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DocuSign Envelope ID: 7F600352-BAC6-49E4-AA63-D136F2020250 <br />Page 2 <br />Busting; $2,000,000 per occurrence for the following: Concerts: 2,000 and more <br />attendees; Extreme Attractions*: All Types, including but not limited to bungee <br />attractions, ejection seats, sky scrapers, Trampoline Things/quad jumpers, zip line <br />or similar attractions requiring a Cal/OSHA permit to operate; Fair time Kiddie <br />Carnival Rides: Up to 6 kiddie rides (includes book -in rides); Interim Carnival <br />Rides; Extreme Attractions; Law Enforcement: All types, including but not limited <br />to city police, county sheriff, California Highway Patrol, county probation, <br />California Department of Corrections, state or federal military. Mutual <br />indemnification in the contract may substitute for coverage with written approval <br />from CFSA. Mechanical Bulls; Motorized Events: Car jumping <br />contests/demonstrations of hydraulic modifications to automobiles; Rave Type <br />Events: Any dance or concert which extends beyond midnight; Rodeo Events: All <br />Types without a paid gate and with any Rough Stock Events such as Bull Riding, <br />Bareback, Saddle Brune, or Mutton Busting; Simulators; $1,000,000 per <br />occurrence for Rodeo Events All Types without any Rough Stock Events but <br />including barrel racing, penning, and roping; $1,000,000 per occurrence for all <br />other contracts for which liability insurance (and liquor liability, if applicable) is <br />required. <br />The Certificate of Insurance shall list the applicable policy forms, including <br />endorsements. Any exclusions or coverage limitations, including sub -limits, that <br />apply to the contractor/renter's activities, or business to be conducted under the <br />contract or rental agreement/lease, must be listed in the Certificate of Insurance. If <br />there is a self -insured retention or deductible in the contractor/renter's coverage <br />equal to or in excess of $100,000, the self -insured retention/deductible amount <br />shall be included as part of the Certificate of Insurance. A copy of the <br />contractor/renter's policy declaration page containing this information as an <br />attachment/exhibit to the Certificate of Insurance will be acceptable, provided it <br />contains all the aforementioned information. <br />b. Automobile Liability - Commercial Automobile Liability coverage, on a per <br />accident basis, at least as broad as the current ISO policy form # CA 00-01, Symbol <br />#1 (Any Auto) with limits of not less than $1,000,000 combined single limits per <br />accident for contracts involving use of contractor vehicles (autos, trucks or other <br />licensed vehicles) on fairgrounds. <br />c. Workers' Compensation - Workers' Compensation coverage shall be maintained <br />covering contractor/renter's employees, as required by law. <br />d. Medical Malpractice - Medical Malpractice coverage with limits of not less than <br />$1,000,000 per occurrence shall be maintained for contracts involving medical services. <br />e. Liquor Liability - Liquor Liability coverage with limits of not less than $1,000,000 <br />per occurrence shall be maintained for contracts involving the sale of alcoholic <br />beverages. <br />4. Cancellation Notice: Notice of cancellation of the listed policy or policies shall be <br />sent to the Certificate Holder in accordance with policy provisions. <br />Revised Eff. January 1, 2023 <br />