SUSY PARTY RENTAL (2) - 2017 - Laserfiche WebLink

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AC"RV 11I03/2017 ® CERTIFICATE OF LIABILITY INSURANCE OATEIMMIDDNYYY) �� 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in ileu of such endorsement(s), PRODUCER CONTACT Ray MClure McLure Insurance Brokerage, Inc. PHOONN Exlp (714) 664.8911 ac Nol: (714) 664-0011 EnM oc 17731 Irvine Blvd, Suite 104 s (71 ) 364 8911 s.com Tus(in CA 92780 NSURED SUSY PARTY RENTALS 1517 S, SYCAMORE STREET wsuRSRA: COLONY INSURANCE COMPANY 1 39993 1 Cr1VPRAI1PA BGRTIFICATP MIINIRGR- 01=111oA k! All IIVII]CR. 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 R TYPE OF INSURANCE ADDL SUBR POLICYNUMBER POLICY EFF MMIODM'YY POLICY EXP MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 _ J CLAIMS -MADE X OCCUR AMAGE PREM SESOEa oNcurrOGnce $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL a ADV INJURY $ 1,000,000 A _J Y 101 PKG 0044107-02 01/16/2017 01/16/2018 _- AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L X! POLICY PRO- jEcT L) TOO PROOUGTS- COMP/OP AGO $ INCLUDED $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accldenl $ BODILY INJURY (PP, person) $ ANY AUTO ! OWNED ABCHEDULED AUTOS ONLY UTOS HIRED NON OWNED AUTOS ONLY AUTOSSONLY - $ BODILY INJURY (Par accident) PROPERTY DAMAGE (Per accident) $ _ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ IAGGREGATE EXCESS LIAR CLAIMS -MADE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDEDV NIA PER OTW STATUTE ER E.L. EACH ACCIDENT i$ E. L. DISEASE EA EMPLOYE (Mandatory In NH) $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ BUILDING LIMIT: $450,000 A B.P.P, 101 PKG 0044107-02 01/16/2017 01/16/2018 LIMIT: $100,000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Addlllonal Remarks Schedule, may be attached it more space Is required) THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701; ITS OFFICERS, EMPLOYEES, AGENT *VOLUNTEERS ARE NAMED AS ADDITIONAL INSUREDS ("ADDITIONAL INSUREDS") WITH REGARD TO LIABILITY AND DEFENSE OF BILL lCISIN,Ci FROM T OPERATIONS AND USES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. �'� f �rJS /0, eraG3 CITY OF SANTA 20 CIVIC CENTER PLAZA SANTA ANA CA 92701 SHOULD ANY OF THE ABOVE DWCRIBED Pg?,VtS BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTME WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (� 19RR-2015 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD All riahts reserved_