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ACC7RbIs CERTIFICATE OF LIABILITY INSURANCE <br />osi�2o1 �" <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the carMcats holder is an ADDITIONAL INSURED, the polky(iss) must be endorsed. if SUBROGATION IS WAIVED, subject to <br />the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In rou of such endoraement(s). <br />PRODUCER Allied Specialty Insurance, Inc. <br />85 N.E. Loop 410, Suite 600 <br />San Antonio, TX 78218 <br />210-314-1321 SM-235-8774 <br />CONTACT <br />RAMS: <br />PHONE FAX No): <br />EMAIL <br />INSURE S AFFORDING COVERAGE <br />NAIL I <br />INSURERA: T.H.E. Insurance Company <br />12066 <br />INSURED Christiansen Amusements, Inc. <br />and Southland Shows, Inc. <br />P.O. BOX 997 <br />Escondido, Ca 92033 <br />INSURERS: <br />I"s""F" ` <br />I ER D : <br />INSURER E : <br />INSURER <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER. - <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS; <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INS <br />LTR <br />TYPE OF INSURANCE <br />ADOL <br />SURR <br />"UmB <br />POLICY P.FF <br />MNIp <br />UMrd <br />A <br />GENERAL LIABILITY <br />CPP0100507-02 <br />04/01/2012 <br />04/.0112013 <br />EACH OCCURRENCE <br />S 1,000,000 <br />_ <br />$100 000 <br />x COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE I OCCUR <br />MED EXP arts ) <br />S <br />PERSONAL AADV eLIURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$1 O 000 000 <br />GEWL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG <br />$1,000,000 <br />POLICY PRO- LOC <br />i <br />AUTOMONLELIABUM <br />cc <br />a vgoenll <br />BODILY INJURY (Per WWI <br />S <br />ANY AUTO <br />ALL OSNED SCHEDULED <br />HIRED AUTOS NON -OWNED <br />AUTOS' <br />BODILY INJURY (Per acr3derd) <br />S <br />PROPERTY DAMAGE <br />$ <br />S <br />A <br />K <br />UMBRELLA LIAs <br />E7IMIE8*LIAB <br />x <br />OCCUR <br />CLAIMS -MADE <br />ELP001013&42 <br />W0112012 <br />04/01/2013 <br />EACH OCCURRENCE <br />$ 4 000 000 <br />_ <br />AGGREGATE <br />t4,000,000 <br />OEO I I RETENTION $ <br />S <br />WDRRERSCOMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORfPARTNERITXECUTIVE Y f N <br />OFFICERMEMSER EXCLUDED? <br />N f A <br />i00 i' !- i (? <br />i -LI(L; <br />STATLI OTH- <br />El. EACH ACCIDENT <br />S <br />_ <br />E.L. DISEASE • EA EMPLOYE <br />---.— <br />S <br />(Mond" In NH) <br />If yes, dsegAbe under <br />DESCRIPTION OF OPERATIONS below <br />__ <br />E.L. DISEASE -POLICY LIMIT <br />S <br />DESCRIPTION OF OPERATIONS! LOCATIONS I VEMCLEB (; Ua h ACORD 101, AdIYHonMA Remake Schwb*, I►mone epee f* mgwr*Q <br />Additional insured with respects to the operations of the named insured only: City of Santa Ana, its officers, agents, employees, representative and <br />volunteers. <br />Event: Carnival at Jerome Park. <br />For the date*: OBI00/12 through 0911Oil 2 <br />City .of Santa Ana <br />Attn: Risk Management <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE. DELJ IN <br />WI ACCORDANCE TH THE POLICY PROVISIONS. / <br />w <br />m 1999-2010 ACORD CORPORATION_ All rialift raeneveld <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />