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AM <br />(MMUDDYYYY <br />AC" o CERTIFICATE OF LIABILITY INSURANCE o 618/20 8 ) <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 be 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 <br />Governor Insurance Agency, Inc. <br />972 Youngstown -Kingsville Rd. <br />P.O. Box 770 <br />Vienna OH 44473 <br />INSURED <br />International Promotions, Inc. <br />DBA: Fiesta de Carnival <br />11278 Los Alamitos Blvd <br />Los Alamitos CA 90720 <br />COVERAGES CERTIFICATE <br />Nancy Smith <br />It), (330)539-9999 <br />NSmith®GovernorIns.com <br />REVISION NUMRER: <br />(330)539-9998 <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, <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE <br />INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS <br />- <br />SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADSUBR <br />LTR TYPE OF INSURANCEDL p <br />POLICY NUMBER <br />PODCY EFF POLICY E%P <br />MMIoo/ rY MMIDOIYYYY LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 11000,000 <br />'CLAIMS -MADE X OCCUR <br />_ <br />DAMAGA <br />REMIETORENTED 100,000 <br />PREMISES <br />PREMISE (Ea $ <br />X <br />VBA61774600 5/27/2018 5/27/2019 MED EXP(Any one person) _$ 5,000 <br />_ <br />PERSONAL B ADV INJURY $ 11000,000 <br />GEWL AGGREGATE LIMIT APPLIES PER. <br />GENERAL AGGREGATE $ 2,000,000 <br />X POLICY 'PRO- I <br />JECT LOC <br />PRODUCTS - COMP/OP AGO $ 2,000,000 <br />OTHER: <br />$ <br />AUTOMOBILE LIABILITY <br />_ COMBINED SINGLE LIMIT $ <br />(Ea ettidenp <br />ANY AUTO <br />BODILY INJURY (Par person) $ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per awden) $ <br />NON -OWNED <br />_ <br />PROPERTY DAMAGE $ <br />HIRED AUTOS AUTOS <br />ccident <br />Per accident) <br />UMBRELLA LIAR OCCUR <br />EXCESS LIAR <br />EACH OCCURRENCE $ <br />CLAIMS -MADE <br />�`` <br />qqV`v \\ A AGGREGATE _ _ __$ <br />y <br />OLD RETENTION$ <br />w $ <br />WORKERS COMPENSATION <br />LITY <br />qq <br />w .STATUTE EORH <br />YIN <br />p ,(�PER <br />ANY PROPRIETOR/ <br />ANFlCERIMDEMBER <br />( ,.(��` `\ E.L. EACH ACCIDENT $ <br />EXCLUDRIEXECUTIVE <br />EXCLUDED' ED9 <br />(Mandatory In NH) _ NIA <br />_�V <br />\ E.L. DISEASE - EA EMPLOYEE $ <br />If describe under <br />VV <br />DES <br />DESCRIPTION OF OPERATIONS below <br />E. L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) <br />The City of Santa Ana, its officers, <br />employees, agents and volunteers are included as named as additional <br />insured per the attached Blanket Additional <br />Insured Form #GBA105004(06/14) with respect to the operations <br />of the named insured. This coverage <br />is primary without contribution on behalf of the additional <br />insureds. A 30 day notice of cancellation has been endorsed for the City of Santa Ana. <br />City of Santa Ana <br />20 Civic Center Dr. <br />Santa Ana, CA 92701 <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 />Thompson, Jr/NANCY <br />©1988-2014 ACORD CORPORATION. All riohts reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />I NS025 (201401) <br />