A1 EVENT & PARTY RENTAL (3)-2017

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A�aKO® CERTIFICATE OF LIABILITY INSURANCE DAT5/9/2019 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 INSURER(S), 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 lieu of such endorsement(s). PRODUCER Bolton &Companyy 3475 E. Foothill Blvd., Suite 100 Pasadena, CA 91107 CONTACT NAME_ __ _ __ PHONE FAX A/c No E.0, 626 799-7000 A/c No: 626 583-2117 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Fireman's Fund Insurance Company 21873 www.boltonco.com 0008309 INSURED CWF, Inc. ;q -Qo 1- O� DBA: Al Party Rentals 251 E. Front Street INSURER B INSURERC: NSURER D: Covina CA 91723 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 48593577 REVISION NUMBER: 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 ADDLBUBR LTR rypE OF INSURANCE POLICY NUMBER MM/ODLICY/YYYY MMIDDIYYYY LIMITS A �/ COMMERCIALGENERAL LIABILITY XPK80992950 2/1/2019 2/1/2020 EACH OCCURRENCE $1,000,000 CLAIMS -MADE / OCCUR PREMISES Ea Deco once $SOO DOO MED EXP (Any one person) $10 000 _ PERSONAL BADV INJURY $1 000 000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 POLICY ✓ JECT I ✓ LOG PRODUCTS -COMPIOPAGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY XPK80992950 2/1/2019 2/1/2020 Eeaa tleDtSINGLE LIMIT $1 OOO DOO ✓ ANY AUTO BODILY INJURY (Per person) $ OWNED — SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident), $ _ HIRED NON OWNED PROPERTY DAMAGE $ ✓ AUTOS ONLY ✓ AUTOS ONLY _(Per amden)) A `/ UMBRELLALIAB ✓ OCCUR XAU58230061 2/1/2019 2/1/2020 EACH OCCURRENCE $5,000,000 EXCESS LIAR CLAIMS -MADE AGGREGATE $5,000,000 _ DED ✓ RETENTION$10,000 $ A WORKERS COMPENSATION SCW0058721801 11/1/2018 11/1/2019 ERH AND EMPLOYERS' LIABILITY YIN �/ STATUTE _ ANYPROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ 1,000.000 OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE- EA EMPLOYEE', $1 OO If yes, des0the under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT $1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The certificate holder is included as an additional insured, but only as respects to claims arising out Insured. of the negliq. 0 th\iN;amed Additional Insured: The City of Santa Ana, it's officers, employees, agents, and representatives �e �,j/� �c, Parks, Recreation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN & Communityy Services Agency - M23 ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 1988 20 Civic Center Plaza Santa Ana CA 92702 AUTHORRED REPRESENTATIVE [oi F'I:I:bIri FiSK•7:7 aIK•J:71•]:&\ II hl � �.11 �7RT g S'f "-�f �2Te 1 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 48593577 I CWFINCA-01 1 18-19 WC, 19-20 PCKG Master Certificate I Matthew Nobeiga 1 5/9/2019 9:17:18 AM (PM) I Page 1 of 3