FIESTA DE CARNIVAL (INTERNATIONAL PROMOTIONS INC.) 4B

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A� o® CERTIFICATE OF LIABILITY INSURANCE 4;6;2011 "' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Kaliff Insurance CONTACT Lisa Grant NAME: FAX PHONE . (210) 829-7634 AIC No: (210)629-7636 ADDRESS:lisaa@kaliff.com P.O. Box 171225 PRODUCERCUSTOMER 00000253 INSURER(S) AFFORDING COVERAGE NAICN San Antonio TX 78217-8225 INSURED INSURERA:General Star Indemn:Lty Company INSURERB:First Mercury Insurance CO. INSURER C: Paul Maurer Shows INSURER D: P.O. BOX 3211 INSURER E: INSURER F: Huntington Beach CA 92605 COVERAGES CERTIFICATE NUMBER-CL1133008646 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE LTR ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS -MADE EJ OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY F7 PE LOC $ AUTOMOBILE LIABILITY �fy<� T$ - !�.li P RO �/ I , L, A,"; a .1 t i ` ,)) � I'v i COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS ?...� �" (r I_31 ;; `' .. .._._.._... _.._. PROPERTY DAMAGE $ (Per accident) $ NON -OWNED AUTOS ASSISIA I, I, i, �:[". - .J; !1 •_� $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 X EXCESS LIAB CLAIMS -MADE IXG356995M (4X1) 4/1/2011 4/1/2012 AGGREGATE $ 4,000,000 DEDUCTIBLE $ EXCESS OVER AUTO & GL $ A RETENTION $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS' LIABILITY Y I N EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? ❑ N I A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ B SECOND LAYER EXCESS XCA000672 (5X5) 4/1/2011 4/1/2012 EACH OCCURRENCE $5,000,000 �XCESS OVER AUTO & GL AGGREGATE $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) ADDITIONAL INSURED AS RESPECTS TO INSURED'S OPERATIONS: CITY OF SANTA ANA, IT'S OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVES AND VOLUNTEERS AND FIESTA DE CARNIVAL. EVENT DATES: CESAR CHAVEZ PARK, APRIL 8-10, 2011, MADISON PARK, MAY 27-30, 2011 AND DELHI PARK, OCTOBER 21-23, 2011. CITY OF SANTA ANA, PARKS, RECREATION & COMMUNITY SERVICE AGENCY RESERVATIONS ADMIN. CORBIN COMM CENTER 2215 W. MCFADDEN, SUITE B SANTA ANA, CA 92704 I:ANt:tLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE tchell Kaliff/LAG AGORD 25 (2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD