STAGE PLUS EVENT STAGING SERVICES - 2017

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AlC OI?D® CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDD1YYYY) 5I3I2o17 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(ies) 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). PRODUCER CONTACT Dori Jared-Ferranto NAME: HONE Extj: (714) 245-2777 (AIC Na}: (714)245-2788 Assistance Insurance Agency 215 N Second Ave. EMAIL dared@assistanceins.com ADDRESS: - INSURERS AFFORDING COVERAGE NAIC # Suite D INSURERA:State Compensation Insurance Fund Upland CA 91786 INSURED INSURER B : INSURERC: Manuel Huante, DBA: Stage Pius, Inc. INSURER D: 2330 S. Susan St. INSURER E : _ INSURER F: Santa Ana CA 92704 COVERAGES CERTIFICATE NUMBER:17--18 WC REVISION NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM1DDIYYYY POLICY EXP MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY i ❑ CLAIMS -MADE OCCUR �� G 4$ EACH OCCURRENCE $ DAMA E TO RENTEp PREMISES Eacc ourrence Y __ $ MED EXP (Any one person) $ PERSONAL & AUV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY E1 JECT PRO- LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS AU p QED p� ®� / d ,y� i" "" COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Peraocident) $ (Pe�acFciRdentpAMAGE $ $ UMBRELLA LIAR EXCESS LlAB OCCUR CLAIMS -MADE EACH OCCURRENCE I $ I AGGREGATE is DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORlPARTNERIEXECUTIVE OFFICFRIMFMBER EXCLUDF07 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N 1 A 1786318-17 5/1/2017 5/1/2016 PFR OTH- X STATUTE E.L. EACH ACCIDENT $ 1,000,000 F,L.DISFASE - EA EMPLOYE $ 1,000 000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, its officers, employees, agents, volunteers and representatives Proof of Insurance L The City of Santa Ana 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 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE D Jared-Ferranto/STEP ©1988-2014ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD [N3025 (Pnt4nt)