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AC"R�� <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDfYYYY) <br />��. <br />3/30/2017 <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 pollcy(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 Bolton & Company <br />NAME: <br />3476 E. Foothill Blvd., Suite 100 <br />Pasadena, CA 91107 <br />PHONE FAX <br />1AL0,.NojEAtL . �?s) 799-7Dao _. _----- - IAfC. Ne�T _.L?6La�_21.17 - <br />E-MAIL <br />ADDRESS: <br />INSURER 5 AFFORDING COVERAGE <br />NAIC # <br />INSURERA: New York Marine And General Insurance Co <br />www,boltonco.com 0008309 <br />16608 <br />INSURED <br />CWF, Inc. <br />DBA: Al Party Rentals <br />INSURER B : <br />-- <br />INSURERC: <br />INSURER D <br />INSURIERE: <br />251 B. Front Street <br />Covina CA 91723 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMRFR! aaanFgas REVISION NLJMRFR- <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. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />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 />IR TYPE OF INSURANCE ADDL SUBRI - _ POLICY NUMBER MM (POLICY <br />LTR <br />LT ! MMID�YMM <br />- LIMITS <br />A / COMMERCIAL GENERAL LIABILITY <br />i <br />CLAIMS MADE OCCUR <br />/ IPK201700007271 2/1/2017 i 2/1/2018 <br />�EACHOCCURRENCE <br />OAMAGE TO RENTED— PREMISES Ea occ r rce <br />VIED EX (Any one person} <br />1$ <br />1,000,000 <br />$ <br />5D0,000 <br />$ <br />10,000 <br />$ <br />1,000,000 <br />u <br />I <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGG <br />_ <br />GEN'LAGGREGATE LIMIT APPLIES PER; <br />$ <br />$ <br />2,000,000LOCPDIcr <br />$ <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY IAU201700011938 <br />2/1/2017 <br />2/1/2018 <br />{ EaaBodaDl}INGLELIMIT <br />$ <br />1,000,000 <br />$ <br />;ANY AUTO <br />E BODILY INJURY (Per person) <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED �1 NON -OWNED �, i I <br />— _ AUTOS ONLY ✓_ AUTOS ONLY <br />i <br />; BODILY INJURY (Per accident) <br />PROPERTY DAMAGE- <br />�_(Per accident). <br />$ <br />$ <br />$ <br />i <br />A <br />UM13RELLALIA6 ✓ <br />OCCUR <br />UM201700003772 <br />2/1/2017 <br />2/1/2018 <br />EACH OCCURRENCE <br />$ <br />5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />; i <br />!! <br />E AGGREGATE <br />$ <br />5,000,0()0 <br />- <br />CED ? RETENTIONS10,000 <br />$ <br />j <br />i I <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN I <br />ANYPROPRIETORMARTNERIEXECUTIVE <br />OFFiCER1MEMHER EXCLUDED? � !NIA <br />(Mandatory in NHI i <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below I <br />I WC2016000009970 <br />i <br />11/1/2016 <br />11/1/2017 <br />I `srarurE ERH <br />' ELL, EACHACCIDENT <br />--- , <br />E.L. DISEASE - EA EMPLGYFEi <br />I E.L. DISEASE - POLICY LIMIT ': <br />$ <br />_ <br />1,OGO,OOO <br />$ <br />1 000 000 <br />$ <br />1,000,000 <br />I <br />II <br />4 <br />I <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />The certificate holder is included as an additional insured, but only as respects to claims arising out of the negligence aameda4++ <br />Insured. <br />GL Primary & Non -Contributory per form CG2026 attached. <br />Additional Insured: The City of Santa Ana, it's officers, employees, agents, and representatives <br />5 <br />t <br />L:t:KI It•IL:A I t NULUt:K L;ANL;hLLA I I(JN <br />City of Santa Ana <br />Finance & Management Services Agency <br />PO Box 1988 M 16 <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <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 />Jessica Porelta <br />O 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />349D5266 I C'WPINCA-01 1 0 -18 ALL Master Certificate I Tina A3ains 13/30/2017 10:24:08 AM {PDT) I Page 1 of 2 <br />