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roi:miow \611 <br />� ` CERTIFICATE OF LIABILITY INSURANCE <br />DATE('Y <br />04/f1l22/111 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(les) 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 />certificate holder in lieu of such endorsements . <br />PRODUCER Phone: 909-792-9190 <br />Andrea West <br />Redlands <br />Redlands Insurance Brokers Fax: 909-792-919 <br />Plum Lane <br />MC. No Exti: 909-792-9190 FAX No): <br />aooRESSCUSTOMB: aw redlandsib.com <br />Redlands, CA 92374 <br />Garaau Insurance Services, Inc <br />PR . GCEVE-1 <br />D . <br />INSURER(S) AFFORDING COVERAGE NAIC i <br />INSURED G & C Event Productions <br />INSURERA: Scottsdale Ins. Co. 41297 <br />Interactive Games & Creations <br />1030 Gladstone St <br />Azusa CA 91702 <br />INSURER 8: American Zurich Ins. Company40142 <br />INSURERC: Evanston Insurance Co. 35378 <br />INSURER D : <br />INSURER E <br />08/09/17 <br />06/09/18 <br />COVERAGES CERTIFICATE NUMBER' REVISION NHIMRFR. <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 OR OTHER DOCUMENT WITH 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NORWiL <br />TYPE OF INSURANCEAUDI <br />SUBS <br />POLICY NUMBER <br />POLICY BEE <br />DD <br />MMIDD EXP <br />LIMITS <br />20 CIVIC Center Plaza <br />Santa Ana, CA 92701 <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,00 <br />7377773=777777— <br />PREMISES Es occurrence $ 100,00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FRI OCCUR <br />X <br />BCS0036489 <br />08/09/17 <br />06/09/18 <br />MED EXP (Any one person) $ eXc <br />PERSONAL &ADV INJURY $ 1,000,00 <br />GENERAL AGGREGATE $ 2,000,00 <br />GENT AGGREGATE LIMIT APPLIES PER. <br />PRODUCTS - COMP/OP AGO $ 2,000,00 <br />X POLICY PRP LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />(Ea accident) <br />ANY AUTO <br />BODILY INJURY (Per person) $ <br />ALL OWNED AUTOS <br />BODILY INJURY (Per accident) $ <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) $ <br />$ <br />NON -OWNED AUTOS <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE $ 9,000,00 <br />AGGREGATE $ 9,000,00 <br />A <br />X <br />EXCESS LIAB <br />CLAIM6MADE <br />XLS0102934 <br />08/09117 <br />08/09/16 <br />DEDUCTIBLE <br />$ <br />$ <br />RETEMION <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITYTS <br />ANY PROPRIETOR/PARTNEAEXECUTIVE Y <br />OFFICER/MEMSER EXCLUDED? <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERA O S be <br />N/A <br />WC10-17.911-02 <br />BLANKET WAIVER OF SU <br />04/01/16 <br />n4/01/19 <br />XWC STAT I OIL - <br />E.L. EACH ACCIDENT $ 1,000,00 <br />El. DISEASE - EA EMPLOYEE $ 1,000,00 <br />E.L. DISEASE -POLICY LIMIT $ 1,000.00C <br />C <br />Rented Equipment <br />IMW17910 <br />06/15/17 <br />06/15/18 <br />Blanket 300,00 <br />All Risk Floater <br />Max item �� . 60,00 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, If more space is required) <br />Re: Fiestas Patrias <br />he City of Santa Ana its officers emQloyyes, agents, volunteers & ,a\ <br />representatives are named additional insured where required by written l <br />contract per the attached endorsements. Primary wording and waiver of °'a Zia °\+(�• <br />subrogation applies per attached with respects to GL. <br />r GRTIFIrATF WEII EPP rAt.IPCI I AT1r1Al '0� Oc — it4.X= <br />SANTFIE <br />SHOULD ANY OF THE ABOVE DE IBEdP,,gqGQrB BE CANCELLED BEFORE <br />THE EXPIRATION DATE T EOE, ��CC��Y10E WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLI Y PROVISISNS. <br />City of Santa Ana <br />etal <br />AUTHORIZED REPRESENTATIVE <br />L_-__-.,�„J<�r.a... <br />20 CIVIC Center Plaza <br />Santa Ana, CA 92701 <br />O 1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />