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Client#:158 PAULMAUR <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE <br />finis UEN I1HUAl t IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />- <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: M the certificate holder is an ADDITIONAL INSURED, the pollcypea) must be endorsod. If §UBROOATfON 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 endorsament(sl. <br />Haas & Wilkerson Insurance <br />4300 Shawnee Mission Parkway <br />Fairway, KS 66206 <br />913 432.4400 <br />Paul Maurer dba 41-a0 l E_— c) C) <br />Paul Maurer Shows f�" _aL <br />16081 Warren Lane <br />Huntington Beach, CA 92649 <br />COVERAGES <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 />AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />pgEXCLUSIONS <br />LTR <br />TYPE DP INSUMNCE <br />NSRArta'.WyO POLICY NUMBER <br />MW <br />MM1D0lYVYY <br />+— <br />LMITS__ <br />A <br />GENERALUAINUTY <br />�G20496499 <br />4/01/2018,04/01/201 <br />EpApcL1xp�oEcoTQuRqRENCE <br />--- <br />$1000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />!CLAIMS -MADE OCCUR <br />TAM, Ea;_{eg,Q�urmroaf <br />5300000 <br />MEDE%P ony mrepemOE)._ <br />_ <br />fEXCIudBQ_ <br />PERSONAL A ADV INJURY <br />fi 000,000 <br />_ <br />_ <br />.GENERAL AGGREGATE <br />f2,000,000 <br />Urn. AGGREGATE LIMIT APPLIES PER: <br />POLICY-nni � LOC <br />__...._ <br />'I_-.._ <br />PRODUCTS •COMPiOP AGG <br />f2 QQQ UQQ _ <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />(ANY AUTO <br />ALL OWNED (. SCHEDULED <br />OWL% <br />1t HIRED AUTOS X AUT'Co"" <br />HQB133268 <br />j <br />- <br />2/05l2Q19: <br />Q2l05l202 <br />(AUTOS <br />C INGLE LI I <br />E <br />i1'QQQ QQQ <br />BODILY INJURY IF" person) <br />f <br />BODILY INJUflY(Par xddOnl{ <br />'PROPERTYDAMAGE <br />f-..___._.__ <br />Y -- <br />UMBRELLA DAB <br />j EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />i <br />EACHOCCURRENCE <br />f <br />AGGREGATE — <br />$ <br />CEO . RETENTIONS <br />i <br />® <br />WORKERS <br />ANDEMPLOYERB'LUMM COMPENSATION rrx <br />AAHHY POOP IETORiPA THE EXECU'fIVEr" <br />OFFICEPIMp BER E%gLUDR�DT <br />EM C E <br />(MMmto%IR NH1 � <br />hry0Ss`ddeedliON OFO <br />pE3CRIPTIONOFOPERAtgtJ3below <br />NFA0568554 <br />i <br />N!A` �— — <br />1/6112019101f01/2020,X_toRYiw¢s <br />- ---I <br />._ER <br />E.L. EACH ACCIDENT <br />$1 QQQ OOQ� <br />EL DISEASE -EA EMPLOYEE <br />-R9.a000 O, 00 <br />LL DLSEASE_POCICY LIMIT <br />DESCRIPTION OF OPERATIONS (LOCATIONS/ VEHICLES (Mach ACORD 101, AddItIOM1 Remade SOMEUH, It mare spade h req,mw) <br />Additional insureds: City of Santa Ana, It's officers, agents, employees, representatives and <br />volunteers, and Fiesta de Carnival. d <br />SEE ATTACHED ADDITIONAL INSURED AND NON-CONTRIBUTORY ENDORSEMENTS e+S')g' <br />Workers' Compensation coverage applies to the statutory requirements of the state of California.Q'•�\ <br />City of Santa Ana, Parks, <br />Recreation & Community <br />Services Agency <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE <br />THE EXPIRATION DATE T <br />ACCORDANCE WITH THE I <br />AUDnu zs (211TUMO) 1 oil The ACORD name and logo are registered marks of ACORD <br />#5373805/M337818 SALAK <br />:ANCELLED BEFORE <br />BE DELIVERED IN <br />All <br />