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CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD 07/24/2012mYY) 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. CONTACT NAME: 85 N.E. Loop 410, Suite 600 San Antonio, TX 78216 PWC.HONNo,EExti6 FAX No): A DRIESS: INSURERS AFFORDING COVERAGE NAIC # 210-341-1321 800-235-8774 1 URERA: T.H.E. Insurance Company 12866 INSURED Christiansen Amusements, Inc. 1711 r:*11VT RERB: INSURERC: and Southland Shows, Inc. P.O. BOX 997 INSURER D : Escondido, CA 92033 INSURER E : 1 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 SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY x COMMERCIAL GENERAL LIABILITY CPP0I00507-02 04/01/2012 04/01/2013 EACH OCCURRENCE $ 1,000,000 _ DAMAGE( RENTED PREMISES Ea occurrence $ 10O 000 MED EXP (Any one person) $ CLAIMS -MADE FX1 OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1,000,000 POLICY F PRO LOC $ AUTOMOBILE LIABILITY COMBINED LIMIT Eaccident) $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ A UMBRELLA LIAB X OCCUR ELP0010135-02 04/01/2012 04/01/2013 EACH OCCURRENCE $ 4,000,000 AGGREGATE s4,000,000 X EXCESS LIAB CLAIMS -MADE DED T RETENTION $ _ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N / A E.L. EACH ACCIDENT _....._..._ $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below 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, respresentative and volunteers. Event: Carnival at Jerome Park For the Dates: 08106/12 through 08/15/12 City of Santa Ana Parks, Recreation and Community Services Agency Attn: Silva Cuevas 26 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE, DELIV� 7pD IN ACCORDANCE WITH THE POLICY PROVISIONS. / e © 1988-2010 ACORD COIRPORATION_ All riahta rasarvarl ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD