EMERALD ISLE ENTERTAINMENT, INC. DBA THE BUBBLE ROLLERS 1 -2015

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- o'n . h1C4RCY CERTIFICATE OF LIABILITY INSURANCE �'"�� DATE(MMIDOIYVVV) 09/02/2015 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Northeast Insurance Center P O Box 151868 PHONE 1: (239) 244-9777 a/c No : (860) 627-8695 DAIL ricm@neinscentercom INSURERS AFFORDING COVERAGE NAIC N Cape Coral, FL 33915 INSURER A: UNITED STATES FIRE INSURANCE CO 21113 Phone (239) 244-9777 Fax (860) 627-8695 INSURED INSURER B: INSURERC: EMERALD ISLE ENTERTAINMENT, INC DBA THE BUBBLE ROLLERS and INSURER D: 1402 CLOYDEN ROAD R E: NSURER: SANTA ANA CA 92705 _SUREF COVERAGES CERTIFICATE NUMBER: USP173967 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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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, ILSRTYPE OF ADDLSUBR INSR WVD POLICY NUMBER POLICY SEE MMIDDIYYYY POLICY EXP MMIDDIYYYV LIMITS _ d COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 DAMAGE Eeoocurrence $ 300,000.00 CLAIMS -MADE V OCCUR MED EXP(Any one person $ 5,000.00 A SRPGP-101-0414 03/02/2015 03/02/2016 — PERSONAL &ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- -_ POLICY — JECT — LOC GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS -COMPIOPAGG $ 2,000,000.00 $ OTHER AUTOMOBILE LIABILITY COMBINED SING LE LIMIT Ea accident S BODILY INJURY (Per person) $ ANY AUTO — ALL OWNED -- SCHEDULED AUTOS AUTOS — BODILY INJURY (Per accident $ _ HIRED AUTOS - NON -OWNED — AUTOS PROPERTY DAMAGE Per accident) $ UMBRELLA LIAB OCCUR — EXCESS LIAB J. CLAIMS -MADE ,fr��``e •' \201 `I EACH OCCURRENCE $ AGGREGATE $ _ DIED — RETENTION $ $ Z WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y/N ANY OFFICER/MEMBER EXCLUDED? OFFICER/MEMBER (MandR/MEory BERNH) E RTNER/EXECUTIV If yes, describe under DESCRIPTION OF OPERATIONS below NIA v1a �,\ hI /+ G `I e,rjas rry — PER — OTH- — STATUTE —ER E.L. E.L. DSEASECEDA EMPLOYE $ E. L. DISEASE -POLICY LIMIT $ A DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD tat, Additional Remarks Schedule, If more space is required) MOBILE BUBBLE ROLLERS, ZORB BALLS, SUMO SUITS, infiatables, mobile laser tag, mobile indoor airsoft range Certificate holder (landlord), it officers, employees, agents and representative are listed as additional insured in regards to general liability, within respects to the named insured operation. Insurance is primary and non-contributory. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: PRCSA ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza M 23 AUTHORIZED REPRESENTATIVE Santa Ana, California 92701--- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) OF The ACORD name and logo are registered marks of ACORD