6 6
<br />Acili CERTIFICATE OF LIABILITY INSURANCE
<br />Dn e(MMloom )
<br />il.�
<br />09/1112014
<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 endorsements).
<br />PRODUCER
<br />CONTACT
<br />Patricia Thompson
<br />NEWS Insurance Services, Inc
<br />PHONE FA%
<br />2072 Orchard Drive, Suite A
<br />°' 949)79L1300 ac No: 949 554.0250
<br />EMAIL
<br />ADDRESS: pat@newslnsurance.com
<br />Newport Beach, CA 92660
<br />EACH OCCURRENCE
<br />$ 1 000 000
<br />License #: OE61920
<br />INSURERS AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: Transportation Insurance Company
<br />INSURED
<br />Veronica Alvarado Al �0 1 Y —/ O 8
<br />r / G
<br />INSURER B: American Casualty
<br />$ 300 000
<br />INSURER C:
<br />$ 10,000
<br />Marketing /
<br />$ 1,000,000
<br />2017 7th
<br />2017 S 7th St
<br />INSURER D:
<br />Alhambra, CA 91803
<br />INSURER E:
<br />GENERALAGGREGATE
<br />$ 2,000,000
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 00005737- 323790 REVISION NUMBER: 7
<br />THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE 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
<br />Lm
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYY
<br />POLICY E %P
<br />MMIDDIYYYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />Y
<br />5094499917
<br />0910112014
<br />09/0112015
<br />EACH OCCURRENCE
<br />$ 1 000 000
<br />u COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ® OCCUR
<br />DAMAGE PREMISES cc
<br />PREMISES RENT rr ence
<br />$ 300 000
<br />MEDEXP(Anyonepemon)
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GENERALAGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS COMP /OP AGG_
<br />$ 2000,000
<br />X POLICY PRP LOC
<br />$
<br />A
<br />LIA BILITY
<br />5094499917
<br />09101/2014
<br />0910112015
<br />OMBINEDISINGLELIMIT
<br />1 OOOOOO
<br />BODILY INJURY(Per person)
<br />$
<br />ANY AUTO
<br />POMOBILE
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />NON -OWNED
<br />HIRED AUTOS x AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />$
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED I RETENTION$
<br />$
<br />B
<br />WORKERSCOMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOWPARTNERIEXECUTIVE
<br />OFFICEWMEMBER EXCLUDED?
<br />(Mang .... .... H)
<br />NIA
<br />400240096962
<br />0910112014
<br />09/9112915
<br />X WCSTATU- 0TH-
<br />1,000000,000000
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 1,0000,000
<br />desc'be under DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required)
<br />Certificate holder, its Officers, agents, and employees are named as additional Insured ,,..��1q��M
<br />36th Annual Fiestas Santa Ana Event & Parade on Fourth Street on Saturday, 9113 & Sunday, 9114 20141 Execuuir�ti9ti'dt5'
<br />on behalf of clients, "HOY Publications,LLC & ANDREA USA OESTE, LLC"
<br />�Yg®V�p
<br />*10 Day Notice of cancellation for non payment of premium ri+, _ f
<br />L.. A �• S�OkttorneY
<br />CERTIFICATE HOLDER CANCELLATION T1't v ";
<br />©196$ -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />Printed by PTH on September 11, 2014 at 01:16PM
<br />PM-
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Attn: PRCSA
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza M -23
<br />AUTHOR D REPRESENTATIVE
<br />Santa Ana, CA 92701
<br />PTH
<br />©196$ -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />Printed by PTH on September 11, 2014 at 01:16PM
<br />
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