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CERTIFICATE OF LIABILITY DOA6/04/2013. INSURANCE 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 1-425-954-3386 Arthur T. Gallagher Riek Management Services, Inc. P.O. Sox 367 CONTACT Joanna MaaiOa NAME: PHONE .4254543386 aD Nc: 452453.373.6 -MAIL ADDRESS: INSURER(SLAFFORDINGCOVERAGE NAICA Bellevue, WA 98009-0367 Dave Harman INSURERA: General Inauranca Company Of America INSURED Chriatianaen Amusements, Inc. INSURER B -- INSURER C INSURER D: P. O. SOX 997 INSURER E: Escondido, CA 92033-0997 INSURER F : 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 LTR TYPE OF INSURANCE POLICY NUMBER MM/DDY/YYYY MM DDY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR AMA PREMISE�a occurrence] $ MED EXP (Any.— arson $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ POLICY PR0. F7 L. $ A AUTOMOBILE X LIABILITY ANY AUTO 24CC2779362 COMBI NED SINGLELIMIT accitlent 1_,_000, 000 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per abciden[ ( ) $ X NON -OWNED HIRED AUTOS E AUTOS PROPERTY DAMAGE Per 'den $ UMBRELLA LIAR EXCE =.1 _ ___ OCCUR CLAIMS -MADE A TT� 1+, i ""P- O V ED AS 11 '1� Tv S EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABIL= Y / N ANYPROPRIETOWPARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDE07 (Mantlatory In NH) ' yes, describe untler DESCRIPTION OF OPERATIONS below N / A --U. ----�'- (,�; _ .1\l I v ASSISL"dRL L1Ly L l O r r1 L y. - WC STATU- OTH- T31 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD IOt. Additional Remarks Schedule. If m,m apace Is required) The City of Santa Ana, its Officer., amp1Oye0e, agents and representatives era included as additional ineureda but only ae respecte the Operation Of the named ineured par Policy terms and conditions. Policy form CA 7110 a307 provides blanket additional inaured wording - copy attached. RE: Caralval at Madison Park Event Dates. August 26 through September 7, 2011 rra.h r c r-rv�ucrt GANGCLLA I lurli SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attno RObart Carroll 20 C1v1C Canter Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92703. ,,..�..1' USA III' �•' In 198a-2010 ACORD CORPORATION_ All rioht. recrxtved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD J —.-:Lon 22617299