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CERTIFICATE OF LIABILITY INSURANCE
<br />F PATE(MMIDDIYYYYI4/27/2017
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT$ 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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed, If SU13ROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder In lieu of such endorsement(s).
<br />PRODUCER Phone No.: (212) 488.0200
<br />Fax No.: 1212) 438-0220
<br />Frenke[ & Company
<br />350 Hudson Street -41h Floor
<br />co TACT
<br />NAME:
<br />PHONE
<br />lMGANo Ext: _ arc No
<br />ADDRESS&-_
<br />�—
<br />INSURERS) AFFORDING COVERAGE
<br />NAIC N
<br />New York, NY 10014
<br />5C�74- TFRSItCIA.�Y i z'°uK
<br />INSURER A1: IND MNITY INSURANCE Cq. OF NO TH AMERICA
<br />43675
<br />INSURED
<br />Momentum Worldwide
<br />INSURER B: GREAT NORTHERN INSURANCE COMPANY
<br />20303
<br />--
<br />INSURER C: ACE PROPERTY & CASUALTY INSURANCE COMPANY
<br />20699
<br />A Subsidiary of the InterpubliC Group of Companies, Inc.
<br />INSURER D: ACE AMERICAN INSURANCE COMPANY
<br />22667
<br />444 North Michigan Avenue, Suite 1700
<br />Chicago, IL 60611
<br />Attn: Justin Nofal
<br />INSURER E. ACE FIRE UNDERWRITERS M.—
<br />20702
<br />INSURER F: EVANSTON INSURANCE COMPANY
<br />35378
<br /><N�IU=1r7cSeizk lgtkl1I:5IriT%III =ailIaId111.1dz sT�IT/ICIr7�EilIIT3i T ;
<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 />INER
<br />LTR
<br />TYP1eOFINSURANGt
<br />INSD
<br />WVD
<br />. _
<br />POLICYNUPABER
<br />POLICYEFF'
<br />POLICY EXP
<br />L€NITS
<br />A
<br />X
<br />COMMERCtALC3RNERALLIAUlUTY
<br />X
<br />X
<br />1717007573
<br />1/1/2017
<br />1/1/2018
<br />EACHOOCURR(=NCE
<br />3,0001}00
<br />1
<br />CLAIM&MADE Y-1 OCCUR
<br />"DTsMAG'I_ TCGMR TEr
<br />PREMISES Ea occurrence)
<br />$1,000,000
<br />MEDEXP(Any Ono Perim)
<br />$EXCLUDED
<br />PERSONAL & ADV INJURY
<br />$3,000,000
<br />GENERAL AGGREGATE
<br />$3,000.000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY ', PRO- _1
<br />_1J€:CT - --I LOC
<br />PRODUCTS - COMPIOPAGG
<br />$3,000,000
<br />$
<br />OTHER-
<br />9
<br />AUTOMOBILE
<br />LIABILITY
<br />X
<br />X
<br />73682348
<br />111/2017
<br />111/2018
<br />EaeSINULF LIMIT crJdsnt
<br />$2,000,000
<br />BODILY INJURY (Par peracn
<br />—
<br />$ALL
<br />X
<br />ANY AUTO
<br />AUTOS OWNED
<br />AU
<br />HIREDAU705 NON -OWNED
<br />AUTOS
<br />130DILY INJURY (Per accident)
<br />$
<br />PROPERTYi?A AMAGE
<br />ac den
<br />$
<br />C
<br />X
<br />UMBRELLA LIAII
<br />X
<br />OCCUR
<br />02 G279399090
<br />11112017
<br />11V2018
<br />EACH OCCURRENCE
<br />$2000,000
<br />AGGREGATE
<br />$2,000000n ---
<br />EXCBSSLIAa
<br />CLAIMS -MADE
<br />OED I RETENTIONS
<br />$
<br />Al
<br />D
<br />D
<br />E
<br />WORKERS COMPENSATION
<br />ANDI MPLOYERS'LIASILITY YIN
<br />ANY PRO RIETORrP RTNER)EXECUTIVE a
<br />(Mandatory III NH)
<br />NIA
<br />X
<br />WLR 040100970-AOS
<br />SCFC49109994-NJ
<br />WLRC491s09969-CA&MA
<br />SCFC49109982-WI
<br />111/2017
<br />1/112-017
<br />111/2017
<br />1/1/2017
<br />111/2018
<br />1/1/2018
<br />1/112018
<br />1111201E
<br />X I PER I OTH.
<br />T ER—
<br />EACH ACCIDENT
<br />$1,000.000
<br />.F.L.
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />F
<br />PROPERTY FLOATER "ALL RISK"
<br />MKLV6iM0047082
<br />11112017
<br />1/112018
<br />Re Iacemenl Cost - 1,000,000
<br />$5 O'000 -- In -Transit Each Occurrence
<br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be Ottaolrod Irmora space is requlrod)
<br />The City of Santa Ana is Included as Additional Insured but only insofar as the operations under this contract are concerned where required by contract solely with
<br />respect to liability arising out of the negligence of the Named Insured, as their Interest may appear, except as regards Workers' i°rkpensatlon as per policy terms and
<br />conditions. Waiver of Subrogation applies where required by contract. Coverage applies on a primary and non-contributory t sV� required by coWma,
<br />Event: Tour Charlie Choo de Mayo
<br />Date(s): 5 — 7 May 2017� 4
<br />Location: Main 8t between 4th & 8th Street, Santa Ana, CA 92701
<br />30 DAY CANCELLATION CLAUSE INCLUDED
<br />CERTiFICATE HOLDER CANCELLATION
<br />,1##,�CTES
<br />SHOULD ANY OF THE ABOVE RSCi BE CANCELLED BEFORE
<br />THE EXPIRATION DAT HER tTCE WILL BE DELIVERI E) IN
<br />City of Santa Ana
<br />ACCORDANCE WITH T OLICY PION
<br />Parks, Recreation and Community Services Agency
<br />20 CIVIC Center Plaza
<br />AUP-16RIZEDREPRE= r-NTATVE 2
<br />P.O. Box 1988
<br />Santa Ana, CA 92702.j
<br />O 1988-2014 ACORD CORPORATION. All rights reserved,
<br />ACORD 26 (2014101 ) The ACORD name and logo are registered marks ofACORD
<br />
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