FIESTA DE CARNIVAL (A-2015-188-01)

Home Browse Search

AC'CiRL7°° CERTIFICATE OF LIABILITY INSURANCE DATE 3/31/15 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(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). PRDDUCERAllied Specialty Insurance,Inc 10451 Gul£ Blvd Treasure Island, FL 33706�MalsJzl CONTACT PHONE —.. FA -- - (acNe): 8002373355 ADDRESS INSURERSAFFGRDINDCOVERAGE NAICa CPP0100507-05 _ INSURER" T.H.E. Insurance Company 12866_ _ INSURED Christiansen Amusements, Inc. and Southland Shows, Inc. P. 0. Box 997 INSURER B; B - — INSURER C -_... NsuRERD Escondido, CA 92033 INaURERE...__._ $ 1 1000,000 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMRFa• -- 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, ---- ILTH TYPE OF INSURANCE ADD PINSA OLICY irODCPEK€-TsD1lf;YMP MMitl Y MMIDOIYYY -- --"— LIMITS A GENERAL LIABILITY XCOMMEROALGENF_R_ALLIABILAY ]CLAIMS�MAOE LXI OCCUR CPP0100507-05 04/01/15 04/01/16 EAC14OCCURRENCE AMASETSRENTEfS PREMIgE,SLa ourrence cc!_ S 11000,000 ].00,000 ,$ _ MED EXP(Anyane person) $ B ADV INJURY $ 1 1000,000 _ . _..._._— —.— IPERSONAL GENERALAOGREGATE $ 10,000,000 GENT AGGREGATE —'. LIMIT APPLIES PER ' PRODUCTS-COMP/UPAGG $ 1,000,000 POLICY P P LOG AUTOMOBILE LIABILITY COMBINED SINGLE LI BODILY INJURY (Per parson) $ ANY AUTO ( ALL OVvNED SCHEDULED AUTOS _ AUTOS AUTOS ED HIRED AUTOS _ AUTOS � BODILY INJURY(Pereccidont) $ _ ___ PROPERTY OAMAa[ jPer accidenij_ _ __ ---------- $ A UMBRELLA LIARX EXCESS LIAB OCCUR CLAIMSMADE ELP0010135-05 04/01/15 04/01/16 EACH OCCURRENCE 5 4,000,000 AGGREGATE. $ 4,000,000 DED ftETEiJTIOtJ$ $ WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY ANY PROPMETORAAR7'NER/EXECUTIVE YIN OFFICEMMEMBER EXCLUDED? � NIA ,p' l�i� R�,v I pp t„! "� ` ',y} ` WCSTATU OTH- --- _RY1i B .113 ... EL EACH ACCIDENT ..__......___ § EL DISEASE - EA EMPLOYE - — EL, DISEASE POLICY LIMIT S ---- -- -- $ (Mandatory in NH) Ins describe undo, DE54tBIPTIONOFOPERATIONS beioN e _ _ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 401, Addition( BerlinfilIdiffif, Iflnore space is required) ADDITIONAL INSURED WITH RESPECTS TO THE OPE "TIONS OF THE NAMED INSURED ONLY: CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVE AND VOLUNTEERS, FIESTA DE CARNIVAL. EVENT: FOR ALL OF CHRISTIANSEN AMUSEMENTS EVENTS FROM 4/1/15 TO 4/1/16 CITY OF SANTA ANA ATTN: RISK MANAGEMENT 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDAN9E WITH THE POLICY PRQVISIONS. All ACORD 25 (201 D/05) The ACORD name and logo are registered marks of ACORD