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A� a CERTIFICATE OF LIABILITY INSURANCE OATE12014 YYVY( <br />0911012014 <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 pollcy(les) 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 CONTACT <br />Marsh Risk& 17901 Von KarmanInsurance Services NAME: <br />AVenue,S_ <br />uile 1100 (AIDPHO. No Exrl`_.. _ ... iArCi Not: _ <br />(949) 399-5000; EMAIL -- <br />License #0437153 ADDRESS:, <br />/Nine, CA 92614 INSURER(S) AFFORDING COVERAGE _ NAIC# _ <br />310438-STND-GAWU-14-15 INSURER A: Liberty Mutual Fire Ing Cc 23035 <br />INSURED INSURER B: NIA NIA <br />Orange County Register - - - - -- --- -- <br />625 N Grand Avenue INSURER C: NIA NIA <br />Santa Ana, CA 92701 INSURER or NIA NIA <br />INSURERS: NIA --- INIA <br />INSURER F: NIA /NIA <br />COVERAGES CERTIFICATE NUMBER: Ins-Un1618SPA-01 RFVIRInrd NIIMRFR•S <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 />INSR Xbbu BR POLICY EFF POLICY EXP <br />LTR TYPE OFINSURANCE POLICY MMIDDMW MMIDDIYYYYLIMITS <br />A <br />GENERAL LIABILITY <br />of Marsh Risk 8lnsurance Services <br />TB2-631-509650-014 <br />04/01/2014 <br />04101/2015 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence) <br />$ 1,600,066 <br />$ 10,000 <br />MED EXP (Any one person) <br />PERSONAL B ADV INJURY <br />-... <br />_ $ 1,600,006 <br />$ 2,000000 <br />GENERAL AGGREGATE <br />(PRODUCTS-COMP_IOPAGG <br />$ 2,000,666 <br />GEN'L AGGREGATE LI MIT APPLIES PER', <br />X POLICY PEO LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />_(Ed acciden9 <br />$ <br />ANY AUTO <br />BODILY INJURY (Per person) <br />' $ <br />J <br />ALL OWNED- SCHEDULED <br />OS <br />AUTAUTOS <br />$ <br />-_ -_ <br />( ) BODILY INJURY Per accitlent <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />Per accitlent <br />_ <br />$ <br />UMBRELLA LIAB OCCUR <br />4 <br />EACH OCCURRENCE <br />$ <br />_ <br />$ <br />$ <br />EXCESS LIAB CLAIM <br />DED RETENTION$ <br />� �� <br />�{ <br />TO <br />8' <br />AGGREGATE_ <br />i WORKERS COMPENSATION <br />VJC STATU- OTH- <br />I AND EMPLOYERS' LIABILITY <br />Y� <br />✓cp <br />r'�/+ <br />T _LIMITS ER <br />_ <br />EL EACHACCUENT <br />EL DISEASE - EA EMPLOYE <br />OFFICERIMEMBANY DEft EXCLUDEpp ECUTIVE <br />(Mandatory In NH) <br />NIA <br />C' <br />L �` <br />�,`�^ CA" <br />0n"v� 1 <br />(Atto f1By <br />$ <br />$. <br />describe underta1'1t <br />DIf ESCRIPTION OF OPERATIONS below <br />V <br />St$ <br />E L DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is requlretl) <br />Re: City of Santa Arras 36th Annual Fiesta to be held on September 13-14,2014 <br />The City of Santa Ana, its officers, employees, agents, and volunteers are included as additional insureds where required by written contract. Coverage is primary and non-contributory to City of Santa Anse <br />Insurance. <br />CERTIFICATE HOLDER CANCFI-1 ATION <br />City of Santa Ana <br />20 Civic Center Plaza <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Santa Ana, CA 92701 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />of Marsh Risk 8lnsurance Services <br />John Graef <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />