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CHRISTIANSEN AMUSEMENTS, INC. 4 - 2016
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CHRISTIANSEN AMUSEMENTS, INC. 4 - 2016
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Last modified
5/30/2017 2:30:07 PM
Creation date
5/31/2016 9:32:03 AM
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Contracts
Company Name
CHRISTIANSEN AMUSEMENTS, INC.
Contract #
A-2016-051
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
4/5/2016
Expiration Date
5/31/2016
Insurance Exp Date
8/1/2016
Destruction Year
2021
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ACCOREF CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYWY) <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 />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br />Allied Specialty Insurance, Inc. NAME__.... <br />10451 Gulf Blvd PHONE <br />_(AIC. No, Ext): <br />Treasure Island, FL 33706-4814 E MAIL — _ -- <br />INSURED <br />Christiansen Amusements, Inc. <br />and Southland Shows, Inc. <br />P.O. Box 997 <br />Escondido, CA 92033 <br />ADDRESS. <br />_ INSURER(S) AFFORDING COVERAGE _ NAICH <br />IN$DRERA: T.H.E. Insurance Company 12866 <br />INSURER B : + <br />INSURER C: <br />INSURER E <br />IINSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NIIMRFR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 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 />INSR j �-POLICY EFF POLICY EXP - -- _-- <br />LTR I TYPE OF INSURANCE ADOLSUBR <br />HIED WVU POLICY NUMBER MMIDDNYYY) fMM1DDNYYYI I LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />SANTA ANA, CA 92701 <br />CPP0100507-06 <br />04/01/2016 04/01/2017 <br />EACH OCCURRENCE $ 1,000,000 <br />$ <br />CLAIMS MADE X'. OCCUR <br />DAMAGE TO RENTED <br />PREMISES (Ea gccurrence I$_. 100,000 <br />MED EXP (Any one person) '�.I $ <br />PERSONAL_&_ADV INJURY I$ 1,000,000 <br />G1HI-AGGREGATE <br />LIMIT APPLIES PER <br />_ <br />GENERALAGGREGATE '$ 10000,000' <br />POLICY L_ jEa LOC <br />I PRODUCTS -COMPIOP AGO $ 1,000,000 <br />OTHER: <br />$ <br />I AUTOMOBILE <br />LIABILITY <br />I'I <br />COMBINED SINGLE LIMIT$ <br />La accident <br />Dr� <br />ANV AUTO <br />ANY <br />BODILY INJURY (Per person) � <br />- --_--- <br />BODILY INJURV (Peracmtlent)'$ <br />PROPERTY DAMAGE <br />OWNED f SCHEDULED <br />AUTOS ONLY AUTOS <br />HIREDNON-OWNED <br />11 <br />IBJ <br />AUTOS ONLY AUTOS ONLY <br />(Per accid n $ <br />$ <br />A <br />UMBRELLA LIAR X',. OCCUR <br />ELP0010135-06 <br />04/01/2016 104/01/2017 <br />EACH OCCURRENCE $ 4,0_00,000 <br />IX <br />EXCESS LIAB 'CLAIMS -MADE <br />A <br />[AG $ 4,OOQ000 <br />_ <br />DED I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />STATUTE_ <br />YIN <br />III <br />�R� <br />-- <br />E.L.EACH ACCIDENT $ <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />RIEX <br />OFRCERPRIETO REXCBILITYU <br />ED? <br />NIA <br />_ <br />NH) <br />EA EMPLOYEE $ <br />If yes describe <br />It yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E. L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD I01, Additional Remarks Schedule, maybe attached if mare space is required) w' <br />EFFECTIVE FROM 4/1/16 THROUGH 4/1/17 <br />ADDITIONAL INSURED: CITY OF SANTA ANA PARKS, RECREATION AND COMMUNITY SERVICES AGENCY P.r <br />AS RESPECTS TO THE OPERATIONS OF THE NAMED INSURED ONLY <br />rr y-1 i 1 y rw.� �� e r•� �.� y s <br />rAAIr CI I AT1n Al '�"- t- "i r - <br />CITY OF SANTA ANA PARKS, RECREATION <br />AND COMMUNITY SERVICES AGENCY <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />26 CIVIC CENTER PLAZA <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />$ <br />©1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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