E3 VENTURES, INC. DBA DINO ENCOUNTERS - 2017

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E3VEN-1 OP ID: NO CERTIFICATE OF LIABILITY INSURANCE D05/041201ATE l'1 05/0412017 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, cortaln policles may require an endorsement. A statement on this certificate does not confer rights to the certlficate holder In lieu of such ondorsoment(s). PRODUCER Brakke Schafnitz Ins. / RMI License ilOK07568 CONTACT NAME: Noelle Orona PHONE FAX AIc Na Ea'n; 949-365-5149 Nc,No): 949-313-3256 28202 Cabot Rd 600 Laguna Niguel, CA 92677 ADDREss: n0011e.OFona SI .Us X COMMERCIAL GENERAL LIABILITY INSURERS) AFFORDING COVERAGE NAIC # INSURERA: Ohio Casualty Company 24074 EACH OCCURRENCE $ 1,000,00 INSURED E3 Ventures DBA: Dino Encounters 10815 Meads INSURER B: X INSURER C BKS56990576 05/13/2017 05/13/2018 Orange, CA 92869 INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 LTR rypE OF ISD WD POLICYNUMBER POUGYEFF MMIDD MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE OCCUR X X BKS56990576 05/13/2017 05/13/2018 ES RELATE PREMIS Ea occurrence $ 500,000 PREMISE MED EXP (Any ona person) $ 15,000 PERSONAL &ADV INJUR`! $ 1,000,00 AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,00 GEN'L POLICY PRO - ECT FILOC PRODUCTS-COMP/0P AGG $ 2,000,00 $ OTHER'. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 (Ea accident) BODILY INJURY (Par person) $ A ANY AUTO BAS56990576 05113/2017 05/13/2018 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acaltlen[) $ XX NONADWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Per accltlent UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION YIN ANY PROPRIETORIPARTNER/EXECUTIVE ❑NIA OFFICER/MEMBER EXCLUDED? PER _ORI IT GTATUTE ER E L. EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ (Mandatory In NH) f yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) The Certificate holder it's officers, employees, agents and representatives \A are named as Additional Insured with regard to general Ilbility as per (� attached Additional Insured Form #CG88100413 with Primary and Non- Ne contributory wording and Waiver of Subrogation cD r0 6� CERTIFICATE HOLDER CANCELLATION CITYSAN g'� SHOULD ANY OF THE ASOVH D SCRIBED City of Santa Ana POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE / ACORD 25 (2014/01) O 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD