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STRADIS-01
<br />DATE ImminolYY
<br />--- 5f4/2097VY)
<br />THIS CERTIFICATE IS !$SUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. -
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on
<br />this certificate does not Danfar rights to the cartificafs holder to llau of such endorsamont(s).
<br />_
<br />PRODUCER License 0 0282636 QM'�ACT
<br />Gallant Risk & Insurance Services, Inc. PH NE Ext1: 959 385.0700 q9 Nol;(951) 368-0707
<br />4160 Temescal Canyon Rd„ N402 No. Wn (951 --
<br />Corona, CA 92683[o—g; _ —I.........
<br />tNSURER{Si goro DI,gC ,00VERA0E;7AICd
<br />INS11gR,& Unitad Fire & Casualt Company 13021
<br />INSURED INSURER 8:Insurance Company Df the West
<br />_
<br />847
<br />Straub Distributing Co, LTD INS RER C:
<br />4633 La Palm Ave. INS E D:
<br />Anaheim, CA 92807 ws R _
<br />INSURER F t
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTYATHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT'WTH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CCNDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />LIMITS
<br />A
<br />IX COMMERCIAL GENERAL LIABILITY
<br />Tm Epq HOCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE �X� OCCUR
<br />X
<br />80486242
<br />0210112097
<br />02t0112018 _BMA yl1 INTE
<br />$ 300,004
<br />MED_EXP (Anv one &raon
<br />5'000
<br />1,000,000
<br />_
<br />PE NAL&ADVO RY
<br />GEN'LAGGREGATE LIMAPPLI SPER.
<br />GE ERALAGGREGATE-_,,
<br />$ 2,000,000
<br />pIT
<br />Poway a j�GT � LOG
<br />I
<br />,_,
<br />FRODUCTE-GOMPM AGG
<br />_,�
<br />$ 2,000,000
<br />O
<br />$
<br />A
<br />AUTOMOBILE LIABILITY
<br />COMBI-Ni, CD SINGLE LIMN'
<br />$ 1,OOQ000
<br />X ANY AUTO
<br />X
<br />60486242
<br />02/01/2017
<br />02101/2016 BODILY INJURY
<br />11��
<br />E1TOSULE6
<br />JJORY Par
<br />S
<br />AUTEE�OOSONLY
<br />ONLY ASTOS ONLY
<br />ePgger$
<br />gCrAccRnfiAMAGE,,,,,,,
<br />__„
<br />.........—
<br />�A��CS
<br />8
<br />A
<br />X UMBRELLA LIAR
<br />X
<br />OCCUR
<br />E CHOCCURRENCE
<br />$ 2,000,000
<br />EXCESS LME
<br />-
<br />CLAIMS -MADE
<br />80488242
<br />0210112047
<br />02/0112018 AGGREGATE �
<br />2,000,000
<br />.
<br />DEC; X RETENTIONS 0
<br />13
<br />WORKERS
<br />-"
<br />A
<br />YIN
<br />ANYEMPLORS'LIABN
<br />WSD602058505
<br />02101I2017
<br />02I01l2
<br />1,000,000
<br />�.
<br />AND OPRIETOWPANn ExECunve
<br />I
<br />EdegnIMrdEhMeB,mEptleEr XCLUOEY7 Y
<br />NIA
<br />1rg00,000
<br />(Ir�pnFaIp,
<br />SEASE-E4 EMPLOYEE
<br />$
<br />29a0iffION OF CP'N m
<br />YXF�TN
<br />SEAASE-- POLICY LIMIT
<br />$ 1,000,000
<br />SCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES JAGGED 101, AddiUanai RAMINA edrrodulq may IM Aaad ed IrmaR:t
<br />: Anheuser Busch Fiestas 2017 gr'ttr,.-G
<br />a City of Santa Ana, Its officers, employaes, agents and representatives are listed as additional ins red in
<br />attached blanket policy forms. Coverage Is primary and non-contributory pertho attached blanket policy
<br />day notice of cancellation,
<br />and auto liability par
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana, Parks, Recreation & Community Services THE ACCORDANCE WITH DATE
<br />PO HEREOF, OOTICE WILL BE DELIVERED IN
<br />THEAgency-M23
<br />Attn: Silvia Cuevas --
<br />20 Civic Center Plaza AUTHORISED REPRESENTATIVE
<br />PO Box 1988
<br />Santa Ana, CA 92102
<br />ACORD 25 (2016103) Q 19884015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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