HAYNES, FRANKLIN, DBA: FRANKLIN HAYNES MARIONETTES

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DATE (MMIDDIYYYY) �cQ�o CERTIFICATE OF LIABILITY INSURANCE 5/16/2019 THIS CERTIFICATE IS ISSUED AS A 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(ies) must have ADDITIONAL INSURED provisions or 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 Specialty Insurance Agency Performers of the U.S. P.O. Box 24 CONTACT Stephanie Weiss N&Mt, PHONE 715-246-8908 FAX 715-246-4257 IALG. N9..F.xt): ADDRESS ceft@specialtylnsuranceagerlcy.com INSURERS AFFORDING COVERAGE NAIC# New Richmond, WI 54017 INSURER A: Evanston Insurance Company 35378 _ INSURED Franklin Delano Haynes INSURERS: INSURER C dba Franklin Haynes Marionettes 1234 Muirfield Road Riverside, CA 92506 itusuRERn: INSURERE: INSURER 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 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TRam TYPE OF INSURANCE ADDL SUBIR 3mn POLICYHu BER POLTCYEFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ix� OCCUR TO FfffffffD_ PREASES(Ea o [el e $ 300,000 MED EXP (Any oneperson) $ 5,000 PERSONAL& ADV INJURY $ 1,000,000 A X X 2CN0165-7335 04/18/2019 04/17/2020 t3Etl'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,000 X POLICY PRO ❑ LOC JECT $ OTHER: AUTOMOBILE LIABILITY (Ea pc4 en ll SINGLE LIMIT $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ • E UMBRELLA LIAR OCCUR EACH OCCURRENCE $ $ EXCESS LIAB CLAIMS -MADE AGGREGATE _ DIED I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE Y� STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBEREXCLUDED? (Mandatory In NH) N / A E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below A BUSINESS PERSONAL PROPERTY - INLAND MARINE I AGGREGATE $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) PERFORMER IS A NAMED INSURED AS A MEMBER OF PERFORMERS OF THE U.S.: Franklin Delano Haynes dba Franklin Haynes Marionettes Additional Insured: The City of Santa Ana, its officers, agents and employees as additional insured Email: mloera@santa-ana.org Attn: Michelle Loera Event Date: July 15, 2019 REVIEWED & APPROVED CLItIIFIC;AII: HULUtR i \ I.HIVI.CLLPIIIUIY City of Santa Ana J 1 9 901A 26 Civic Center Plaza 1 L 7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Santa Ana, CA 92701 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. A FIA M. LAMBERT AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATIUIV. Ali rignts reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD