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AeCN? p® 6 2712017 CERTIFICATE OF LIABILITY INSURANCE on/7/2017 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 Anthony Insurance Services, Inc. P.O. BOX 927 CONTACT NAME: HONE Ext: FAX No: Edwards, CO 81632 www.AnthonyinsuranceServices.com AIL ADDRESS: Caitlyn@anthonyinsuranceservices.com INSURER(S) AFFORDING COVERAGE NAICO INSURERA: U.S. Fire Insurance Company 21113 INSURED SPORTS AND RECREATION PROVIDERS ASSOCIATION(PURCHASING GROUP) AND ITS PARTICIPATING MEMBERS: INSURERS: INSURERC: HATBOXWILLTRAVEL.COM INSURER D: GAY STORM 15241 CASCADE LANE INSURER E: INSURERF: HUNTINGTON BEACH, CA 92647 COVERAGES CERTIFICATE NUMBER: USS349743 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 LTR TYPE ADDL INSR SUER VIVO pOLICYNUMeER POLICY EFF MMIDDI IDY POLICY UP MMIDDIYYYY LIMITS GENERA -LIABILITY GENERAL AGGREGATE Is 1,000,000 PRODUCTS - COMPIOP AGG S 1,000.000 X COMMERCIALGENERALUABILITY PERSONAL &ADV INJURY $ 1,000,000 A CLAIMS -MADE OCCUR X SRPG-101-0717 217 :01 1:01 AM 12:01 :01 17 AM EACH OCCURRENCE S 1,000,000 FIRE DAMAGE (Any one fire) $ 300,000 GENL AGGREGATE LIMITAPPUES PER: MED EXP(Any one person) $ 5,000 X POLICY PR LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acoldent $ BODILY I NJURY(Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AMOS BODILY INJURY (Per accident) S HIREDAUTO NON-OMED AUTOS PROPERTY DAMAGE Per mciE $ IS UMBRELLALIAB EXCESS LIAB OCCUR CWMSMADE eJ�ev� \ EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION 5 $ / WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE EXCLUDED? ❑NIA (MandatoryDENT OFFICERVIVEMBER In NH - 1 �`\J� G�,e`� PAP �. WC STATU- TORY OMITS 0TM $ DSEASECH CI $ E.L EA EMPLOYEE $ Ityea, desmUe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ AD&D MAXIMUM MEDICAL DEDUCTIBLE TERMS OF PAYMENT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) Covered Performer Type: Costumed character. Certificate Holder is named as additional insured with respect to the operations of the Named Insured. 1lVLUCR CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS,VOLUNTEERS AND REPRESENTATIVES 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 AP(>f{n.oUt.J ja�yStiYGLvt.C.Pi SP.{'VtiC.Py ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD