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CHRISTIANSEN AMUSEMENTS, INC. 2
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CHRISTIANSEN AMUSEMENTS, INC. 2
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Last modified
12/1/2015 4:23:27 PM
Creation date
6/23/2014 9:52:06 AM
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Contracts
Company Name
CHRISTIANSEN AMUSEMENTS, INC.
Contract #
A-2014-060
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
3/4/2014
Expiration Date
12/31/2014
Insurance Exp Date
4/1/2015
Destruction Year
2019
Notes
84,000
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A`'R a CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) <br />3/26/14 <br />THIS CERTIFICATE IS ISSUED AS A 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 />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION 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 Specialty CONTACT <br />Allied ,$ ecialt Insurance, Inc NAME <br />P.O. Box 67008 PHONE IPAX <br />Treasure Island, FL 337367008 EAmAI° EXiL -- Ale "sl. <br />8002373355 ADDRESS ------ - <br />INSURER(S) AFFORDING COVERAGE <br />T.H.E. Insurance ComDanv 12 <br />INSURED Cnristiansen Amusements, Inc. INSURERS: <br />and Southland Shows, Inc. <br />P. 0. Box 997 INSURERC <br />Escondido, CA 92033 INSURERD <br />INSURER IS <br />........ .. ........... ......... ............. <br />INSURER F' <br />COVFRAGFS OFRTIFIOATF NIIRI RF\/IRION NIUMRPR• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />______ ........... ____._..-. .......... ____. <br />U <br />LTR TYPE OF INSURANCE INSR D POLICY NUMBER MMIDDIYYYY MMI 07YE YY LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE 1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CPP0100507-04 <br />04/01/14 04/01/15 <br />I$ <br />70 RENTE ence1$ 100,000 <br />PRCMSCS <br />{EAMAGE <br />CLAIMS MADE XJ OCCUR <br />j <br />MED EXP (Any one para n) $ <br />- ..... - <br />PERSONAL & ADV INJURY $ 1 000,000 <br />CENTRAL AGGREGATE $ 10,000,000 <br />0 <br />SENT AGGREGATE LINA' APPLIES PER <br />,i tR �"` �.'� 'A''' <br />PRODUCTS GOMProP AGG $ 1, COO, OOO <br />_ _ <br />- x< } <br />yJP <br />fvv5 <br />POLICY JEp°r LOC <br />Va <br />$ <br />AUTOMOBILE LIABILITYr <br />„COMBINED SINN L6 LIMIT <br />_ <br />ANY AUTO <br />t� <br />l� <br />CEa accident $ <br />BODILY INJURY (Per person) $ <br />_ --_ <br />ALLOWNED SCHEDULED <br />AUTOS <br />�„•.- <br />sl0 <br />F S� <br />BODILY INJURY (Per c dan) $ <br />PION-ONMED <br />--nt Clay �- <br />. <br />PROPERTY DAMAGE - $ <br />HIRED AUTO. ... AUTOS <br />pg$ 1$t <br />(Pe apclae„Ot), . ............. <br />a <br />UMBRELLA LAB OCCUR <br />EACH OCCURRENCE S 4,000,000 <br />A <br />_X <br />X EXCESS LABGLAIMSMADE <br />ELP0010135-04 <br />04/01/14 04/01/15 <br />IAGGREGATE 4,000 000 <br />S <br />DED RETENTION $Is <br />WORKERS COMPENSATION <br />WC STATU OTH- <br />AND EMPLOYERS'LIABILITV YIN <br />TO RYJ.IfA1$ ERy <br />ANY PROPRIETOWPARTNER/EXECUTIVE❑NIA <br />1. <br />EL EACH ACCIDENT $ <br />OFFICERIMEMBER EXCLUDED” <br />-"- <br />(Mandatory In NH)', <br />EL DISEASEA FMIPLOYEF_ $ <br />If yes, describe under <br />_-..... ............... -_- - <br />DF,SCRIPTIDNOFCPERATIONSbeI°w <br />E.L. DISEASEPOLICYLIMIT $ <br />A <br />DESCRIPTIO OF OPERATIONS I LOCATION 1VEHICLES <br />N S (Attach ACORD 701, Additional Remarks Schedule, If more space is required) <br />ADDITIONAL INSURED WITH RESPECTS TO THE OPERATIONS OF THE NAMED INSURED ONLY: <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVE AND <br />VOLUNTEERS. <br />EVENT: FOR ALL OF CHRISTIANSEN AMUSEMENTS EVENTS FROM: 4/1/14 TO 4/1/15 <br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />PARKS, RECREATION AND COMMUNITY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />SERVICES AGENCY ACCORDANCE WITH THE POLICYPR ISIONS. <br />26 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 AUTHOR2ED RESENTATIVE <br />© 1988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />
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