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SUSY PARTY RENTAL 7
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SUSY PARTY RENTAL 7
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Last modified
6/15/2022 3:30:07 PM
Creation date
11/29/2018 11:34:52 AM
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Contracts
Company Name
SUSY PARTY RENTAL
Contract #
N-2018-219
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
11/18/2018
Destruction Year
2023
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A�®�`' CERTIFICATE OF LIABILITY INSURANCE <br />DATEIMW[MNYYY) <br />10/17/2016 <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: H the ctreifiaote holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or he en orsed. <br />If 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 comer Tf hts to the certificate holder In lieu of such endorsemen4 s . <br />PRODUCER <br />McLure Insurance Brokerage, Inc. <br />17731 Irvine Blvd. Suite 104 <br />N-2018-219 <br />Tustin CA 92780 <br />ICdOA : - Ray Molure <br />-I—F A% �� � <br />PH0 E 714)664-8911 .,,.L1NC'Nol; (714).664.0011 <br />-MaLA selvioe(Nmoloroin$.com <br />INSURERS AFFORDR000VERAGE <br />NAIC0 <br />INSURERA: COLONY INSURANCE COMPANY <br />$9993 <br />INSURED <br />BUSY PARTY RENTALS <br />1517 S. SYCAMORE STREET <br />SANTA ANA CA 92707 <br />I su RB • EMPLOYERS INSURANCE COMPANY <br />INSURE C: <br />sua3Ro: <br />NSURERE r <br />I SUA9R P ' <br />COVERAGES CFRTIFICATF NIIMRPR• e011101^k, ..".anti n. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />T <br />TYPE OFINSURANCE <br />DD <br />9 BR <br />LIC BER <br />LC E F <br />IMIIWO O C VY <br />LIMITS <br />X. <br />COMMERCIAL GENERAL LIABILITY <br />EACHOGCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE N OCCUR <br />-fflEIWSFS (Ea 001arencel <br />100.000 <br />5000 <br />MED EXP tine eon <br />_ <br />PERSONAL a ADV INJURY <br />S 1,000 000 <br />A <br />Y <br />101 PKG 0044107.02 <br />06/052018 <br />06105/2019 <br />GEN'L AGGREGATE UNIT APPLIES PER: <br />q 4PP& M <br />GE ERAL AGGREGATE <br />1 2,000 000 <br />POLICY LOC <br />PROWCTs.cowiOPAGG <br />INCLUDED <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABIL17y <br />&0,ZVED.SINGUE LIMITSW <br />S <br />BODILY INJURY (Per Person) <br />ANYAILI <br />OWNED SCHEDULED <br />AUTOS ONLY AUT <br />HIRED <br />EOOILY INJURY (Pat accitlenq <br />$ <br />PJO D <br />AUTOS ONLY AUTOS ONLY <br />- <br />PRO E DAMAGE <br />- <br />$ <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />R6CH OCCURRENCE <br />$ <br />AWRE26 <br />$ <br />EKOESS LIAO <br />CLAIM&MADE <br />DED I RET NTION <br />$ <br />WORKERS COMPENSATION <br />E <br />AND EMPLOYERS' LIABILITY Y <br />ETH• <br />EL.ffAC AOCIOENT <br />$ <br />ANY PROPRIETORJPARTNEPIEXECVnVE <br />OFFICERMIEMBER EXCLUDED? <br />NIA <br />Y <br />L DISEASE • EA EMPLOYEE <br />$ <br />(Mandabry In NH) <br />If deccdbe under <br />E.L.DISEASE. FOUCY LIMIT <br />$ <br />D SGRI TIO OF OPERATIONS below <br />BUILDING <br />LIMIT: <br />$450,000 <br />A <br />B.P.P. <br />Y <br />101 PKG 0044107-02 <br />06/05/2018 <br />06/062019 <br />LIMIT: <br />$100,000 <br />DESCRIPTIONOF OPERATIONS / LOCATIONS IVEHICLES (ACORD 101, Add10an4l Remarks Schedule, maybe anaehed uneae, apace Is required) " <br />THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701; ITS OFFICERS, EMPLOYE� ENTS AND VO EERS <br />ARE NAMED AS ADDITIONAL INSUREDS ("ADDITIONAL INSUREDS-) WITH REGARD TO LIABILITY AND DEFE�`f�D(Z;OSU ITS ARISI ROM THE <br />OPERATIONS AND USES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. <br />(Cep'. <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA <br />CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />MYVRY so (LYIw1vap 1ne Acurtu name anti 1090 are registered marks of ACORD <br />
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