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DmKeRv Eiland F'axID Onstad's Insurance <br />Date -10/26/2015'1 29158 FIM Pace.1 of 3 <br />HAPPEVE-01 KEILAND_ <br />OAT E(MMIDDIYYYY) <br />..a� <br />CERTIFICATE OF LIABILITY INSURANCE 10126/2015 <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 />_-_-__-"-------- ------ ------- .....-- — .__----.------.. <br />IMppRTANT: It the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed R SUBROGATION IS WAIVED, subject to <br />tire towns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does riot confer rights to the <br />certificate holder in lieu of such endorsoment(s). <br />PRODUCER License if 0963847 <br />-... - CONTACT _ ---- <br />NAML•. <br />Onstad's insurance Agony PwoNE .._. ................... PAR Fes.---- _ <br />3130 Crow Canyon Pi, Ste 250 iAX,Nn Ex0 S925j 866.1444 11 Ilacanp1 (025) 866.2050 <br />San Ramon, CA 94563 EMAIL ' <br />nODRESs Info@onstads.com <br />INSURERS) AFFORDING COVERAGE NAIC0 <br />INSURED <br />Happily Ever Laughter, LLC )NsuHER c <br />501 Cedar St Suites C & 0 INSURER e <br />Santa Cruz, CA 95060 <br />RF, <br />State Compensation Insurance Fund <br />THIS IS 10 DER I IFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PCSRIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Will RESPECT 10 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 />TYPE OF INSURANCE <br />COMMERCIAL GENERAL LIABILITY <br />I <br />CLAIM6MADE I.-, OCCUR <br />L AGGREGATE LIMIT APPLIES PER <br />POLICY E....., JC -OT _-.-.J LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUT O <br />._ <br />ALL OWNED.... SCHEDULED <br />AUTOS _ AUTOS <br />NON -OWNED <br />--_ <br />HIRED AUTOS - AUTOS <br />UMBRELLA UAB I OCCUR <br />EX11 CESSUAB CLAIMS <br />DED ( rzerElvr¢ms <br />AND EMPLOYERS' LIABILITY <br />in <br />IN <br />0 <br />NI <br />1010112015 110/01/2016 <br />1294722015 *,..t 10/0112015 10/01(2016 <br />MED E -XP <br />LIMITS <br />6 MDV INJURY <br />PRODUCTS-COMPIOPAGG S <br />5 <br />LL-Arl ED SINGLE, LIMIT $ <br />j,La ,cnidonl <br />BODILY INJURY (1 0( person) - ""$ <br />BODILY INJURY (Per acmdenn $ <br />PROPERTY DAMAGE- <br />(r pr accident( <br />4 <br />EACH OCCURRENCE IS <br />FL, DISEASE <br />S <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ECORO 101, Additional Ramadn, Schedule, may be sR.0m,1 if more space is r.qu md) <br />The City of Santa Ana, Its officers, agents, employees, and volunteers are to be covered as additional Insureds on the CGL policy with respect to liability <br />/rising out of the rental of the facility, work or operations performed by or on behalf of the Contractor Including materials, parts, or equipment furnished in <br />:onnection with such work or operations. <br />The City of Santa Ana, its officers, agents, employees, and <br />volunteers <br />20 Civic Center Plaza <br />Santa Aria, CA 92701 <br />CANCELLATION <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 />AUTHORIZED REPRESENTATIVE <br />