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ACURLI� CERTIFICATE OF LIABILITY INSURANCE tllw . , DATE (MM/DD/YYYY) 03/26/2013 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, .quite 600 San Antonio, TX 78216 210-341-1321 800-235-8774 CONTACT NAME: PHONE (AIC. No): A DRIESS__ INSURERS AFFORDING COVERAGE NAIC # INSURERA: T.H.E. Insurance Company 12866 INSURED Christiansen Amusements, Inc. and Southland Shows, Inc. jj P.O. Box 997 • Yl , r� — C '. JZ — l ` 1 p Escondido, CA 92033 t''�-'v�i :r�Zt.•r ►�k''A-A-1INSURERF: INSURERB: INSURER C: INSURER D : INSURER E : 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. INS— LTR JADDL TYPE OF INSURANCE SUBRi— POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDDlVYYY LIMITS A GENERAL LIABILITY x COMMERCIAL GENERAL LIABILITY CPP0100507-03 104/01/2013 04/01/2014 EACH OCCURRENCE $1,000,000 DAMAGE ( RENTED PREMISESS Ea occurrence S100,000 CLAIMS -MADE LA OCCUR MED EXP (Any one person) S PERSONAL & ADV INJURY S1,000,000 GENERAL AGGREGATE S 10,000,000 I GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1 ,000,000 ( POLICY PRO - FLOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident) i ( ) $ -_, j HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ S A UMBRELLA LIAB X OCCUR ELP0010135-03 04/01/2013 04/01/2014 EACH OCCURRENCE s 4,000,000 AGGREGATE s4,000,000 X I EXCESS LIAB_C_L_AIMS_-_MADE DED RETENTION $ j _ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? El NIA ' WC STATU- OTH- —LI4RY_LtUT E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatoryin NH) If yes, describe under DESCRIPTIONOF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ (?'� i DESCRIPTION OF OPERATIONS / LOCATIONS I 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: For all of Christiansen Amusements events from 4/1113 - 4/1/14 City of Santa Ana Attn: Risk Management 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE, DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. s ©1988-2010 ACORD CO PORATION. All rights reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD A )PROVED ,C TO FORM i_ISA E. S T ORCK 1�ssistani 1_'ity Attorney