FIESTA DE CARNIVAL (A-2015-019)-2015

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CERTIFICATE OF LIABILITY INSURANCE I DA3/26/14) 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(les) must 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). PRODUCERAllied Specialty Insurance,Inc CONTACT NAh1E___ P.O. BOX 67008 PHONE FAX (AI,C No_E#L.-._.._._..._._.__.. ...... . _I SAIL, N1.__- Treasure Island, FL 337367008 E-MAIL 8002373355 ADDRE_Ss_.._.. - .._._..----- -- --------- ---- INSURED and Southl P. O. Box Escondido, usements, hows, Inc. 92033 T.H.E. Insurance 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 LTR TYPE OF INSURANCE AO III SR tlR W POLICY NUMBER POI FF (MMIDDIYYYYI POLICY EXP fMMIDD/YYYV LIMITS `D` GENERAL LIABILITY X 1 COMMERCIAL GENERAL LIABILITY JCLAIMBMADEIX]OCCUR CPP0100507-04 04/01/14 04/01/15 EACH OCCURRENCE_ $ 1.000, 000 DAMAGE-TO-RER1'Zo PREMISES (EaocA1nrce S 100,000 MCD EXP (Any one person) $ -PERSONAL &ADV INJURY $ 1,000 000 _ GENERAL AGGREGATE $ 10,000 000 PRODUCTS - COMP/OP AGO $ 1,000,000 GEHL AGGREGATE LIMIT APPLIES PER PRO. POLICY LOC _.......__— $ AUTOMOBILE LIABILITY _ ^i _ _ _ 50-0NffN NG LELIMIT Ea accident) ._._.— _$--- -_..._ BODILY INJURY (Per parson) $ ANY AUTO ALL OWNED I SCHEDULED . AUTOS AUTOS � . ' BODILY INJURY(Peraccldent) $ NON -OWNED HIRED AU TG.s _ AUTOS PROPERTY DAMAGE fPer accigAOt] -- $ $ A UMBRELLA LIAR ,X OCCUR EXCESS LIAB CLAIMS -MADE ELP0010135-04 04/01/14 09/01/15 EACH OCCURRENCE $ 4,000, 000 AGGREGATE $ 4, 000,000 T OED FIST ENTION$ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED? tMaodatcrylnNH) If yyae, describe under DESCRIPTIONOFOPERATIONS be. NIA Rqq�/'Q`., RVV(eVY `/ Y' WC STATU- OTH- E I. EACH ACCIDENT -.-----...... — --- E. L. DISEASE -EA EMPLOYE $ $ -- E, L. DISEASE -POLICY LIMIT $ Silvia Cuevas PRrSA/Admin. DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) ADDITIONAL INSURED WITH RESPECTS TO THE OPERATIONS OF THE NAMED INSURED ONLY: CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVE AND VOLUNTEERS, EVENT: FOR ALL OF CHRISTIANSEN AMUSEMENTS EVENTS FROM: 4/1/14 TO 4/1/15 CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PARKS, RECREATION AND COMMUNITY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SERVICES AGENCY ACCORDAN EWITH THE POLICY PR ISIONS, 26 CIVIC CENTER PLAZA SANTA ANA, CA 92701 AUTHORIZED RESENTATNE 31088-2010 ACORD CORPORATION, All rights reserved. ACORD 26 (2010106) The ACORD name and logo are registered marks of ACORD