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CWFINCA-01 NCADWALLADER
<br />CERTIFICATE OF LIABILITY INSURANCE DA 4/16/2016
<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 BYTHEPOLICIES
<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 />PRODUCER CONTACT
<br />Bellopay NAME:
<br />3475 E. Fo, hI BiVd., Suite 100 f ICAN ,, (626) 799.7000 FAX _
<br />A _(ac Hep (626) 441.3233
<br />Pasadena, CA 91107 ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE _ NAICN__ _
<br />INSURER A: Samsung Fire & Marine Insurance Co. '38300
<br />INSURED INSURER B: Travelers Prop Cas Co Of Amer 25874
<br />CWF, Inc. DBA At Party Rentals INSURERC,
<br />291 E. Front Street INSURERD;
<br />Covina, CA 91723
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FORTHE 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
<br />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 />Santa Ana, CA 92702,,
<br />INSR AifDtSUBR
<br />LTR TYPE OF INSURANCE POLICY NUMBER
<br />POLICY EEFF POLICY E%P _ - - - �_- -
<br />MMIDO/YYYY MMIDDIYYYY LIMITS
<br />-
<br />A X COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE S
<br />1,000,000
<br />•—
<br />CLAIMS -MADE X OCCUR X :CPP 0065112 00
<br />--CAvfAGE TG R€NfiED .. _........_--
<br />02101/2015 02101!2016 PREMISES {Ea'NTEr enee) _ S
<br />500,000
<br />_
<br />MEDEXP(Anyone _person) -S
<br />10,D00
<br />PERSONAL&ADV INJURY IS
<br />1,000,D00
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE $
<br />2,000,000
<br />POLICY X JEOT X LOC
<br />PRODUCTS COMP/OP AGO S
<br />2,000,000
<br />OTHER
<br />$
<br />AUTOMOBILE LIABILITY
<br />_
<br />COMBINED SINGLE LIMIT
<br />(Ea accldan'.$
<br />e ___
<br />1,000,00 _
<br />A X -ANY AUTO CPP 006611200
<br />02/0112015 02/01/2016 BODILY INJURY (Per person) $
<br />AOWNED - - . SCHEDULED
<br />AUU TOS AUTOS
<br />Bg01LY INJURY (Per accitlePt{ S
<br />_..:
<br />X X NON-OVMIED
<br />PROPERTY DAMAGE S
<br />HIRED AUTOS - AUTOS
<br />_(Par accltlenlL__-
<br />S
<br />X UMBRELLA LIAR X OCCUR
<br />_ EACH OCCURRENCE S
<br />5,000,00
<br />A EXCESS LIAR CLAIMS -MADE UMB000269100
<br />02/01/2015 02/01/2016 AGGREGATE $
<br />OED X RETENTIONS 0
<br />Aggregate S
<br />6,000,00
<br />WORKERS COMPENSATION
<br />X.STATUTE_ EI2H
<br />AND EMPLOYERS' LIABILITY YIN
<br />_-
<br />B ANY PROPRIETORIPARTNERIEXECUTIVE XJUB3804TS5614
<br />11/01/2014 11/01/2015 E.L.EACH ACCIDENT $
<br />1,00_0,00_
<br />OFFICER/MEMEER EXCLUDED? NIA-
<br />—
<br />-
<br />tManOatoryinNH1
<br />E.L. DISEASE - EA EMPLOYEES
<br />1,000,00
<br />Ira, describe unceet
<br />DESCRIPTION OF OPERATIONS below
<br />-- ---
<br />E L DISEASE - POLICY LIMIT S
<br />– -
<br />1,DDD,0OD
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 181, Additional Remarks Schetivle, may be attached If more apace Is mquimdl
<br />Re: Operations of the Named Insured. The City of Santa Ana, it's officers, employees, agents, and representative are named as additional insured per the
<br />SS02010111 attached. Cancellation Clause applies per the 11-001711198 attached.
<br />Reviewed
<br />Reviewed by:
<br />/
<br />Silvia Cuevas
<br />CFRTIFICATF HRI RFR GANCFI I ATIRN G1F7('CA/1-1 rimim
<br />©1988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City Ana
<br />Ci of Santa
<br />Finance &Management Services Agency
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />---
<br />AUTHORIZED REPRESENTATIVE
<br />PO Box 1988 M-16
<br />Santa Ana, CA 92702,,
<br />©1988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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