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DATE <br />ACORN CERTIFICATE OF LIABILITY INSURANCE 05/24/20 <br />PRODUCER (425)454-3386 FAX (425)451-3716 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Arthur J. Gallagher Risk Management Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 367 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Bellevue, WA 98009-0367 <br />INSURED <br />Christiansen Amusements, Inc. <br />Southland Shows, Inc. <br />P. 0. Box 997 <br />Escondido, CA 92033-0997 <br />CnVGRA/A2FR <br />INSURERS AFFORDING COVERAGE I NAIC # <br />INSURERA: General Insurance Co of America <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSRADD' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />GENERAL LIABILITY <br />DAMAGE TO RENTED <br />$ <br />tmMERCIALO <br />CLAIMS MADE ❑ OCCUR <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ <br />POLICY PROJECT LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />24CC2779361 <br />04/01/2010 <br />04/01/2011 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />1,000,000 <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />A <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />I <br />ANY AUTO <br />EAP <br />0 TO <br />�7 <br />EA ACC <br />$ <br />$ <br />AUTO ONLY <br />AUTO ONLY: AGG <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR a CLAIMS MADE <br />10 <br />J <br />ATT <br />�-{E <br />.Y <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />WC STACRY 'MTU- OTH- <br />ER <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNER/EXECUT!VF <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />The City of Santa Ana, its officers, employees, agents and representatives are included as <br />additional insureds but only as respects the operation of the named insued per policy terms and <br />conditions. <br />RE: 4th of July Carnival at Delhi Park Event Dates: June 28 - July 7, 2010 <br />City of Santa Ana <br />Attn: Robert Carroll <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL KNIMOOM MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />>�c xxac�x��c>I�xaecxx <br />KK*XXcXxJ(IkNKi4O(drM Kl )tXXMJilil6i0EMlf*Xla XMXXXXXXXXXXX <br />AUTHORIZED REPRESENTATIVE <br />Dave Harman/JOANNE <br />ACORD 25 (2001/08) ©ACORD CORPORATION 1988 <br />