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CHRISTIANSEN AMUSEMENT, INC. 3 - 2015
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CHRISTIANSEN AMUSEMENT, INC. 3 - 2015
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Last modified
5/30/2017 2:29:29 PM
Creation date
5/4/2015 11:27:24 AM
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Contracts
Company Name
CHRISTIANSEN AMUSEMENT, INC.
Contract #
A-2015-061
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
4/21/2015
Expiration Date
5/31/2015
Insurance Exp Date
4/1/2016
Destruction Year
2020
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CERTIFICATE OF LIABILITY INSURANCE I DATE 3/31/15 <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(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 />PRODUCERAllied Specialty Insurance,Inc <br />10451 Gulf Blvd <br />Treasure Island, FL 33706 <br />8002373355 <br />T.H.E. <br />INSURED Christiansen Amusements, Inc. <br />and Southland Shows, Inc. <br />P. 0. Box 997 <br />Escondido, CA 92033 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />U:.:f <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 <br />LTR <br />TYPE OF INSURANCE <br />AD DL <br />I <br />SUER' <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYY <br />POLICY EXP <br />MMIDDIYVYV <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 11000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMSMADE L4J OCCUR <br />CPP0100507-OS <br />04/01/15 <br />04/01/16 <br />DAMAGE <br />REMSES(Ed occurrence) $ 100,000 <br />MED EXP (Any one person) $ <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 10, 000, 000 <br />� EN'L AGGREGATE LIMIT APPLIES PER. <br />PRODUCTS-COMMOP AGO $ 11000,000 <br />POLICY PRLOC <br />i <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINEDSINGLE LIMIT <br />Ea accHent $ <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALL OWNIED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per ecclden0l$ <br />PROPERTYDAMAGE $ <br />Per aoddem <br />NON OWNED <br />L_ HIRED AUTOS AUTOS <br />$ <br />' <br />UMBRELLA LIAR <br />OCCUR <br />Reviews <br />,I. <br />EACH OCCURRENCE $ <br />AGGREGATE_ $ <br />EXCESS LIAR <br />CLAIMS -MADE <br />I <br />'� <br />DED RETENTION$ <br />_ <br />I$ <br />1` <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />a�] C <br />S(IV)G <br />a�]so <br />I2VOr`� <br />WC STATU- OTH- <br />V L S <br />- <br />EL EACH ACCIDENT $ <br />E. L. DISEASE -EA EMPLOYE $ <br />EL <br />in NH)/C <br />es <br />If dAscratory <br />describe under <br />and <br />PRlJ OY1/ <br />Id I 1 <br />Dyes <br />DESCRIPTION OF OPERATIONS below <br />EL. DISEASE-POLICVLIMIT $ <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />ADDITIONAL INSURED WITH REPECTS TO THE OPERATIONS OF THE NAMED INSURED ONLY: <br />THE HOUSING AUTHORITY FOR THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, <br />EMPLOYEES AND VOLUNTEERS. <br />LOCATION: 1126 & 1146 E. WASHINGTON, SANTA ANA, CA <br />FOR THE DATES: 4/27/15 THROUGH 5/05/15 <br />THE HOUSING AUTHORITY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />FOR THE CITY OF SANTA ANA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAZA, M-2 ACCORDAN EWITH THE POLICYPR ISIONS. <br />SANTA ANA, CA 92701 <br />AUTHORIZED RESENTATIVE <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />
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