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CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDOIY Y III � 4/29/14 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER..0 'I"'? 11. Q IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must a 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 Thompson Insurance Enterprises LLC 3380 Chastain Meadows Pkwy, Ste. 100 Kennesaw, GA 30144 NAME: Nesi'.Brazile AIc°NNo E.t 678 290-2197 IC No n'o"DAREss: Nesi.Brazile@thomcoins.com PRODUCER CUSTOMER ID r: ...... —1 )AFFORDING COVERAGE NAICe FPG2001173401 INSURED International Promotions, Inc DBA: Fiesta De Carnival 11278 Los Alamitos Blvd #101 Los Alamitos, CA 90720 INSURER A: Essex Insurance Company 39020 INSURERS: INSURER INSURERD_ 4— . _ /t,-2014 014INSURERS: rl _ INSURERF: vr�nn.aw CER iFiCA1C NUNIHCK: ht//4/ RRV15tinm IJIIMRGR 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 MIAYHAVE BEEN REDUCED BY PAID CLAIMS. /NSRPOLICY LTR TYPE OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE WvOPOLICY NUMBER EFF MMMDIYYYY MMOY EXP MOLICYYW LIMITS A GENERAL LIABILITY X CGMMERCIALGENERAL LIABILITY CLAII,S.MA.DE❑x e --CUP X FPG2001173401 4/19/14 4/19/15 EACH OCCLPPENCE $ 1,000,000 PREMISE"i=a, Tanw' $ 100,000 MEDwAP1Any,nepe¢ory $Excluded PEPSONA_N ADV IN UPr $ 1,000,000 eEYEPAL AGGREGATE $ 2,000,000 ,EN'L IMI' APPLIES PLR/c X POLICY PRO - ,T _ PROCUCTS-CJM, �P AG G $2,000,000 AUTOMOBILE LIABILITY ANY ALTC �. ALL OVMIED �c HEDU_ED AUT'., AUTO — PIP_ ❑ J' .NSD DAUTO' NUT AUTOS r y��y{� T 1. i.r fyL L��IPerao�n P'a 1 � I __ _OMBINED SINGLE LINA' $ fEa ac,tlel[; BODIL" INJURY (Fsr c=rson) $ D N..UPr LPer3,<a=n: $ PPCFEPT', LAMAG_ $ . ;dent) $ UMBRELLA LMB�C;UR E%CESSUAB -H LAIMo-MACE ;'1311" t �l,) ) .EACH DC:URREN-E $ AGGPFGATE $ DEG PETEN UN$ $ WORKERS COMPENSATIONWCoTP.TU- AND EMPLOYERS' LIABILITYYIN IN( PROPS I ETDFFARTNEFIEBE,PJn rE OFI�ERIMEMBER «LJDEDT 'NIA' (Mandator, in NH) ties_ s_PIFT,cF',Ca Ana>r D -v ofcPE=AnOns Oemw OTH- 'TORPLIMITS ER EL EACH ACCIDENT EL DIOEnSE - EA EMFL D VEE $ EL DISEASE -POl r1umlr $ A ProfessionaILiability FPG20011734-01 4/19/14 4/19!15 EACH OCCURANCE $ $500,000 AGGREGATE $ $500,000 DESCRIPTION OF OPERATIONS; LOCATIONS I VEHICLES /Attach ACORD 101, Additlonw Remarks Schinft* if mare space 1. required) Certificate Holder is added as additional insured per the attached forms, CG 2026 (07"04) and MEGL 0010 (03 1 l ) CERTIFICATE HOLDER CANCELLATION City of Santa Ana 20 Civic Center Dr SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana, CA 92701 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD