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leis ® CERTIFICATE OF LIABILITY INSURANCE �/ D/10/IDD/YYYY) 4/10/2019 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, A4QT %E T I E Olj, R, RED IMPORTANT: If the certificate holder i IO A I SURED, 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 end 4ament(s). € a A PRODUCER (( e+l?+5 Kaliff In9UranCe4„r1-`-" - '- '- J'='UrL CONTACT Madge elurton NAME: , PHONE (210)829-7634 FAX(AID o: (210)Ei29-T636 P.O. Box 171225 noDale ,madge@kaliff.com INSURERS AFFORDING COVERAGE NAIC # INSURER A:Certain Underwriters at Lloyds San Antonio TX 78217-8225 INSURED 4tl/� INSURERS: _ INSURER C_: .I y� 0 Entertainment, Inc. —201q—LA2--2— 539 East Bixby Road INSURER D: Suite 59 INSURER E: 1 INSURER F: Long Beach CA 90807 ■• el'ia:ABIC11 lno:au2urevaoulru:la:a-aoc r�yr�hyr i.mm�,l_fy-� 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, INSR LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF MMDD[YYYY) POLICY EXP (MMIDDMWI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxIOCCUR AICL01235 4/15/2014 4/15/2015 DAMAGE TO RENTIEPREMI ES (Ea occarance)$ 100,000 MED EXP(Any one person) $ PERSONAL B ADV INJURY $ 5,000,000 X Liquor Liability GENERAL AGGREGATE $ 6,000,000 GEHL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 6,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY EOMBI tlEEDI SINGLE LIMIT 1,000,000 A ANY AUTO ALL OWNED 77 SCHEDULED AUTOS AUTOS 01235 4/15/2014 4/15/2015 BODILY INJURY (Per person) $ BODILY INJURY Pereccldent ( ) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB q.� $M�; TO EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE 'Ly yq y("�BD y?yv4./�J1 S� DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNEWEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in Nri NIA �a-.,...-^ C - ,LIM (-l�it� fj5$d5{a (o�,(.,i4�. %�{{QYne WC STATU- OTH- E.L.EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is requl red) ADDITIONAL INSURED AS RESPECTS TO INSURED'S OPERATIONS: City of Santa Ana, its officers, agents & employees only as their interests may appear. This coverage applies to any events in the City of Santa Ana during this policy period. (714)571-4235 scuevas@santa-ana.org City of Santa Ana Parks, Recreation & Community Services Silvia Cuevas P.O. Box 1988 M-23 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. AUTHORIZED REPRESENTATIVE tchell Kaliff/MADGE ACORD 25 (2010/051 1988-2010 ACORD CORPORATION_ All rinhfs reserved_ INS025 lPmnns m The ACrspn name and Innn ore reniof.r.d martre of ACr1RD