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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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SOUTSHO-02_JHERNANDE7— <br />C CERTIFICATE OF LIABILITY INSURANCE DATE rMMAY <br />11.� L 097_ <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 Policy(i)s) must he endorsed. If SUBROGATION 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 />PRODUCER License# OB48084 NAME: ________ _ _ <br />Wraith, Scarlett & Randolph Insurance Services, Inc. PNONE FAX <br />_ ... _ P =_.,.1530) 662-9181 Iaec .,, IS= 662.6452 <br />INSURED <br />Southland Shows Inc & Christiansen Amusements Inc. <br />Stacy Brown <br />PO Box 997 <br />Escondido, CA 92033 <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 REQUI REM'ENT, 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 eY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AL I. THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INS41 _.... _. A3DL sdBFT. POLICY EFF POCKY EXP - _......__ .____.._. ..... .._._.._... _._. _....._ <br />c ,.,mmnn r� ..... ..... ........�., ,..,.,......, ...,,....,,,.,.... UhitTS <br />COMMERCIAL GENERAL LIABILITY <br />—I -- <br />........i CLAIMS -MADE J ; OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY I JECOT II DOC <br />AUTOMOBILE L.IABI{,ITV <br />ANY AUTO <br />ALI.. OWNED I -' SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRFO AU40S AUTOS <br />UMBRELLA LIAR OCCUR <br />EXCESS LIAa <br />AND EMPLOYERS' LIABILITY YIN, <br />A ANY PROPRIE] ORrPARTNER,EXECUTIVE ,--- <br />OFFICERINIEMBER EXCLUDED' I II N I A <br />7 <br />08/01/20171. 08101 <br />EACH OCCURRENCE !S <br />8 AOV <br />COMBINED SINGLE LIMIT Tip B <br />Ea emldent <br />BODILY INJURY (Per person; ! % <br />BODILY INJURY (Per accident) T; <br />PROPCRTVDAMAGC -.. <br />5 <br />E.L. <br />DESCRIPTION OF OPERA'nONs I LOCATIONS I VEHICLES (ACORD 101, Addl ienal Remarks Schedule, may by attached it morn space is req.f,.d) <br />-vidence of Insurance related to all Southland Show & Christiansen Amusements events between 8/01117 - 8101118 <br />�A <br />SHOULD ANY OF THE ABOVE DEY IBED POLICIES BE CANCELLED BEFORE <br />Cityof Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE wITH'rHE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana, CA 92701.405II ---- <br />AUTHORIZED REPRESEN TAI'IVE <br />i606-�r 1AIA <br />OP 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2017104) The ACORD name and logo are registered marks of ACORD <br />
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