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CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (25/2014 YYY)
<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 BELOW.
<br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE
<br />OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the candidate holder is an ADDITIONAL INSURED, the policy(les) ..at be endorsed, If SUBROGATION IS WAIVED, subject W the terms and conditions of the policy, certain
<br />policies may require an endorsement. A statement on this Carlificme does not confer rights to the certificate holder In lieu of such endorsemant(s).
<br />PRODUCER
<br />coMA°T STEPHANIE CHU
<br />AON RISK INSURANCE SERVICES WEST, INC.
<br />PHONE 213-630-2032 e" 847-953-1823
<br />LOS ANGELES, CA OFFICE
<br />eu,A'L
<br />707 WILSHIRE BLVD., SUITE 2600
<br />INSURER(S) AFFORDING COVERAGE NAIC#
<br />LOS ANGELES, CA 90017-0460 USA
<br />INSURER A: ACE AMERICAN INSURANCE COMPANY 22667
<br />INSURED
<br />INSURER B:
<br />THE WALT DISNEY COMPANY
<br />INSURER C:
<br />500 SOUTH BUENA VISTA STREET
<br />INsuRER D:
<br />BURBANK, CA 91521-9740
<br />INSURER E:
<br />INSURER F'.
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBERS:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
<br />NOTHWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE
<br />ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF
<br />SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INER
<br />LTR
<br />TYPE OF INSURANCE
<br />ADEL
<br />INSR
<br />SUER
<br />MD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DOIVYVY
<br />POLICY EXP
<br />MMIDDNYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />HDOG27335056
<br />06/30/2014
<br />06/30/2015
<br />EACH OCCURRENCE $ 11000,060
<br />CLAIMS MADE ❑X OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES$ 1,0001000
<br />,E vise an
<br />MED EXP (Any ons peracn)
<br />PERSONALS, ADV INJURY $ 1,000,060
<br />X
<br />'L AGGREGATE LIMIT APPLIES PER:
<br />❑ POLICY JECi ❑ LOC
<br />GENERAL AGGREGATE $ 1,000,000
<br />GEN
<br />X
<br />PRODUCTS-COMPIOP AGG $ 1,000,000
<br />OTHER
<br />AAUTOMOBILE
<br />LIABILITY
<br />ISAH08826754
<br />06/30/2014
<br />06/30/2015
<br />COMBINED SINGLE LIMIT $ 1,000,000
<br />CA ccdd,nt)
<br />X ANY AUTO
<br />BODILY INJURY(Parproore
<br />ALL AUTOS NEO AUTOSSCHED
<br />BODILY INJURY P
<br />(eroccidenp
<br />X HIREDAUTOS X NON-OWNED
<br />AUTOS
<br />PROPERT DAMAGE
<br />per accltlent
<br />X PDSEI INSURED
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />EXCESS LIAB
<br />CLAIMS MADE
<br />AGGREGATE
<br />OED RETENTION$
<br />A
<br />WORKERS' COMPENSATION AND
<br />EMPLOYERS' Y/N
<br />ANY LOYEPROPIRS' LIABILITY $/E%ECUTIVE
<br />WLRC48012991 (AOS)
<br />SCFC48013016 (MA & WI)
<br />06/30/2014
<br />06/30/2015
<br />X sTnTUTE ETH
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE-EA EMPLOYEE $ 1,006,000
<br />OFFICER/MEMBER EXCLUDED? EN
<br />(Mandatory In NHI
<br />MA
<br />E.L. DISEASE-POLICY LIST $ 1,000,000
<br />(ryes, deacdbe under
<br />DESCRIPTION OF OPERATION below
<br />OTHER
<br />A
<br />A
<br />XS WORKERS'COMP&EMPLOYER LIAB
<br />INS WORKERS'COMP& EMPLOYER LIAB
<br />WCUC48012978(CA)
<br />WOUC4801298A(FL)
<br />06/30/2014
<br />07/01/2014
<br />06/30/2015
<br />06/30/2015
<br />Employers Liability $ 1,000,000
<br />Employers Liability' $ 1,000,000
<br />DESCRIPTION OF OPERATIC NS/LOCATIONSA EHICLES (ACO RD 101, Addle anal Remarks Schedule, may be attached if more space if requried)
<br />Certificate holder, its officers,agents, volunteers and employees are hereby named as additional insured's to the extent required In ntthe 04v
<br />coractual agreement with the He insured. Insu tante is primntri
<br />ary and not cobutory, T �a O
<br />Re: Disneyland Destinations Marketing appearance at the 2014 Fiestas on 9/13/2014 and 9/14/2014.
<br />..gy�pp
<br />Owl' (/ ^
<br />O�O�ney
<br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRISED POLICIES BE CANCELLED BEFORE
<br />ZU Ulvlc Uenter Plaza (M-30) THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />H.O. HOX 1988 ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92702-1988
<br />Attn.: Clerk of the City Council (AUTHORIZED REPRESENTATIVE .,
<br />cc: Holly Gold
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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