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AZLIP i.•r CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 01/16/2013 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 Allied Specialty Insurance, Inc. 85 N.E. Loop 410, Suite 600 NAME: CT PWC,HONE No): San Antonio, TX 78216 ADDRE-MAIESS: INSURERS AFFORDING COVERAGE NAIC # 210-341-1321 800-235-8774 INSURERA: T.H.E. Insurance Company 12866 INSURED Christiansen Amusements, Inc. INSURERB: and Southland Shows, Inc. INSURER C: P.O. Box 997 INSURER D : INSURER E Escondido, CA 92033 INSURER F: COVERAGES CERTIFICATE NUMBER: 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 LTR TYPE OF INSURANCE ADDL SUERPOLICY POLICY NUMBER MMIDD EFF EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CPPO100507-02 104101/2012 04/01/2013 EACH OCCURRENCE $1,000,000_ DAMAGE TO RENTED PREMISES Ea occurrence $100,000 CLAIMS -MADE a OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $1,000,000 i GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 $ POLICY I PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea a.id.nIJ______.._____ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS $ I A UMBRELLA LIAB X OCCUR ELP0010135-02 104/01/2012 04/01/2013 EACH OCCURRENCE $ 4,000,000 AGGREGATE $4,000,000 K EXCESS LIAB CLAIMS -MADE i DED RETENTION $ $ I WORKERS COMPENSATION I WC STATU--TTS1 OTH- AND EMPLOYERS' LIABILITY YIN ( ' ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L. EACH ACCIDENT $ OFFICERWIEMBER EXCLUDED? ❑ N / A I E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below ( ( E.L. DISEASE - POLICY LIMIT $ i I I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Additional insured with respects to the operations of the named insured only: City of Santa Ana, its officers, agents, employees, representative and volunteers. Event: Carnival at Jerome Park For the Dates: 03/04/13 through 03/13/13 City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn: Risk Management THE EXPIRATION DATE THEREOF, NOTICE WILL BE, DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTH IZED PRESE ATIVE `'( 1 ©1988-2010 ACORD CO QRA gN, f6 ri rved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACAF)?RO 1� i'L ^ LISA E. STORUK ,An 9i3tant GitY Attorney