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STRADIS-01 VICKIR
<br />CERTIFICATE OF LIABILITY INSURANCE eAT91412016Y"
<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 />PRODUCER License # 0262636
<br />Gallant Risk & insurance Services, Inc.
<br />INSURED
<br />Straub Distributing Co. LTD
<br />4633 La Palma Ave.
<br />Anaheim, CA 92807
<br />Ean:(951) 368-0700_,
<br />A�P x __... ---
<br />AIc, be}, (951) 368.0707
<br />_ INSURER(S) AFFORDING COVERAGE_
<br />INSURER A: Travelers Property Casualty Insurance CI
<br />INSURER insurance Company of the West
<br />INSURER C :
<br />INSURER D :
<br />rn%lro AGFS rPPTIPIOATF NIIMRFR- REVISION NIIMRFR-
<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
<br />WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
<br />THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR-� - ADDLSUBR-- POLICY€FF
<br />LT, TYPE OF INSURANCE y POLICY NUMBER MMIDDIIJMMIDDIY
<br />POLICY EXP LIMITS
<br />A X
<br />COMMERCIAL GENERAL LIABILITY 'I
<br />EACH OCCURRENCE $
<br />1,000,00C
<br />I X I X 'X 6300159L799TIL14 '12/3112014
<br />12/31/2015 "UAMKGLEM-RENT
<br />300,000
<br />_ CLAIMS -MADE OCCUR
<br />ppEMISEs(Eaoccurrence) _ $
<br />MED EXP(Any one person) $
<br />10,000
<br />(PERSONAL&ADVINdJRY $
<br />1,000,00
<br />. GETL
<br />AGGREGATE! (MIT APPLIES PER: �
<br />� GENERAL AGGREGATE $
<br />5,000,00
<br />X
<br />POLICY JSC LOG
<br />PRODUCTS-COMPIOPAGG $
<br />__. 2,00011,00
<br />OTHER'.
<br />AUTOMOBILE LIABILITY
<br />C.OMBINEDSINGLE LI MI"r $
<br />Ea accltlent
<br />"
<br />1,000r000
<br />A X ANY AUTO X X 8100159L79STIL14 12/31/2014
<br />12/31/2015 BODILY INJURY (Per person) $
<br />ALL OWNED SCHEDULED
<br />I
<br />BODILY INJ12RY(Per wecdenE $
<br />AUTOS ___ AUTOS
<br />NON -OWNED
<br />PROPERTY DAMAGE $
<br />—
<br />HIREDAUTOS AUTOS
<br />jeer aceitlent} ___ .,.-.
<br />$
<br />DMBRELLq LIAB IX''OCCUR
<br />EACHOCCURRENCE $
<br />25,000r000
<br />A X I EXCESS LIAR CLAIMS -MADE, CUP0159L799TIL14 ! 12131/2014
<br />12/3112015 AGGREGATE $
<br />25,000,000
<br />DED X. RETENTION$ 0'
<br />$
<br />:'WORKERS COMPENSATION -
<br />X STATUTE GRhl.
<br />.ANDEMPLOYERS'LIASILITY
<br />B YIN
<br />PROPRIErORlPARTNEWEXCCUTiVE SD602066603 02t01t2015
<br />_ -
<br />0210112016 E.L. EACHA_CCIDENT $
<br />1,000r00
<br />In
<br />rOFFICE"EMBER EXCLUDED? NIA
<br />(DtSORPTION
<br />_
<br />EL. DISEASE - EA EMPI O_YE_ $
<br />1,000,000
<br />tOory
<br />II as describe under
<br />F OPERATIONS below
<br />EL. DISEASE - POLICY LIMIT $
<br />1,000,000
<br />DESCRIPTION OF OPERATIONS i LOCATIONS i VEHICLES (ACORD IM, Additional Remarks SchedmFe, maybe attechod it more space is required)
<br />RE: City of Santa Ana - Fiestas FBI Festival 2015
<br />The City of Santa Ana, its officers, employees, agents and representatives are listed as additional insured
<br />in regards to gene I ity and auto liability per
<br />the attached policy forms. Coverage is primary and non-contributory per the attached policy forms.
<br />—
<br />30 day notice of cancellation.
<br />p p,V1eT.-
<br />r4 lij0
<br />The City Of Santa Ana
<br />2215 W. McFadden Avenue, Suite C
<br />Santa Ana, CA 92704
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUUT,§rHORIIZED REPRESENTATIVE
<br />V'IeBa-ZU14Al:VKUGVKPUKAIIVN. Alingntsreservea,
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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