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A,! a CERTIFICATE OF LIABILITY INSURANCE DA3/31/151 <br />THIS CERTIFICATE IS ISSUED A$ 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: 11 the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />PRODUOEnAllied S ecialty Insurance,Inc <br />10451 Gulf Blvd PHO E <br />Treasure Island, FL 33706 IA <br />D..._._..__._..—.—__..._ <br />E.AIL <br />8002373355 <br />__INSUR SPHSIAFFORD <br />INSURER A; T.H.E. Ins <br />INSURED Christiansen Amusements, Inc. tNSURERe _ <br />and Southland Shows, Inc. NSURERc: <br />P. 0. Box 997 ------..---....._ <br />Escondido, CA 92039 <br />COVERAGES CERTIFICATE NUMBER: RFVIRU` M MUMIaPP. <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 CONTRACT OR OTHER 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 />1. ______... _......_._._.__...—__�..._ <br />NT TYRE CP INSURANCE DDL-SU6n POLICY NUMBER MMi Y A LIMITS <br />OENP,RAL LIABILITY "',, <br />A COMMERCIAL GENERAL LIABILITY <br />I <br />.._�CLAIMSMADE LXI OCCUR <br />CPPOlOOS07.05 <br />04/01/15 <br />04/01/16 <br />EACH OCCURRENCE <br />E141 <br />TtSRW—' <br />PREMIBES(E...nenvo <br />MED tXP(Any hnBrpar[An) <br />PERSONAL A ADV INJURY <br />S 1, 000, GOO <br />g 1�U, OOO <br />S ___ <br />�$ 11000, 000 <br />..__.. _ <br />I .... <br />R�sT%(Qitlt%P.'.1 <br />Reviewed <br />L„`l. <br />GENERN.AOGREGATC <br />_ <br />i S TII �w �0 <br />PRODUCTS•COMPOP�AGG <br />11000,000 <br />QEML A9Ocia(wr1E LIMIT APPLIES PER <br />POLICY PR LOG <br />UU IP <br />jI <br />�$ <br />I $ -- <br />1AUTOMOBILE <br />LIABR-ITY <br />OMBINEDI SINGLE UMI? <br />BODILY INJURY (Per pmsun) <br />I <br />r... <br />ANY AUTO <br />AUTOS ED _ AUTSCHOSU�D <br />Ia112EDAUTO&' I(LNON.OWNED <br />I�. AUTOS <br />S(Iv(a u <br />{'�r'�/'�pp(/� <br />1 RCSA1(!'1'Itr(n. <br />Vas <br />rn <br />BODILY iNJURY(Per—ami Illn---III---3 <br />-- <br />RbP-� DAMAGE <br />Laeagaidantj_, <br />TS <br />I <br />I <br />g <br />A (K <br />UMBRELLA LIAR <br />6XCE88 LIAa <br />_ - <br />OCCUR <br />MS MAGE <br />ELP0U10135'05 <br />04/01115 <br />04/01/16 <br />EACH OCCURRENCE <br />S 4 OOO 000 <br />— <br />AGGREGATE <br />_ ._._ <br />S 4 000 000 <br />DEP RETENCOM$ <br />MRKSRS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />MSATU IOTH <br />_...... Q <br />ANY PR0PRIETORIPARTNER1UECUHVF <br />OFnCEMMEMBER EXCLUDED? El <br />'1Me0datmYln NH) <br />Iii yea,tlaeTIONOSer <br />O SCRIPTION OF OPERATIONS aelew <br />N/A- <br />E.L EACH ACCIDENT <br />_ <br />EL DIEEASE' AAVMPLOY <br />3 <br />S <br />� <br />B.L. UIBEASE-POLICY LIMIT <br />S <br />i <br />DESCRIPTION OF OPERATIONS ( LOCATIONS I VEHICLES (Attach ACORD IOg, Add01ata1 RMnRHl9 BaI1e0ule, Emolespace Ieregalratl) <br />ADDITIONAL INSURED WITH. RESPECTS TO THE OPERATIONS OF THE NAMED INSURED ONLY; <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVE AND <br />VOLUNTEERS, FIESTA DE CARNIVAL. <br />EVENTt FOR ALL OF CHRIST'IANSEN AMUSEMENTS EVENTS FROM 4/1/15 TO 4/1/16 <br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DI <br />ATTN. RISK MANAGEMENT THE EXPIRATION DATE THE <br />20 CIVIC CENTER PLAZA ACCORDAN EWITH THEPOLIC <br />SANTA ANA, CA 92701 <br />AUTHORERI RESENTATIVE <br />T— Q1888-2018 AC( <br />ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD <br />CANCELLED BEFORE <br />BE DELIVERED IN <br />TION. All rights <br />