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SUSY PARTY RENTAL 6
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SUSY PARTY RENTAL 6
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Last modified
3/25/2020 12:20:45 PM
Creation date
7/10/2018 2:39:26 PM
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Contracts
Company Name
SUSY PARTY RENTAL
Contract #
N-2018-131
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
7/5/2018
Insurance Exp Date
1/1/1900
Destruction Year
2023
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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />`/ <br />Dnre (mWoomrr) <br />1 06/18/2018 <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 INSURERS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: B the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />B SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements . <br />PRODUCER <br />McLure Insurance Brokerage, Inc. <br />17731 Irvine Blvd. Suite 104 N-2018-131 <br />Tustin CA 92780 <br />CT Ra Mclure <br />PHONe (714 664-8911 Fac No: (714) 664-0011 <br />no was: 'ervice@mclurains.com <br />INSURERS AFFORDING COVERAGE <br />MAIC e <br />INSURER A: COLONY INSURANCE COMPANY <br />39993 <br />INSURED <br />.:�..SUSV PARTY RENTALS <br />1517 S. SYCAMORE STREET <br />SANTA ANA CA 92707 <br />INSURER B: STATE FUND <br />INSURER C: <br />INSURER 0: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />RISK <br />LTR <br />TYPE OFINSURANCE <br />A00 <br />8 eft <br />POLICY E <br />POLICY EFF <br />MMIDD <br />POLICY EXP <br />LIMITS <br />x <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAa1SJdADE � OCCUR <br />PREMISES e <br />S 100,000 <br />MED EXP (An one non <br />$ 5,000 <br />PERSONAL&ADVINJURY <br />s 1.000,000 <br />A <br />Y <br />101 PKG 0044107-02 <br />06/05/2018 <br />06/0512019 <br />GENL AGGREGATE LIMB APPLIES PER: <br />GENERAL AGGREGATE <br />s 2,000,000 <br />X POLICY El JxE-CCT ❑ LOC <br />PRODUCTS-COMP/OP AGO <br />s INCLUDED <br />OTHER.$ <br />AUTOMOBLE UABILIN <br />COMBINED SINGLE LIMIT <br />Ea aaldeM <br />s <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOSONLY AUTOS <br />BODILY INJURY (PeraaMaM) <br />3 <br />PROPERTY DAMAGE <br />acddenl <br />$ <br />HIRED NONAWNED <br />AUTOS ONLY AUTOS ONLY <br />S <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />9 <br />AGGREGATE <br />1 <br />EXCESS LIAR <br />CLNMSAIADE <br />DEO I I RETENTION <br />$ <br />WORKERS COMPENSATION <br />STATUTE <br />AND EMPL0YERW LIABILITY <br />Y� <br />EL EACH ACCIDENT <br />s 1,000.000 <br />B <br />ANY CUTNE <br />NIA <br />Y <br />9215258-17 <br />07/23/2017 <br />- <br />07232016 <br />EL DISEASE -EA EMPLOYEE <br />s 1,000,000 <br />OFFICEPoMEMBEREXCLUDER <br />(Mandatary In MH) <br />EJ- DISEASE -POLICY LIMIT <br />S 1,000,000 <br />Iryea, daaal a under <br />DESCRIPTION OF OPERATIONS be. <br />BUILDING <br />LIMIT: <br />$450,000 <br />A <br />B,p.p, <br />Y <br />101 PKG 0044107-02 <br />06M52018 <br />06/05/2019 <br />LIMIT: <br />$100.000 <br />DESCM"ON OF OPERATMNSI LOCATIONS I VEHICLES (ACORO tat, Additional Remarba 9chetlule, may be ribahad N mpro Spam la nqulnd) <br />THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701; ITS OFFICERS, EMPLOYE ENTS AND VOLUNTEERS <br />ARE NAMED AS ADDITIONAL INSUREDS ("ADDITIONAL INSUREDS') WITH REGARD TO LIABILITY AND DEFENS UITS ARISIN OM THE <br />OPERATIONS AND USES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. <br />\ \� <br />�ey\eAA <br />a <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTAANA <br />CA 92701 <br />SHOULD ANY OF THE,49DVE DE <br />THE EXPIRATION GATE THIEF <br />ACCORDANCE WITH THE POLICY <br />AUTHORNED REPRESENTATIVE <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />tf POLICIES BE CANCELLED BEFORE <br />NOTICE WILL BE DELIVERED IN <br />
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