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California Fair Services Authority EXHIBIT "rite <br />INSURANCE REQUIREMENTS <br />I. Evidence of Coverage <br />The contractor /renter shall provide a signed original evidence of coverage form for the term of the contract or agreement <br />(hereinafter "contract ") protecting the legal liability of the State of California, District Agricultural Associations, County <br />Fairs, Counties in which County Fairs are located, Lessor /Sublessor if fair site is leased /subleased, Citrus Fruit Fairs, <br />California Exposition and State Fair, or Entities (public or non - profit) operating California designated agricultural fairs, <br />their directors, officers, agents, servants, and employees, from occurrences related to operations under the contract, This <br />may be provided by: <br />A. Insurance Certificate - The contractor /renter provides the fair with a signed original certificate of insurance (the <br />ACORD form is acceptable), lawfully transacted, which sets forth the following: <br />1. List as the Additional Insured: "That the State of California, the District Agricultural Association, County <br />Fair, the County in which the County Fair is located, Lessor /Sublessor if fair site is leased /subleased, Citrus <br />Fruit Fair, California Exposition and State Fair, or Entities (public or non - profit) operating California <br />designated agricultural fairs, their directors, officers, agents, servants, and employees are made additional <br />insured, but only insofar as the operations under this contract are concerned." <br />2. Dates: The dates of inception and expiration of the insurance. For individual events, the specific event <br />dates must be listed, along with all set -up and tear down dates. <br />Coverages: <br />a. General Liability - Commercial General Liability coverage, on an occurrence basis, at least as broad as <br />the current Insurance Service Office (ISO) policy form #CG 0001. Limits shall be not less than $5,000,000 <br />per occurrence for Fairtime Carnival Rides; $3,000,000 par occurrence for Motorized Events All Types <br />except arena or track motorcycle racing and go -cart racing; $3,000,000 per occurrence for Rodeo Events all <br />types with a paid gate and any Rough Stock events; $2,000,000 per occurrence for Rodeo Events All <br />Types without a paid gate and with any Rough Stock events; $1,000,000 per occurrence for Rodeo <br />Events All Types without any Rough Stock Events; $2,000,000 par occurrence for Interim Carnival Rides, <br />Fairtime Kiddie Carnival Rides of up to 6 rides, Concerts with over 5,000 attendees, Rave Type Events All <br />Types, Mechanical Bulls, Extreme Attractions All Types, Orbitmns, Simulators, and Motorized Events of <br />arena or track motorcycle racing and go -cart racing; $1,000,000 par occurrence for all other contracts for <br />which liability insurance (and liquor liability, if applicable) is required. <br />b. Automobile Liability - Commercial Automobile Liability coverage, on a per accident basis, at least as <br />broad as the current ISO policy form # CA 0001, Symbol #1 (Any Auto) with limits of not less than <br />$1,000,000 combined single limits per accident for contracts involving use of contractor vehicles (autos, <br />trucks or other licensed vehicles) on fairgrounds. <br />e. Workers' Compensation - Workers' Compensation coverage shall be maintained covering <br />oontactor /renter's employees, as required by law. <br />d. Medical Malpractice - Medical Malpractice coverage with limits of not less than $1,000,000 per <br />occurremoo shall be maintained for contracts involving medical services, <br />a. Liquor Liability - Liquor Liability coverage with limits of not loss than $1,000,000 per occurrence shall <br />be maintained for contracts involving the sale of alcoholic beverages. <br />4. Canoellation Notice: Notice of cancellation of the listed policy or policies shall be sent to the Certificate <br />Holder in accordance with policy provisions. <br />5. Certificate Holder: <br />• For Individual Events Only - Fair, along with fair's address, is listed as the certificate holder. <br />• For Master Insurance Certificates Only - California Fair Services Authority, Attn: Risk Management, <br />1776 Tribute Road, Suite 100, Sacramento, CA 95815 is listed as the certificate holder. <br />Revised June 1, 2012 <br />I: \feeureaee aequtromeut" , rVd <br />