FIESTA DE CARNIVAL (A-2015-188)-2015

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I-AL a.J/6 4.'' DATE IMMIODIYYYYi, L___,,. CERTIFICATE OF LIABILITY INSURANCE 9/6/15 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlflcate 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 center rights to the certificate holder In lieu of such endorsemendsL Thompson Insurance Enterprises LLC 3380 Chastain Meadows Pkwy, Ste. 100 Kennesaw, GA 30144 INSURER(S) AFFORDING COVERAGE NAICN INSURED INSURER A: Essex InsuranceCOm�ariv 39020_, International Promotions, Inc INSURER B: National Union Fire Ins Co of Pittsburgh PA _12445__ DBA: Fiesta De Carnival INSURER 11278 Los Alamitos Blvd #101 INSURER O'. Los Alamitos, CA 90720 ..nr�� t _ t INSURER E: A- _C20 S& ,.,e - - - - -- - .�...- - -- -- /69134 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 CONE) ITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. I�R TYPE OF INSURANCE — - POLICY NUMBER I MMIODIYYYY POLTCXP MMIOOIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 000000 M1- LAMS -NV+UC f XLIAaI'CUG n I X FPG20011734 -02 4/19/15 4/19/16 _rEa _ �� -I" 1 _ 16U00 ME[ EXF oc oni sExcluded PERSONAL 3 ADV IIXRY _ $ 1,000,000_ GENERAL AGGREGATE_ :s 2,000,000 _ GEIJ I. AGGREGATE LIMIT APPLIES PER woouc Is t:OMPluk ADr, _ $2,000,000 X I POIJCY n 2 T LOC AUTOMOBILE . LIABILITY MY AUTO ALL OWtdED ACHFDULEC AU TOS AUTOS HIREDAUTO HCHrYrNGA AUTOS A y! �`, �r `` COMBINED JINGLE LIMI i' IEa DccldmA{ $ E LILT INJr iHI (Wa I rsar) $ 60DILY IN URY(Pel ardent) R Pf1pPEPTY DAINAGE Ire ucudentl $ UMBRELLA LIAR .1CV;UR v V' EACH nCCUPRFN- F $ EXCESS LIAR CIAIMS -MADC- `\J�V IP e AGGREGATF $ OF0 RETENTIriN$ $ WORKERS COMPENSATION ANDEMPLOYERTUABILITY YIN ANYFFOFRIErORIFAR7NLRlLREL'UTIVE UDED? ❑ OFFIKERIMEMOER EXCLUDED? NIA �] C^ Ytt'GTATI J. OTti- 7G(_Y UMCTS ER L EACH AOCIC�:. I`IT __- _'r EL DISEASE - EA EMPL OYEE — it (Manrlatory lnNH) If vyaas. d"Yne, under' DESCRIPTION �iFOPERATIONGbsB,, EL DISEASE - POLICY LOdIT $ B Accident and Health SRG9111254 -A- 4371 -00 4/19/15 4/19/16 EACH OCCURRENCE s 1,000,000 AGGREGATE $ 2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Addiflonai Remarks Schedule, If more space Is required) City Of Sruita Aca; Parks, Recreation 3 Community Scrvices Ageucy; its officers, enlployees,reyresentatives, and volunteers me listed as Additional insured per (lie attrwLed CG 20 2G 04 13 endorsement. Coverage is primary per the ettachnd.MECY.. 0010 03 11 endursensau. City Of Santa Ana; Parks, Recreation & Community Services Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Center Plaza, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana, CA 92701 1 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD