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CERTIFICATE OF LIABILITY INSURANCE cATEIMMIoonml
<br />0710312019
<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(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rl hts to the certificate holder In lieuof auch endorsement e .
<br />PRODUCER Liberty United Insurance Services, Inc ,a�oMaT�aaCr AX
<br />,.NppE. Sam Mul radyan
<br />704 S Victory Blvd, Suite 204 E.Arn - 8187818888 e,1: 8682658889
<br />Burbank, CA 91502 ADD Eastsamlibertyunitadtnsatranca.amn _____,___
<br />License #: OF89841 INSURE 9 AFFORDING COVERAGE CM
<br />INSURED I iNSUR
<br />Jolly Bouncers, Inc. ----- ------------- —� — --
<br />DBA Allstar Event Rentals IMSUREa0
<br />930 Chambers Lane INBURERD;
<br />Simi Valley, CA 93065 INSURER E: _
<br />COVERAGES CERTIFICATE NUMBER: 00000000-1347414 REVISION NUMBER: 442
<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 MAYBE 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 />IN$R TYPE OF INSURANCE DLID.NUMBE PYEEE LYE%P LIMITS
<br />LTR
<br />A COMMERCIALDENERALLIABILITY Y N CA000030302.02 04/08/2019 04108/2020 EACHOCCURRENCE $ 1 NO 000
<br />—'�''11 ClAIM6•MADE �� { D TOFF EU
<br />_. __J I A occuR i .pREYrr8E9[,WRIW .� $ 3Q0 000
<br />..
<br />PERSONAL& ADV INJURY $ 1, 000O,QAO
<br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000
<br />POLICY E JEC ❑ LOG PRPDUCTS C9MPIOPAGG. A--?, 90Q,
<br />TIq�R' � $
<br />AUTOMOBILE LIABILITY. INESING4 }I..' $
<br />ANYAUTO -BODILY INJURY (Per parson) $
<br />OWNED SCHEDULED ._.,__..._..„__._________._.
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per acddent) $
<br />HIRED I I NON FV^ NON -OWNED PRQPE OAbWGE $
<br />f AUTOS ONLY AUTOSONLV
<br />$
<br />UMBRELLALIAB .00CUR EACHOCCURRENCE
<br />EXCESSLIAB CLAIMS MADE AGGREGATE $
<br />E , MTgNI
<br />WORKERS COMPENSATION N[1!TE,„ OFR
<br />AND EMPLOYERS' LIABILITY ---
<br />ANYPROPRIETOWPARTNEtilE%ECUT7yD F NIA EL EACHACCIOENT $
<br />OPFICEOPR1ETEREXCLEFV
<br />(Meadmoryln NHj EJ. J)16EASE, SEA EMPLOYE $
<br />It Ca �bSWMlmdet E RIPTION -PGLICYLIMIT $ OF 'TE etySv E.L, DISEASE
<br />DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 101. Atltlltlanel Remarks Bchodule, may be aNachad IT more space Is re9ulmtl)
<br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to
<br />written contract, agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary,
<br />and any insurance carried by City shall be excess and noncontributory.
<br />Awl �o
<br />AA
<br />CERTTFIIHOLDER CANCELLATION..
<br />C�f6
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana, its officers, employees, agents, and THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />representatives ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701 AUTHORaE�D DISPOSED
<br />1 �
<br />..... -... _. ,. -. v-9oc-cvis-i:6CJnr,`CirnwuFih „ul:, ki'r riyiria,TesarveY;..._..
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />Printed by SMS on July 03, 2019 at 10:12AM
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