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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIVYYY) <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(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 Rnitnn R Cmmnanv IcoNIACT <br />Suite 100 PHONE FAX <br />(A/C, N., Exq; (626) 7991 (AID Nq);_ (626) 5i <br />0008309 <br />INSURED <br />CWF, Inc. <br />DBA: Al Party Rentals <br />251 E. Front Street <br />Covina CA 91723 <br />INSURER C : <br />INSURER D : <br />COVERAGES CERTIFICATE NUMBER: BRB41;4R7 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 <br />OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES <br />DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY <br />PAID CLAIMS. <br />ILTR TYPEOFINSURANCE ADDLISUBRI 1 POLICYEFF <br />POLICYNUMBER MMIDDM/YV <br />POLICY EXP <br />MMIDDM/VY LIMITS <br />A �/'I COMMERCIAL GENERAL LIABILITY ✓ 1 PK201700007271 <br />+� <br />2/1/2017 <br />2/1/2018 IEACHOCCURRENCE _ <br />�D�TvIAO,E <br />$1000,000.__ <br />CLAIMS -MADE OCCUR <br />✓ <br />TO RENTED <br />IPREMISES its occurrence)_ <br />I <br />1$500000_ <br />$10,000 <br />I <br />person) <br />$1,000,000 <br />PERSONALaADV INJUR_V_ <br />GENT -AGGREGATE LIMIT APPLIES PER: <br />1i GENERAL AGGREGATE <br />$2,000,000 <br />POLICY'.✓ PRO- <br />JECTPRO- <br />'. LOCPRODUCTS <br />JECTI✓ <br />_ _.. <br />PRODUCTS-COMP/OPAGG <br />_. <br />$2,000,000. <br />OTHER'. <br />$ <br />A AUTOMOBILE LIABILITY AU201700011938 ''2/1/2017 <br />2/1/2018 <br />COMBINED SINGLE Ea accident) LIMIT <br />_ � <br />i$ <br />I 1,000, coo <br />BODILY INJURY (Per person) <br />✓ ANY AUTO 1 <br />'I $ <br />OWNED I SCHEDULED '' <br />AUTOS ONLY AUTOS. <br />''. <br />BODILY INJURY (Per accident) <br />$ <br />HIRED I I NON -OWNED <br />✓ AUTOS ONLY "I ✓ AUTOS ONLY <br />PROPERTY DAMAGE <br />(Per accident) <br />A ✓ UMBRELLA LIAR �/ OCCUR IUM201700003772 '.. 211I2017 <br />112/1/2018 <br />EACH OCCURRENCE $5,000,000 <br />I EXCESS LIAR CLAIMS -MADE I'I <br />I AGGREGATE $5,000,000 <br />�.. DEC ✓ RETENTION$ 10,000 <br />' $ <br />A WORKERS COMPENSATION WC201700015648 11/1/2017 <br />11/1/2018 <br />'I, ✓ PER <br />ANDEMPLOYERS'LIABILITY YIN <br />STAOIL- <br />_OIL I- <br />SIR <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />NIA <br />EL EACH ACCIDENT $1,000,000 <br />OFFICERIMEMBE(Mandatory in NH�EXCLUDED9 <br />IEL DISEASE EA EMPLOYEE'.$1 QQQ,OQa <br />If yes, describe under <br />_ <br />DESCRIPTION OF OPERATIONS below <br />E L. DISEASE POLICY LIMIT $1 000 000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACCORD 101, Additional Remarks Schedule, may be attached If more space is required) V <br />p�� <br />The certificate holder is included as an additional insured, but only as respects to claims arising out <br />of the negliger-991 Named `d <br />Insured. <br />-. c'' <br />GL Primary &Non -Contributory per form CG2026 attached. <br />Additional Insured: The City of Santa Ana, it's officers, employees, agents, and representatives�tr <br />,,,,ssrr'+'���'"""� <br />City of Santa Ana <br />Finance & Management Services Agency <br />PC Box 1988 M-16 <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <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 />AUTHORIZED REPRESENTATIVE <br />Jessica Poretta <br />U 1988-ZU15 ACURU GORPURATION, All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />30645467 1 CWPINCA-01 I Copy Of 19-10 ALL Master Certificate I Aaron Alvarado 1 11/1/2017 9:53:20 AM (PDT) I Page 1 of 1 <br />