APPLIES PERPRODUCTS-COMP/op AGG !SSDWPOLICY PRO- IOC R ( .t.S <br /> A .AUTor+aelANY �ouaBturY4'02/28/2015�awl H08156712COreBINEDSINGLELIMIT <br /> 3� <br /> -�� ALL BODILY INJURY(Per perwn) 7 S <br /> AUTOS OWNED SCHEDULED AUTEDl <br /> BODILY INJURY(per acodent)'S <br /> —'AUTOS ED <br /> X.HIRED AUTOS i �ER TTY DAMAGE "– '------------_--- <br /> !x <br /> NON-OWNED <br /> UMBRELLA UAB <br /> i OCCUR f i EACH OCCURRENCE <br /> EXCESS LIAR i S <br /> r .i CLAIMS-MADE R i AGGREGATE 'S <br /> DED 'RETENTIONS <br /> WORKERS COMPENSATIONI S <br /> AND EMPLOYERS LIABILITY I f j !T C SrATU- OTH <br /> ANY PROPRIETOR7PARTNERIEXECUTIVE:—Y/N -- <br /> OFFICER/MEMBER EXCLUDED? IN/Ai -EF L.EACH ACCIDENT ;S <br /> (Mandatory in NH) <br /> If yes,describe under i i _ <br /> 'DESCRIPTION OF OPEL DISEASE-EA EMPLOYEE-S <br /> ERATIONS below i E.L.DISEASE-POLICY UMfT i S <br /> A ;Equipment Floater j 108462963 2!282014 0228/2015 <br /> $50,000 Misc Brwd/Rntd <br /> I $1,000 Deductible <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101.Additional Remarks Schedule,it 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 by <br /> or rented to the named insured per form CG2026/LD-22318. <br /> CERTIFICATE HOLDER CANCELLATION <br /> San Joaquin County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 222 E.Weber Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Stockton,CA 95202 <br /> AUTHORIZED REPRESENTATIVE <br /> Ada. -e <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 /> #S181446/M175157 PALM) <br />