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1)) 2-7 A� O' CERTIFICATE ®E LIABILITY INSURANCE j CA3/26/14 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,Inc CONTACT P. 0. BOX 67008 PHONE .... ...... I FAX ..._._. ____ .. ........ Treasure Island, FL 3373670082AIC,No E#) ...... A/C Noj:.. 8002373355 ADDRESS ........... .. INSURER(S) AFFORDING COVERAGE NAIC# INSURER T.H.E. Insurance Comnanv 12866 INSURED Cnristlansen Amusemen and Southland Shows, P. 0. Box 997 Escondido, CA 92033 COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR- 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. !NSR ............... . . . - N IINSR BUBR��- �- _-_-- ��-�� POLICYEFF - POLICVEXP � � --� LTR '. TYPE OF INSURANCE POLICY NUMBER MMIODIVVYV MMIODIYYVV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AX COMMERCIAL GENERAL LIABILITY I CLDP0100507-04 '., 04/01/14 04/01/13 DAMAGEiSRENTED PREMIaES (Ea oco.0 enc,) $ 100 000 J CLAIMS MADE X! OCCUR - l MED EXP (Any one para n) $ _ - _.. I PERSONAL INJUR/ '$ 1,000 000 GENERAL AGOD EGATF I$ 10 005 000 L GENL AGGREG 4TE LIMI'APPLIESPER I- _ '+'�.�..ar 1 t PRODUCTS-COMPIOP 4GG $ ..... ... 1 000 000 PRO Si=> } .__ .._._._ POLICY' J rT LOC )S�� IIf $ AUTOMOBILE LIABILITY _ II N Ea acatlent.._. y ANY AUTO BODILY INDUWGPELIMIi M1 p rson) S �� SCHEDULED AUTOS AUTOS JURY P reccd,n) S ( �46,iPUD NON-OVMIEO �,,," !.__ HIRED AVE OS T �� l_I PROPERTY OANIACF- AUTOS cad UMBRELLA LAB XI EACH OCCURRENCE ply 4,000,000 A X- EXCESS LIAB - i,, r'OCCUR NIAOE .i-__ _. ELP0010135-04 04/01/14 04/01/15 AGGREGATE __ $ _.. 4 000 000 ........ ......... DED RETENTION $ !. $ WORKERS COMPENSATION WC STATU OTH-. AND EMPLOYERS' LIABILITY !. VIN TORY_LIMITS i ER_y ............. ............ N OP T /Pq TNER/EXECUTIVE NIA ! E L EACH ACCIDENT ! $ I--... OFFICER/MEMBER EXCLUDED' Mantla[ory in NH ( I ! —_ F DISEASE FA EMPLOYEE! $ If es, describe OEunder s`GRIPTION OF OPERATIONS blow E . DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES III ttach ACORD 10 1. Add Rem ats Schad ul els, 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: 4/1/14 TO 4/1/15 IMCI AIfI.TINd\IIts. to] 41]:4 1I 108121111 1 Wa7AitIQI CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PARRS, RECREATION AND COMMUNITY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ,SERVICES AGENCY ACCORD AN 9E WITH THE POLICY PROXISIONS. 26 CIVIC CENTER PLAZA .SANTA ANA, CA 92701 AUTHORIZED RESENTATIVE © 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD