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CHRISTIANSEN AMUSEMENT, INC. (2)
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CHRISTIANSEN AMUSEMENT, INC. (2)
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Last modified
3/25/2020 9:24:02 AM
Creation date
9/14/2017 3:36:41 PM
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Contracts
Company Name
CHRISTIANSEN AMUSEMENT, INC.
Contract #
N-2017-178
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
9/30/2017
Insurance Exp Date
4/1/2017
Destruction Year
2022
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.ie DATE 00h'YVY) <br />V E OF I 1ABI RY INSURANCE <br />04/I14ml12l2017 <br />THIS Cl_'i"TIFICATF is iSSUED AS A NIATTCR OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />I BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURF-R(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) 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 <br />Allied Specialty Insurance, Inc. <br />CONTACT <br />NAME: <br />aC Nno.n• FAX N.):. <br />85 N.E. Loop 410, Suite 600 <br />San Antonio, TX 78216 <br />EMAIL <br />ADDRESS: <br />210-341-1321 800-235-8774 <br />INSURER(S) AFFORDING COVERAGE i NAIC4 <br />INSURERA: T.H.E. Insurance Company 12866 <br />INSURED <br />Christiansen Amusements, Inc. <br />INSURER B: <br />INSURERC: <br />and Southland Shows, Inc. <br />INSURER o : <br />INSURER E: <br />Escondido, CA 92033 <br />_ <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />INS— <br />LTRI <br />TYPE OF INSURANCE <br />ADDL�SUBR',. POLICY EFF <br />IN DWVD' POLICY NUMBER MMIDDIYVYV <br />POLICY E%P <br />MMIDDIYYYY <br />LIMITS <br />q <br />)( I COMMERCIAL GENERAL LIABILITY <br />_ ] CLAIMS -MADE � OCCUR <br />CPP0100507-07 04/01/2017 <br />0410112018I <br />EACHOCCURRENCE _i $ 1,000,000 <br />$ ORENTE 100,000 <br />PREMISES Ea occurrence <br />PREMISES <br />MEO EXP (Any one person) <br />iS <br />PERSONAL &ADV INJURY <br />IS 1,000,000 <br />_._ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />I�POLICY I J JECPROT LOC <br />GENERAL AGGREGATE <br />IS 10000,000 <br />PRODUCTS-COMP/OP A00 <br />5 1,000,000 <br />S <br />OTHER' <br />AUTOMOBILE LIABILITY <br />I <br />COMBINED SINGLE LIMIT <br />dent) <br />1 $ <br />i BODILY <br />IBODILV INJURY (Per person) <br />$ <br />I ANY AUTO <br />i <br />~! OWNED SCHEDULED <br />AUTOS ONLY -,_ AUTOS <br />HIRED 1 NON -OWNED <br />AUTOS ONLY - _ AUTOS ONLY <br />it <br />BODILY INJURY (Per accident). <br />_ <br />PROPERTY DAMAGE <br />'� Per accident <br />S <br />$ <br />A <br />--- UMBRELLA LIAR <br />I X <br />OCCUR <br />ELPGOIO135-07 I04I01/2017 <br />04/01/2018'. EACH OCCURRENCE <br />54,000,000 <br />X EXCESS LIAB <br />CLAIMS MADEI <br />;AGGREGATE <br />$ 4T0001000 <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNERIEXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />IN andatoryinNH) <br />NIAI---- <br />- ! PER '.OTH- <br />_ ;STATUTE ER <br />! E.L. EACH ACCIDENT <br />E.L. DISEASE - EA EMPLOYEEI$ <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E. L. DISEASE -POLICY LIMIT$ <br />I <br />l I <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ° <br />Additional Insured: City of Santa Ana Parks; Recreation and Community Services Agency are additional Insured with respects to tbna of the named <br />insured. <br />�r!\\�\aGu�d��� . <br />CITY OF SANTA ANA PARKS, RECREATION <br />AND COMMUNITY SERVICES AGENCY <br />26 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <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 />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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