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A�� ® CERTIFICATE OF LIABILITY INSURANCE °A6/27/12 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). PRODUCERAllied Specialty Insurance 85 N.E. Loop 410 Suite 600 San Antonio, TX 78216 CONTACT PHONE FAX fAIC. No .t' AIC No: E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE I NAIC d INSURERA: T.H.E. Insurance Com any 112866 INSURED Christiansen Amusements, Inc. and Southland Shows, Inc.'. P. 0. Box 997 Escondido, CA 92033 INSURER B: INSURER C: INSURER D: 04/01/12 NSURERE: URER F Lei :1:411y[N_\ I=1III tif, 1::1.41 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 POUCIES 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 TYPEINSURANCE ADDL SUBRPOLICY POLICY NUMBER EFF MMIDWYY POLICYEXP MMIDDIYYV LIMITS `A GENERAL LWBILRY COFMMERCIAL LIABILITY CLAIMS -MADE OCCUR CPP0100507-02 04/01/12 04/01/13 EACH OCCURRENCE S 1,000.000 PREMISES Ee occurrence) $ 100,000 MED EXP (My one person) S PERSONAL B ADV INJURY S 1.000.000 GENERAL AGGREGATE S 10, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY PRO-IECT LOC PRODUCTS - COMPIOP AGG $ 1,000,000 S AUTOMOBILE LIABILITY CE aoclldeD SNGLE LIMIT$ BODILY INJURY (Par person) S ANY AUTO ALL OWNED 77 SCHEDULED AUTOS AUTOS BODILY INJURY P r csitlent S (e a i HIRED AUTOS AUTOS MEO AUTOS PROPERTY DAMAGE S Per acadent UMBRELLA LIAB IXCESS LIAB OCCUR CLAIMS -MADE -; '� - ,- EACH OCCURRENCE $ AGGREGATE It DEO I RETENTIONS $ ^-"'- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICER/MEMBER IXCLUDEDi ❑ NIA t..r112€i ,11, .-i1GI'I+. �S,y �itiL21;11;^.'L'/ i t i _'r `_,_r; VVC STATU- OTH- E. L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE$ (Mandatory In NH) It yes, describe under E. L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, R more space Is required) ADDITIONAL INSURED WITH RESPECTS TO THE OPERATIONS OF THE NAMED INSURED ONLY: CITY OF SANTA, ITS OFFICERS, AGENTS, EMPLOYEES, FIESTA DE CARNIVAL. EVENT: CARNIVAL AT MADISON PARK. FOR THE DATES: 8/27/12 THROUGH 9/05/12 I.CH I Ir IUATE HOLDER r.ANr PI I ATInN CITY OF SANTA ANA PARKS, RECREATION AND COMMUNITY SERVICES AGENCY ATTN: SILVIA 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 DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUT MORI REPRESENT TIVE1 /�- a ®1988-2010 ACl9RD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD