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AC4RD® CERTIFICATE OF LIABILITY INSURANCE DAT07/2012EiMMmDfYYYn 02/ 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 terns 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 Allied Specialty Insurance, Inc. CONTACT NAME,_ PHONE F40 No ' _ 85 N.E. Loop 410, Suite 600 San Antonio, TX 78216 WRRE : INSURERS AFFORDING COVERAGE _ NA1C M` 210-314-1321 800-235-8774 INSURER A: T.H.E. Insurance Company 12866 INSURED Christiansen Amusements, Inc. INSURER8: INSURERC: and Southland Shows, Inc. P.O. Box 997 INSURER D : -- - ---- -- Escondido, CA 92033 IN8URER E :INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTEO 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 ILTRR TYPE OF INSURANCE POLICY NUMBER MNCOYMEYY MMluDD� LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CPP010050T-01 04101/2011 0410112D12 EACH OCCURRENCE $1,000,000 --- $ 50,000 PREMISESiR£ATE�— MED EXP (Any one reon) $ CLAIMS -MADE FX7 OCCUR PER60NALBADVINJURY $1,000,000 _ GENERAL AGGREGATE $ 10 000 000 GEITL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOPAGG $1,000,000 POLICY PRO- LOC $ AUTOMOBILE LIABILITY ANY AUTO M8I IN aL . TMIT BODILY INJURY (Per person) S ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS AUTOS $ $ BODILY INJURY(PersWdem) PROPnDAMAGE p — $ A K UMBRELLA LIAB EXCESSUAB X OCCUR CLAIMS -MADE ELP0010135-01 04/0112012 04/01/2013 EACH OCCURRENCE S 4 000,000 _ AGGREGATE _ 54 000,000� DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY Y 1 N PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDEC? (Mandatory In NH) Ifyss descnbs under 1JESCRIPTION OF OPERATIONS below NIA Z WC STATU- OTH rp,ANY E.L. EACH ACCIDENT $ — S E.L. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICY LIMIT I -- S DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Atach ACORD 101, Additional Remarks Schedule, If more space Is recMrsd) Additional Insured with respects to the operations of the named Insured only: The City of Santa Ana, its officers, agents, employees, representative and volunteers,'0' Entertainment. Event: Carnival at Jerome Park For the dates: 03/06/2012 through 3/11/2012 City of Santa Ana Attn: Narun Keo/Senior Clerical Aid Reservations Administration PRCSA 2201 W. McFadden Ave. Santa Ana, CA 92704 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE, DELIV�RE� IN ACCORDANCE WITH THE POUCY PROVISIONS. ,/ / G 1988-2010 ACORD CORPORATION. All riahts ramarvad ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD