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EXHIBIT "?" <br />California Fair Services Authority <br />INSURANCE REQUIREMENTS <br />I. Evidence of Coverage <br />The contractor/renter shall provide a signed original evidence of coverage form for the term of the agreement protecting <br />Fairs are located, Lessor/SSublessora fffa ri siteisrleased/subleased,?CitrusiFniit Fairs, o FCalifomia Exposit oncand St t <br />Fair, their directors, officers, agents, servants, and employees, from occurrences related to operations under the contract. <br />This may be provided by: <br />A. Insurance Certificate -The contractor/renter provides the fair with a signed original certificate of insurance (the <br />ACORD form is acceptable), lawfully transacted, which sets forth the following: <br />1 CountytFarArddhe County in .whichatheeCountyf Fairifis loc tedDLessor Sublessor if fairesite ?s <br />leased/subleased, Citrus Fruit Fair, or California Exposition and State Fair, their directors, officers, <br />agents, servants, and employees are made additional insured, but only insofar as the operations <br />under this contract are concerned." <br />2 dates.must be list d,ialong with all set up and tear down dates.or individual events, the specific event <br />3. Coveraees: <br />a. General Liabiliri -Commercial Genera] Liability coverage, on an occurrence basis, at least as broad as <br />the current Insurance Service Office (ISO) policy form #CG 0001. Limits shall be not less than $5,000,000 <br />per occurrence for Fairtime Carnival Rides; $3,000,000 per occurrence for Motorized Events All Types <br />types with aopaid gatetand cany Rough Stock ev nts;n$2 000 000 perp occurrencecforoRodeo EventssAll <br />Types without a paid gate and with any Rough Stock events; $1,000,000 per occurrence for Rodeo <br />Events All Types without any Rough Stock Events; $2,000,000 per occurrence for Interim Carnival Rides, <br />Fairtime Kiddie Camival Rides of up to 6 rides, Concerts with over 5,000 attendees, Rave Type Events All <br />Types, Mechanical Bulls, Extreme Attractions All Types, Orbitrons, Simulators, and Motorized Events of <br />azena or track motorcycle racing and go-cart racing; $1,000,000 per occurrence for all other contracts for <br />which liability insurance (and liquor liability, if applicable) is required. <br />b_ Automobile Liability -Commercial Automobile Liability coverage, on a per accident basis, at least as <br />broad as the current ISO policy form # CA 0001, Symbol #1 (Any Auto) with limits of not less than <br />$1,000,000 combined single limits per accident for contracts involving use of contractor vehicles (autos, <br />trucks or other licensed vehicles) on fairgrounds. <br />In addition to the foregoing, Contractor shall provide a certified copy of an additional insured endorsement <br />to the District, Forms ISO CG 2005, 2010, 2012, 2024, showing the State of Califomia, the 32nd District <br />Agricultural Association, the Orange County Fair and Exposition Center, and their agents, directors, <br />officers, servants, and employees are made additional insureds on Contractor's general liability insurance <br />policy and automobile liability policy. <br />c. Workers' Comnensation - Workers' Compensation coverage shall be maintained covering <br />contractor/renter's employees, as required by law. <br />d. Medical Malnractice - Medical Malpractice coverage with limits of not less than $1,000,000 per <br />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 per occurrence shall <br />be maintained for contracts involving the sale of alcoholic beverages. <br />4. Cancellation Noticep: A? tat pment by the insurancegcompany thatortNwittenonorice to the nuamed certificate <br />coverages of said olic or olicies without givin 30 days p <br />holder. <br />5. Certificate Holder: <br />• For Individual Events Only -Fair, along with fair' s address, is listed as the certificate ho er. <br />• For Master Insurance Certificates Only -Califomia Fair Services Authority, Attn: Risk Management, <br />1776 Tribute Road, Suite 100, Sacramento, CA 95815 is listed as the certificate holder. <br />Revised June 1, 2006 <br />I:?Insurance Requirements .doc