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I!(rj:�w CERTIFICATE OF LIABILITY INSURANCE os os/zo1` i°` Y" <br />Allied Specialty Insurance, Inc. THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATIOP <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />85 N.E. Loop 410, Suite 600 HOLDER. THIS CERTIFlCATE DOES NOT AMEND, EXTEND OF <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />San Antonio, TX 78216 <br />AFFORDING COVERAGE I NAIC 0 <br />Christiansen Amusements, Inc. INBURERw Insuratyice <br />and Southland Shores, Inc. INSURER B: <br />P.O. Box 997 PSURER C: <br />INSURER D: <br />Es ndido, CA 92033 INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_ NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIGH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVEBEENREDUCED BY PAID CLAIMS. <br />R <br />rr <br />GENERAL LIABILITY <br />BI X COMMERCIAL GENERAL LIALITI' <br />CLNMS MADE � OCCUR <br />POLICY NUMSER <br />PC EPFeenve <br />OM01/2011 <br />Po orPlRAnoN <br />LIMITO <br />A <br />CPP0100507A7 <br />04/01/2012 <br />EACH OCCURRENCE <br />S1,000.000 <br />- <br />MPJD EXPCAV ale <br />f 50 000 <br />f <br />PERSONAL 4 ADV INJURY <br />= 1,000,000 <br />GENERAL AGGREGATE <br />f 10,000,000 <br />GENL <br />AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP Ann <br />f 1 000 000 <br />POUCY <br />PRO.SECT LAIC <br />JUJTOMIOSILELIABILRY <br />CO BONED SINGLE LIMIT <br />f <br />BODILY INJURY <br />(PNR Penal) <br />f <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(P--ki Al) <br />f <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Pw sorJdsnt) <br />f <br />GARAGE LIABILITY <br />AUTO ONLY- EAACCIDENT <br />f <br />* ` <br />f�J � <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />f <br />s <br />1 <br />EXCESS UMBRELLA LWWTY <br />OCCUR CLAIMS MADE <br />��� <br />7 <br />/ <br />1 <br />_ <br />�� <br />EACH OCCURRENCE <br />f <br />AGGREGATE <br />f <br />Ilf <br />DEDUCTIBLE <br />RETENTION i <br />`. <br />f <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y A N <br />ANY RBOPRIETOR/PARTNERIEXEGUTIVE' <br />(M-d.wry 1. H) txcLUDED7 <br />(M�rMd- In NH) <br />we STATU- OTH- <br />E.L. EACH ACCIDENT <br />f <br />El. DISEASE - EA EMPLDYE <br />S <br />EL DISEASE - POLICY LIMIT <br />f <br />SIREAL PROVISIOundwNS <br />SPECIAL PROVA310W laabW <br />OTHER <br />DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES I EXCLUO,ONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS <br />Additional insured with respects to the operations of the named insured only: City of Santa Ana, its officers, agents, employees, Fiesta de Carnival. <br />Event: Carnival at Madison Park. For the dates: 8/26/1. 1 through 917/11 <br />VIY�I,CLIJ\ I 1 V ry <br />City of Santa Ana SHOULDANYOFTHEABOVEDESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Parks, Recreation and Community Services Agency DATE THEREOF. THE ISSUING INSURER WIL MAIL 30 DAYS WRITTEN <br />Attn: Silvia Cuevas NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LIE <br />26 Civic Center Plaza - imam <br />Santa Ana, CA 92701 <br />AUTNORI?TO REPRESENCA / <br />/ A /. //% <br />ACORD 25 (2009101) _- ® 196 -2 09 ACORD CORPORATION. All rights reserved. <br />The ^CORD name and logo are registered marks of ACORD <br />