STAGE PLUS EVENT STAGING SERVICES - 2015

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® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIgD/YYYY) 4/17/2015 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 ondorsoment(s). PRODUCER CGNTom; ACT Dori Jared - Ferranto N _ ,.PHO HS,�xU .(714)245 -2777 n/c Me,: (714) 245 -2798 Assistance Insurance Agency 13732 Newport Avenue Suite 1 ADDRESS:djared@assistanceins. com INSU RERLS)AFFORDINGCOVERAGE NAICIX_ .$ TLlstin CA 92780 INSORERA:State Compensation Insurance Fund___.___ MED EXP(My one person) INSURED _ INSURER B: _ INSURER C; T -�—--- ___ —__ S Manuel Huante, DRA: Stage Plus, Inc. INSURER ❑: GENERAL AGGREGATE 2330 S. Susan St. INSURER E: S INSURER F: Santa Ana CA 92704 COVERAGES CERTIFICATE NUMBER:15 -16 WC REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVNTHSTANDING 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. INSR LTft TYPE OF INSURANCE AODL'S9BR -------- - - - -'— POLICY NUMBER ` POLICY EFP M tID Y YYI POLICY EXP fMMn)DNYYYI LIMITS r_ COMMERCIAL GENERAL LIABILITY _ _J CLAIMS -MADE C l OCCUR I I EACH OCCURRENCE .$ PREMISES o=," PR[MISEE en occurrnnce S MED EXP(My one person) s PERSONAL SADV INJURY S GEN'L _ AGGREGATE LIMIT APPLIES PER: O POLICY JECT LJ LOC OTHER'. GENERAL AGGREGATE $ _PRODUCTS - COMP /OP AGO S 5 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED r 'SCHEDULED AUTOS I�f AUTOS NIRED AUTOS NON-OWNED ALTOS p Reviewed bT / r"' 1 COMBINED SINGLE LIMIT .e accident $ BODILY INJURY (Per person) S BODILY INJURY (Par accitlenp s _ PROPERTY DAMAGL 5 _L?eLecciaenl s UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS MADE ) d„YT' 9RCSAIA 1�1 �1 n EACH OCCURRENCE S AGGREGATE �� $ OED RETENTION S A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR /PARTNER /EXECUTIVE ❑ OFFOERIMEMBER EXCLUDEU7 (Mandatary In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 1786310 -15 5/1/2015 5/1/2016 R STR LH - -- E.L. EACH ACCIDENT 000 000 S 1, --s- -= E.L. DISEASE -EA EIdPLOYE $ 1 000,000 EL. . DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, may be attached If Inure space Is required) The City of Santa Ana, its officers, employees, agents, volunteers and representatives Proof of Insurance The City of Santa Ana PRCSA 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. red- ID 19BB -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS026 (2oi4o1)