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DouiSign Envelope ID: CB479571-74E8-4DCC-8F07-F71 D3249C902 <br />California Fair Services Authority <br />INSURANCE REQUIREMENTS <br />(revised effective January 1, 2023) <br />I. Evidence of Coverage <br />The contractor/renter shall provide a signed original evidence of coverage form for the term of the <br />contract or agreement (hereinafter "contract") protecting the legal liability of the State of California, <br />the California Fair Services Authority, District Agricultural Associations, County Fairs, Counties <br />in which County Fairs are located, Lessor/Sublessor if fair site is, leased/subleased, Citrus Fruit <br />Fairs, California Exposition and State Fair, or Entities (public or non-profit) operating California <br />designated agricultural fairs, their directors, officers, agents, servants, and employees, from occurrences <br />related to operations under the contract. This may be provided by: <br />A. Insurance Certificate - The contractor/renter provides the fair with a signed original certificate <br />of insurance (the ACORD form is acceptable), lawfully transacted, which sets forth the <br />following: <br />1. List as the Additional Insured: "That. the State of California, the California Fair. <br />Services Authority, the District Agricultural Association, County Fair, the County in <br />which the County Fair is located, Lessor/ Sublessor if fair site is leased/subleased, Citrus <br />Fruit Fair, California Exposition and State Fair, or Entities (public or non-profit) <br />operating California designated agricultural fairs, their directors, officers, agents, <br />servants, and employees are made additional insured, but only insofar as the operations <br />under this contract are concerned." <br />2. Dates: The dates of inception and expiration of the insurance. For individual events, <br />the specific event dates must be listed, along with all set-up and tear down dates. <br />3. Coverages: <br />a. General Liability - Commercial General Liability coverage, on an occurrence <br />basis, at least as broad as the current Insurance Service Office (ISO) policy form <br />#CG 00-01. Limits shall not be less than for the limits in the CFSA <br />Hazardous/Nonhazardous Activities List which includes, but is not limited to, the <br />following: $5,000,000 per occurrence for Carnival Rides and for Freefall <br />Attractions (elevated jumps involving airbags); $5,000,000 per occurrence <br />for the following types of Motorized Events: Automobile races, drifting <br />exhibitions, burnout contests/competitions, truck rodeos, tractor/truck pulls, <br />destruction derbies, RV destruction derbies, mud bogs, mud racing, car crunches, <br />monster truck shows, automobile thrill shows, figure 8 racing, stock car racing, <br />tuff trucks, boat races, autocross, dirt racing, oval track, sprint cars/410 sprints, <br />modified, super stock, mini -stock, dwarf cars, micro lights, endure, pro stock. <br />$3,000,000 per occurrence for the following types of Motorized Events: <br />motorcycle racing, flat track motorcycle racing, arena -cross, freestyle motocross, <br />motorcycle thrill shows and stunt teams, ATV, sand drags, go karts, snowmobile <br />races, quarter midget races, golf cart races, Redneck Roundup (ATVs), <br />lawnmower races. $3,000,000 per occurrence for Rodeo Events all types with a <br />paid gate and any Rough Stock Events such as Bull Riding, Bareback, Saddle <br />Revised Eff. January 1, 2023 <br />