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FIESTA DE CARNIVAL (A-2015-188-01)
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FIESTA DE CARNIVAL (A-2015-188-01)
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Last modified
3/27/2020 9:30:34 AM
Creation date
3/8/2016 10:19:24 AM
Metadata
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Contracts
Company Name
FIESTA DE CARNIVAL
Contract #
A-2015-188-01
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
2/2/2017
Insurance Exp Date
5/27/2017
Destruction Year
2022
Notes
A-2015-019; A-2015-188
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AC !qD CERTIFICATE OF LIABILITY INSURANCE gA3/31D/151 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT; If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must he 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 />certificate holder In lieu of such endorsements . <br />PROOUOERAIIied Secialty Insurance,Inc CONTACT <br />Treasure <br />£ Blvd PHONE FAX <br />Treasurere Island, FL 33706 .MI <br />8002373355 ADD@.as; <br />_ INSUBERSAPPORDIN COVERAGE RAID <br />INSURER A: T.H.E. Insurance. Company 12866 <br />INSURED Christiansen Amusements, Inc. INSUREH a. <br />and Southland Shows, Inc. <br />P. 0. Box 997 NsuaNSURBRD . ....___.. — _..._— <br />Escondido, CA 92033 NauEERo: <br />COVFRAGFS CFRTIFlr.ATF NIIMRFR� 291R3IAM MIIARnco. <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 ANDCONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_, <br />INSE <br />_ TYPE OF INSURANCE <br />Was <br />±2LICYNUMBER <br />MI U' <br />. 0 Y Y Y <br />UNITS <br />OENERAL LIABILITY <br />EACH OCCURRENCE_4S <br />1,000,000 <br />ACOMMERCIAL <br />GENERAL LIABILITY <br />CPPOI00507^05 <br />04/01/15 <br />04/01/14 <br />pREN1A19C5 (y Ea oA„ce) <br />45 100,000 <br />-.J CLAIMe MAUI �. ]{ OCCUR <br />MED <br />PERSONAL B ADV INJURY <br />S 1000,000 <br />... <br />__ <br />.___ _ _ <br />GENERAL AGGREGATE <br />S <br />�—i <br />gEN'4 A49REOATE LIMITAF+PLfES PER. <br />-, <br />PRODUCTS COMP;OP AOO <br />S 11000,000 <br />POLICY PRO• - LOC <br />- <br />$ - - <br />AUTOMOBILE <br />LABILITY <br />COMBINEDSINGLEUMH <br />--- <br />BODILY INJURY (Par Pasan) <br />3 <br />ANYAUTO <br />_ _ <br />AUTOWNEP AUT003ULED <br />BODILY INJURY (PM epR@M} <br />NED <br />HIRED AUTOS AUTOS <br />PROPERif DPAdAl3E <br />IPar ac 'Iy�Ipyt ,,, <br />S ,�_ <br />UMBRELLA LIAR OCCUR <br />1_ <br />)Psw Pi <br />Y: <br />CLAIMS MADE <br />:Rev <br />AJ� <br />AGGREGATE <br />S <br />DED RETENT14Is <br />WORKERS COMPENSATION <br />NIC STATT 'OTF9 <br />ANO EMPLOYERS'LIABILITY YIN <br />-. I9T3Y.kIMIT.S. v <br />ANY PROPRIETORIPARTNCWF.XF.CUi1VG <br />OFFICERIMEMBER EXCLUDED' El <br />NIA <br />i <br />++�� ((''�� <br />S)��i((A AJ <br />eek�ee <br />evas <br />E_L.EACkI ACCIOEIT <br />S.„_..�._.. <br />(Mandatory In NHIEL., <br />dmin. <br />OISEA°iE-EA EMPLO <br />5 <br />E.L. DISEASE- POLICY MIT <br />_ _ <br />S <br />y4�a,daxrtamlder <br />DEa4RIPTION OF OPERATIONS below <br />p�GSf�I <br />I <br />DESCRIPTION OF OPERATIONS LOCATIONS r VEHICLES (Anwk ACORD tot. Additional Remarks $&howl¢, If ntare spoor is raeelred) <br />ADDITIONAL INSURED WITH REFECTS TO THE OPERATIONS OF THE NAMED INSURED ONLY: <br />THE HOUSING AUTHORITY FOR THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, <br />EMPLOYEES AND VOLUNTEERS. <br />LOCATION: 1126 & 1146 E. WASHINGTON, SANTA ANA, CA <br />FOR THE DATES; 4/27/15 THROUGH 5/05/15 <br />THE HOUSING AUTHORITY <br />FOR THE CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA, M-2 <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANQE WITH THE POLICY PRWISIONS. <br />reserved. <br />ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD <br />
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