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'a,� CERTIFICATE OF LIABILITY INSURANCE <br />20/19/14 <br />THIS <br />THIS CERTIFICATE IS ISSUED ASA 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 />REPRESENTATVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(los) must be endorsed. If SUBROGATON IS WAIVED, subject to <br />the terms 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 lieu of such endorsement(s). <br />PRODUCER <br />NAME: Allyson Golob <br />Thompson Insurance Enterprises/FunPro <br />3380 Chastain Meadows Pkwy <br />Suite # 100 <br />RICONNE. <br />EXt: 678290-2191 AIC Ne: <br />ADDRESS: Allyson.Golob@thomcoins.com <br />PRODUCER <br />Kennesaw, GA 30144 <br />CUSTOMERID q: <br />INSURER(S) AFFORDING COVERAGE NAICR <br />INSURED <br />International Promotions, Inc DBA: Fiesta De Carnival <br />11278 Los Alamitos Blvd #101 <br />Los Alamitos, CA 90720 <br />INSURERA: Essex Insurance Company 39020 <br />INSURERB: <br />INSURER <br />INSURER D <br />INSURER E <br />NSURERF: <br />4/19/13 <br />COVERAGES OhKIIHICAIh NUMEiER: 540792 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FORTH E POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />XMITSM <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE Z OCCUR <br />X <br />FPG20011734-00 <br />4/19/13 <br />4/19/14 <br />PREMISES Ea oc.11.1r.1 $ 100,000 <br />N _XP (Anvonepemon) $Excluded <br />PERSONAL& ADV INJURY $1,000,000 <br />A <br />GENERAL AGGREGATE $2000000 <br />GEOL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />X1 POLICY PRD LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />IP, <br />COMBINED SINGLE LIMIT $ <br />(Ea acoidenl) <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIREDAUTOS NON-OVNMED <br />❑AUTOS <br />�g �p'Yj'�{y� V d+'^ <br />PIT 6 <br />I—^�"—'� <br />C - <br />'A F.STUR�' <br />�n <br />e <br />BODILY INJURY(Perperson) $ <br />80DILY INJURY(Per aooldent) $ <br />PROPERTY DAMAGE <br />(Pereocldent) $ <br />$ <br />UMBRELLA LIAR <br />EXCESS UAB <br />OCCUR <br />ILA <br />assistant <br />City <br />/ <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. <br />OFPICERIMEMBER EXCLUDED? [7 <br />NIA <br />WC S1'ATU- OTU - <br />TO RV LI MIT ER <br />EACH ACCIDENT $ <br />EL. DISEASE - EA EMPLOYEE $ <br />(Mandatary In NH) <br />If vas, desalbe under <br />EL. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONSbelow <br />A <br />Professional Liability <br />FPG20011734-OD <br />4/19/13 <br />4/19/14 <br />EACH OCCURANCE $ $500,000 <br />AGGREGATE $ $500,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) <br />he City of Santa Ana, 20 Civic Center Plaza, Santa Ana California 92701; its officers, employees, agents and representatives. <br />Certificate Holder is an Additional Insured per the attached CG2026 07/04 endorsement. <br />City of Santa Ana <br />20 Civic Center Dr <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE � A•../ <br />© 1989-2010 ACO RD <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />