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

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ACC>RH CERTIFICATE OF LIABILITY INSURANCE D"3/3'10/15 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). PRODUCERAllied SpeCi.alty Insurance,Inc 10451 Gulf Blvd Treasure Island, £L 33706 CONTACT NAME: PHONE-- JAVM E.41 lac xo7. Le ErV .__.... .. .._ 8002373355 ADDRESS_..._._ CPP0100507.05 __ INSURER�AFFOR0INP_COVERAOE _-._._ NAICa 09/01(15 _ _, _ INSURER A; Company $ 11000,000 INSURED Christiansen Amusements, Inc. and Southland Shows, Inc. P. 0. Box 997 ,12866_ INSURERS - -- -`--' — INSURERC INSURER D: Escondido, CA 92033 $ 1.000,00_0 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAI' THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 1'HE 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. ILTNTVPE OF INSURANCE A LS eR D POLICYNUMBER 'POLICY FF fMWDWYYYI POLICYE%P (MMflDDfYYYYJLIMITS 'D' GENERAL LIABILITY COR1MERCIALGENERAL LIABILITY ,CLAIMS -MADE DRIOCCUR CPP0100507.05 09)01/15 09/01(15 EACH OCCURRENCE $ 11000,000 MA�EY� R� LD-- PREMISgSLapmunance -- $ 100,000 $ MED L-XP(Any one person)_. PERSONAL &ADV INJURY $ 1.000,00_0 CENERALAGGREGATE $ 10 000, 000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGO $ t000,000 POLICY PRCO, LOC $ _ AUTOMOBILE LIABILITY __—.. COM 1 E' t LELW BCDIIYINJURY(Per,mcn) $ -- -- ANYAUTO ( ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS or BODILY INJURY Paccidanl $ R�YDAMAGE —� LPorpccid_enj_,—, --- $ A UMBRELLA LIAR EXCESS LIAR I X OCCUR CLAIMS -MADE ELP0010135-05 OA/01/1. e 09/Ol/lb EACH OCCURRENCE AGGREGATE S 4, 000,000 S 4,000,000 $ DED RErEIJTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN Ally PROP EMBER EXCLUDE09 GUfIVE OF EMBER E%CLUUEDT (MandatorylnNH) ayyes describe under UEBGRIPTION OP OPERATIONS below NIA nn��e� QV C``'" (Jtt / /�-QTV#_,+> L r� YYdw WC S1 ATU. OI H ORYLIMIIS kR .. E L EACH ACCIOENI ._. S - - EL DISEASE EA EMPLOYEE$ — — E. L. DISEASE -POLICY LIMIT - --__ S DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES IAeach ACORD 101, Addlflonal Remarks Schedule, If morespaceIs repulred) ADDITIONAL INSURED WITH RESPECTS TO THE OPERATIONS 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 CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: RISK MANAGEMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA ACCORDAN EWITH THE POLICY PR ISIONS, SANTA ANA, CA 92701 AUTHORIZED RESENTATIVE -7— ©1888-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD