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THEPUMP-01 HPHILLIPS
<br /> CERTIFICATE OF LIABILITY INSURANCE OATE(M7129I2021202YYY)
<br /> 5
<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 INSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<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 confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME:
<br /> Johnson,Kendall Sr Johnson,Inc. PHONE FAX
<br /> 109 Pheasant Run (A/C,No,Ext):(215)968-4741 (Alc,Nol_(215)968-0973
<br /> Newtown,PA 18940 E-MAIL
<br /> AD DRESS:info@jkj.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURER A:Accredited Surety and Casual Company,Inc. 26379
<br /> INSURED INSURER 8
<br /> The Pumpkin Factory,LLC INSURERC:
<br /> 32335 Live Oak Canyon Rd INSURER D
<br /> Redlands,CA 92373
<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 CONTRACTOR OTHER DOCUMENT WITH RESPECTTO 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 /> INSR; TYPE OF INSURANCE ADDLSUBRI POLICY NUMBER POLICY EFF POLICY EXP
<br /> L N D'.WVD MMIDU MlDD I LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> 6 CLAIMS-MADE Lxj OCCUR 1-RSL-CA-17-01538727-00 2/1/2026 2/112026 DAMAGETOEao RENTED
<br /> 5 2,000,000
<br /> PREMISMED EXP(Ary one.person) 3
<br /> PERSONAL BADVINJURY 3 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 3 4,000,000
<br /> POLICY 7 PRO- F7 LOC 2,000,000
<br /> JECT PRODUCTS-COMPIOPAGG 3
<br /> OTHER: Sexual AbuseWolestation S $2,000,000f$4,000,000
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
<br /> a accident 3
<br /> ANY AUTO BODILY INJURY Perperson) S
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident S
<br /> HIRED NON-OWNEO PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY Per accident S
<br /> S
<br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE 3 _
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE 3
<br /> I
<br /> ❑ED RETENTION 5 $
<br /> WORKERS COMPENSATION PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y 1 N STATUTE I ER
<br /> ANY PROPRIETORIPARTNERIEXECUTIVE [:] E.L.EACH ACCIDENT $
<br /> OFFICERIMEMBER EXCLUDED? N I A
<br /> (Mandatory in NH)
<br /> E.L.DISEASE-EA EMPLOYE $
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> City of Santa Ana,Attention: Parks,Recreation,and Community Services Agency are named as an Additional Insured with respect to the operations of the
<br /> Named Insured where required by written contract for General Liability.Waiver of Subrogation is included in favor of the certificate holder.
<br /> Event Dates: TU Tran ogrrauysag�aeN
<br /> T.Tr Nguyen
<br /> 911 3-9114125 Nguyen °suae2o aa�
<br /> APPROVED
<br /> ey Tu Tran Nguyen at 2:SS Pm,Aug f3,2023
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana,Attention: Parks,Recreation,and THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Community Services Agency
<br /> 20 Civic Center Plaza,CA 92701,M-23
<br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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