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STOLEVISION, INC. DBA A NIGHT TO REMEMBER EVENTS - 2015
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STOLEVISION, INC. DBA A NIGHT TO REMEMBER EVENTS - 2015
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Last modified
5/26/2017 9:49:35 AM
Creation date
12/9/2015 7:37:43 AM
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Contracts
Company Name
STOLEVISION, INC. DBA A NIGHT TO REMEMBER EVENTS
Contract #
N-2015-178
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
12/12/2015
Insurance Exp Date
5/2/2016
Destruction Year
2020
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Submission:SUB035909 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF <br />INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE <br />CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and <br />conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such <br />endorsement(s). <br />PRODUCER <br />CONTACT NAME: G.A. Maven & Co. <br />PHONE: {A)c No, Ext): (630)655-2400 FAX: {A/C, No): (630)654-4447 <br />E-MAIL ADDRESS:info@mavon.com <br />G.A. Mayon & Co. <br />10 W. Chicago Ave. <br />INSURER(S) AFFORDING COVERAGE <br />NAIC <br />Hinsdale, IL 60521 <br />(630)655-2400 <br />CPS5047926 <br />INSURED <br />INSURER A :Penn -Star Insurance Company <br />10673 <br />INSURER B'. <br />DBA A NIGHT TO REMEMBER <br />ENTERTAINMENT <br />SOTELOVISION INC. <br />INSURER C: <br />INSURER D: <br />17660 NEWHOPE ST,SUITEA <br />FOUNTAIN VALLEY, CA 92708 <br />INSURER E: <br />INSURER F: <br />COVERAGE CERTIFICATE NUMBER REVISION NUMBER <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADD L <br />NSRD <br />SUBR <br />WVD <br />POLICY <br />NUMBER <br />POLICY EFF <br />MM/DD/YY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />CPS5047926 <br />512/2016 <br />51212016 <br />EACH OCCURRENCE $1,000,000 <br />DAMAGE TO RENTED $100,000 <br />PREMISES (Ea occurrence) <br />❑v COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE ,/ OCCUR <br />❑ <br />❑ <br />❑ <br />MED EXP (Any one person) $5,000 <br />PERSONAL e, ADV <br />INJURY $1,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $2,000,000 <br />Pollcy <br />Project Doc <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP $1,000,000 <br />AGG <br />AUTOMOBILE LIABILITY <br />❑ ANYAUTO <br />❑ ALL OWN ED AUTOS <br />❑ <br />❑ <br />COMBINED SINGLE LIMIT $ <br />(Ea accident) <br />BODILY INJURY $ <br />Per erson <br />BODILY INJURY (Per $ <br />accident) <br />® SCHEDULED AUTOS <br />® HIRED AUTOS <br />❑ NON -OWNED AUTOS <br />�. <br />PROPERTY DAMAGE'. (Per$ <br />accident <br />UMBRELLA LAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS MADE <br />n\ <br />/�' ` / <br />EACH OCCURRENCE $ <br />DEDUCTIBLE <br />AGGREGATE $ <br />$ <br />RETENTION <br />-1aCa <br />•®ey, <br />E' <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR / PARTNERI <br />EXECUTIVE OFFICER/MEMBER ❑ <br />EXCLUDED? <br />NIA <br />\�\ <br />ems' CN <br />r� <br />.�' r) �J <br />Y <br />❑WCSTR TS ❑OER <br />E.L EACH ACCIDENT $ <br />E.L. -DISEASE EA <br />EMPLOYEE $ <br />E.L. - DISEASE POLICY $ <br />LIMIT <br />(Mandatory in NH) <br />If yes describe under SPECIAL <br />PROVISIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS: VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />For General Liability only: The certificate holder is noted as additional insured with respects to claims arising out of the operations of the namedinsured per form CG2010(7/04) <br />Event For: Cit of Santa Ana Event Date: 12/12/15 <br />CERTIFICATE HOLDER <br />CANCELLATION <br />ACORD 25(2009/09) @ 1988- 2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />CITY OF SANTA ANA - FRENCH PLAZA <br />EXPIRATIONDATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH <br />THE POLICY PROVISIONS. <br />321 E 4TH ST <br />SANTA ANA, CALIFORNIA 92701 <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25(2009/09) @ 1988- 2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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