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AC.(7R[7 DATEIMMIDONYYY) <br />CERTIFICATE F LIABILITY INSURANCE _3/31/15 <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 policylles) must he endorsed. if SUBROGATION IS WAIVED, subject to <br />the tariffs and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer fights to the <br />certificate holder In lieu of such endorsement s). <br />PRODUCER CO TACT <br />A11ied Specialty Snsurance,Inc NAME: _ <br />10451 Gulf Blvd PHONE ;talc NO); <br />Treasure Island, FL 33706 EMAIL — <br />8002373355 ADDRESS <br />INSURED Christiansen Amusements, Inc. <br />and Southland Shows, Inc. <br />P. 0. Box 997 <br />Escondido, CA 92033 <br />INSURERA; T.H.E. Insurance <br />INSURER B: <br />Cf1VFRArFR CERTIFCATF MIIMRFR• 09% /IRInM nBIkACCD- <br />THIS IS TO CERTIFY THAT 1 H 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 CONTRACT OR OT14ER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE 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 AOOL SUBR <br />T TYPE OF INSURANCE e; <br />i'OUCY EFF PoLICY EXP <br />POLICY NUMBER MMIDDIYYYV MM,DDIYYYY LIMITS <br />OENF.RAL LIABILITY <br />I EACH OCCURRENCE <br />5 1,000,000 <br />1' CCU <br />r - DAMAtiEWREBTECT - <br />CPPOIOOS07 "05 04/01/15 04/Ol(16 <br />- -- <br />100,000 <br />PREMISES(E. avxu?ance) <br />$ <br />GLAIMS MADE a' I OCCUR <br />CL <br />! MED"P(Aryona Perron) <br />5 <br />_ <br />PERSONAL A ADV INJURY <br />_ <br />I$ 1,006,060 <br />I _. _ _ <br />OENERAI Arr�RCanic <br />tt��] AA` I�,,) ...__ <br />000 400 <br />U_EM1'L AGGREGATE LIMIT AP PLIC9 PER <br />__.. <br />1�8V(2VV u °Y. _PRODUCTS COMPIOP AUG <br />_ <br />IS 1,000,000 <br />.. <br />POLICY JECT 1LOC <br />i5_ <br />—.— <br />AUTOMOBILE LIABILITY <br />C,OMt1IDiCD SINGLE LIMIT <br />AE. 0-owl <br />S <br />ANYAU10 <br />I <br />5 <br />I AtLOMED SCHEDULED <br />AUTOS AUTO,9 <br />`' <br />OI'UjU � V �S BODILY tle 1 <br />NON-OWNED <br />PIED <br />HiREDAlITO, AUTOS <br />(� q /� ,4 1 ERTYUD MAGCew <br />PRCSA�A� min. (Vic fltdgn¢_ <br />,_._. <br />T _. <br />5 <br />! UMBRELLA LIAR X OCCUR <br />"' <br />E1ChI OCCURREPICE_ <br />S 41000,000 <br />A iK EXCESS LIAR CLAIMS MADE <br />ELP0010135-05 04)01)15 04 /01 /IbgGriREOATC <br />4, 000, DOD <br />I <br />DER_ OI5 <br />— <br />It <br />TWO—RER_COMpENSATIO N ~� <br />LIABILITY YIN <br />F.L EAGH ACCIOEhIT_ <br />ANY PROPRIETOR /PA %ECUTIVF <br />OFHOERIMEMBER EXCLUOEDn 'NIA <br />if dto; (n NH <br />Y 1 <br />� <br />.DISEASE CA EMPIOYr S <br />a yes, tlendrlBN under I <br />OPERATIONS <br />t <br />— — -- <br />E'X'RIPTIODI OF W. <br />1 <br />DISEASE - POLICY LIMIT S <br />OESOMPTION OF OPERATIONSI LOCATIONS I VEHICLES IAHach ACORD 101, Addlllmmi Remarks Schedulo,1 more space Is requlred) <br />ADDITIONAL INSURED WITH RESPECTS <br />TO THE OPERATIONS OF THE NAMED INSURED ONLY: <br />CITY OF SANTA ANA, ITS OFFICERS, <br />AGENTS, EMPLOYEES, REPRESENTATIVE AND <br />VOLUNTEERS, FIESTA DE CARNIVAL. <br />EVENT: FOR ALL OF CHRISTIANSEN AMUSEMENTS EVENTS FROM 4/1/15 TO 4/1/16 <br />CITY OF SANTA ANA <br />ATTN: RISR MANAGEMENT <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BB DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />01998.2010 ACORD <br />ADDED 25 (2090105) The ACORD name and logo are registered marks of ACORD <br />