STAGE PLUS EVENT STAGING SERVICES 6 - 2016

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'`,� b® CERTIFICATE OF LIABILITY INSURANCE TE (MN DA9/7/2016 ) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and 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 ondorsement(s). PRODUCER CONTACT Dori Jared-Ferranto NAME: Assistance InBllranCe Agency PHONE E (714)245-2777 A/AX C No; (914)246-2788 215 N Second Ave. 'MAIL ADDRESS: djared@assistanceins. coal Suite D INSURERS AFFORDING COVERAGE NAIC0 INSURERA:State Compensation Insurance Fund PREMIGE TOSES Ea RENT occurrence $ Upland CA 91786 INSURED INSURER B : Manuel Huante, DBA: Stage Plus, Inc. _ INSURER C: 2330 S. Susan St. INSURER D: _ INSURER E: Santa Ana CA 92704 INSURER F: COVERAGES CERTIFICATE NUMBER:16-17 WC RFVI.SIr1NNIIMRrP- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I LTR TYPE OF INSURANCE ADDI V1911.1B POLICY NUMBER POLICY EFF t nMMI POLICY EXP MMIDDl Yyl I LIMITS COMMERCIAL GENERAL LIABILITY r CLAIMS -MADE 1:1 OCCUR OCCUR EACH OCCURRENCE $ PREMIGE TOSES Ea RENT occurrence $ — MFF EXP (Any one person) $ PERSONAL &ADV INJURY $ GENERAL P.GGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER POLICY PES LOC — PRODUCTS-COMP/OP AGG $ $ OTHER AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT ecd Ea denlL_ $ BODILY INJURY (Per person) _ $ I� ANY AUTO ALL OWNED : SCHEMILED AUTOS AUTOS NON -OWNED HIRED AUTOS L_AUTOS I. BODILY INJURY(PPram dent) PROPERTY DAMAGE (Peraccitlenl) $ ___---- $ UMBRELLA LIAR OCCUR� I EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE. DED RETENTION$ $ A WORKERS COMPENSATION EMPLOYERS' LIABILITY YI N ANY PROPRIETORIPARTNERIEXEWTIVE - I OFFICER/MEMBER EXCLUDED? L lINIAI (Mandatoryin NH) f yes, describe untler DESCRIPTION OF OPERATIONS below 11786318-16 5/1/2016 PER OTITE STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 5/1/2017 1E. L. DISEASE=EA EMPLOYE $ ,110001000 E.L. DISEASE -POLICY LIMIT $ 1.000,000 I I I DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The City of Santa Ana, its officers, employees, agents, volunteers and representative ° Proof of Insurance a°'ID (�j�\eWO wb,\ The City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE D Jared-Ferranto/STEP All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS02519n14n11