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HomeMy WebLinkAboutO ENTERTAINMENT, INC. 4BCity of Santa Ana Clerk of the Council AGREEMENT TERMINATION 2011-JM 29 PM 4: 50 Please complete this form when the attached agreement is no longer in effect. Return form to the Clerk of the Council Office (M-30). (ITY OF SANTA ANA Call 647-6520 if you have any questions. CLERK OF COUNCII The agreement with No. �� A '�� ����� t) �� was completed on �r� l(' and final payment has been made. Department: 1 Phone/Eat.: 5 TYJ Signature: c� �Dk ;QAJIP4 CSO Date: �D—,dd � Ly- Revised 12-07-07 u,A-2011-046 SECOND AMENDMENT TO AGREEMENT (� TO PROVIDE CARNIVALS AT CITY PARKS THIS SECOND AMENDMENT TO AGREEMENT is entered into on March 7, 2011, by and between °"O" Entertainment, a California corporation (`Operator") and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of c� California (`City"). RECITALS: A. The parties entered into that certain Agreement A-2009-017, dated February 2, 2009, (hereinafter y ,said Agreement") by which Operator has conducted carnivals at City parks. B. By Amendment A-2009-017-001, dated March 1, 2010, the parties agreed to extend the term to provide certain carnival operations during the 2010 calendar year. C. In accordance with the terms and conditions of said Agreement, the parties wish to renew the Agreement for an additional one-year period, to allow Operator to conduct certain carnivals during the 2011 calendar year. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this Second Amendment to Agreement, the parties agree as follows: 1. Section 3. FEES/DEPOSITS/PERMITS/LICENSES is amended to set forth the dates and fees for the 2011 carnivals as follows: Park/Carnival Date I License Fee I Maximum Size/Scale of Event Jerome Park $8,750 Up to 16 carnival rides, 12 game booths, 20 food March 1 1-13, 2001 or information booths*. No live entertainment. Jerome Park $7,000 Up to 16 carnival rides, 12 game booths, 20 food August 12-44, 2011 or information booths*. No live entertainment. $15,250 In addition to the fees set forth herein, Operator shall pay all required City fees and deposits including the fees for police services and Park clean up, and obtain all required permits and licenses as detailed in the RFP, Exhibit B hereto. All fees and deposits shall be due and payable as set forth in the REP. Additionally, failure to pay the cleanup/damage deposit and/ or any other outstanding balances and fees a minimum of ten (10) business days prior to the start of the event will result in a penalty of $500 per day. The vendor will not be allowed to start an event if there is an unpaid balance. Vendor is subject to other monetary penalties for failure to perform as set forth throughout the REP. 2. Exhibit B, Item 35, shall be amended to read, in full, as follows: "COMMUNITY OUTREACH BOOTHS — Vendor agrees to provide the City with a booth for community marketing and outreach. This booth will be in addition to the 20 booths described in Section II of the RFP. This booth shall be in a prominent location and include one table, two chairs and one 1 Ox 10 canopy." Section 5 TERM, shall be amended to extend the term an additional one-year, through December 31, 2011. 4. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Agreement on the date and year first written above. ATTEST: j4v MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: JOSEPH STRAKA Interim City Attorney Lauwa Sheedy` Assistant City Attorney CITY OF SANTA ANAL DAVID N. REAM City Manager "O" ENTERTAINMENT TROY HASSET Vice President 16, R CERTIFICATE OF LIABILITY INSURANCE 03/0812011 PNODucm Allied Specialty Insurance, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INF55A710F ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 85 N.E. Loop 410, Suite 600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND Of ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW San Antonio, TX 78216 L 1U—J.14-15L1 OUP--L3�-0 / (y INSURED Christiansen Amusements, Inc. and Southland Shows, Inc. P.O. Box 997 Escondido. CA 92033�'1 CnvERAriES INSURERS AFFORDING COVERAGE I NAIC # INSURER B: R THE POLICIES OF INSURANCE USTED 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AWLICY PO EFFECTIVE DATE 04J0112010 POLICY EXPEiAT�NRUMBER 04/0112011 ffs GENERALLIA81LrfY MERCIAL GENERAL LIABILITY CPP0100507-00 EACNOCCURRENCE $190009000 PREMI $50 000 A CLAIMS MADE FKOCCUR rk MED EXP are pmm) III PERSONAL IADV INJURY $ 000,000 GENERAL AGGREGATE $ 10 000 000 GENiAGGREGATE UMITAPPLIES PER: PRODUCTS -COMPJ0P AGG $1,000,000 PROPOUCY JEC LOC AUTOMOBILE LIAdILRY ANY AUTO (� COMBINEDHOLE LIMIT s BODILY INJURY (per : ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (PIN20*-4 $ HIRED ALTOS NON-OWNEDAUTOS PROPERTY DAMAGE (Perna - ) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC �AUTOONLY- AGO >j ANY AUTO 1 EXCESS I UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE S S $ DEDUCTIBLE S RETENTION I WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYOW LIABILITYER A ANY PROPRIETORA TNEtiIEXECUnVE Y❑ CFI didwy In SERNN) EXCLUDED? (ilanAtSay� M NN) Ityy�ess de uibetndw SPECAL PROVISIONS below £L EACH ACCIDENT S E.L. DISEASE - EA EMPLOY $ El. DISEASE - POLICY LIMIT $ OTHER Dfilk pN OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENOORSEiIENT / SPECIAL PROVISIONS /' -- - - • . - Additional Insured with respects t0 the operations of the named insured Only: ,.., ' ,// The City of Santa Ana, its officers, agents, employees, representative and volunteers, V Entertainment 'F For the dates: 3/7111 through 3/16/11 City of Santa Ana Attn: Narun Keo/Senior Clerical Aid Reservations Administration PRCSA 2201 W. McFadden Ave. Santa Ana, CA 92704 ACORD 25 SHOULD ANY OF THE ABOV E DESCRIBED POUC WS BE CANCELLED BEFORETNE EXPIRATIO N DATE THEREOF, THE IssuENG INSURPJI wLI.I1111111111111111111111111kAII 30 DAYS yrRITtEN NOTICE TO THE CERTIFICATE NOLDER NAMED TO THE LEFT AUTHOrJZED 01 The ACORD name and logo are registered marks of ACORD All rights reserved. ADDITIONAL INSURED ENDORSEMENT Insurance Company m u F Tncitranon ❑U=Mj This endorsement modifies such insurance as is afforded by the provisions of Policy # C PP0100507-00 relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents and volunteers are named as additional insured ("additional insured") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insured. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional Insured, this insurance shall not be canceled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective I/7/1, this endorsement form as a part of Policy # CPP0100507-00 Issued to Named Insu Countersigned 4aAutho zed ignature ATE 0 dF CERTIFICATE OF LIABILITY INSURANCE 628/D/28/,DD/Y2011 1 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 HO D IMPORTANT: If the certificate holder is Dq�Tl I , t policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, c Icies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER C4 ;I NAME: TMadge Blurton Kaliff Insurance i ;" PHONE - - - Fax - --- -_ (_,..., AIC No,Ext�(210)829-7634 TA/C,No) (210)B29-7636 P.O. Box 171225 E-MAIL mad a@kaliff.com ADDRESS: g San Antonio TX 78217-8225 INSURED 4\ — {y� A+ ` \ `-`�n O Entertainment, Inc. t� 539 East Bixby Road Suite 59 PRODUCER AOOOO191 CUS OMERID_#.___- INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Certain Underwriters @ Lloyds INSURER B INSURER C INSURER D INSURER E ong Beach CA 90807 IINSURER F CnVFRAnF9 !_CQTrCrCATC allMMCD.OTA nl 91 nai 7r. 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. IN R -IADDL U�R,POLICY EFF POLICY EXP --- - - LTR TYPE OF INSURANCE POLICY NUMBER MM/DDlYYYY 1 MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE T REND PREMISES (Ea occurrence - - - $ 100 , 000 A CLAIMS MADE X OCCUR WM00347 4/1/2011 4/1/2012 MED EXP (Any one person) - -. $ excluded - - X Liquor Liability $1,000,000 Limits PERSONAL B ADV _INJURY -- Is 2,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO PRODUCTS -COMP/OP AGG - $ 3,000,000 X POLICY Cj LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT , $ ANY AUTO i (Ea accident) BODILY INJURY (Per person) $ ALL OWNED AUTOS t _ -_ I BODILY INJURY (Per accident) $ SCHEDULED AUTOS --- - rPROPERTY DAMAGE * - - HIRED AUTOS '.. ! (Per accident) $ NON -OWNED AUTOS $ UMBRELLA UAB!OCCUREACH i EXCESS LIAB CLAIMS-MADE� /� AGGREGATERRENCE DEDUCTIBLE / �' F - +$ RETENTION $ _... ! ,.. -- $ WC STATU-OTH- T RY DMITS �R WORKERS COMPENSATION AND R& LIABILITY Y / N ANY PROPR EEOR/PAR&NER/EXECUTIVE OFFICER/MEMBER EXCLUDED? El -N I A - - E L. EACH ACCIDENT NT $ -- (Mandatory in NH) If yes. describe under --- E L DISEASE - EA EMPLOYE $ -. _.--- -_ __.. DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ADDITIONAL INSURED AS RESPECTS TO INSUREDS OPERATIONS: City of Santa Ana, its officers, agents 6 employees only as their interests may appear. Event: Santa Ana Summer Festival Dates: August 12-14, 2011 1(714)571-4235 City of Santa Ana Santa Ana Parks, Recreation 6 Community S Editha Santiano P.O. Box 1988 M-23 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE tchell Kaliff/MADGE %)1aas-ZUU9 ACOKD CORPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD 552d PAGE 02/02 ?011-F-08 12-:20 Kaliff Mitchell 1 210 829 7636 >> 5624955961 P 2/2 I\ - .:2C ADDITIONAL INSURED ENDORSEMENT Insurance Company: Certain underwriters Q I Ids This endorsement modifies such insurance as in afforded by the provisions of policy # Relating to the following: I. The City of Santa Ana, 20 Civic Center plaza, Santa Arm, California 92701, officers, employees, agents and representathres are named as additional insured with regard to liability and defense of suits arising from the operations and uses performed by on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insured. 3. TWs insurance applies separately to each insured against whom daim is made or suit is brought except with respect to the companys limits of liability. The includsion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so Included. 4. With respect to the additional insured, this Insurance shall not be cancelled, or materially reduced In coverage or limits except after thirty ,.30 days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, Cafi mia 92701, Completion of the foliohnrirtg, including +r=nMrs4PMre, is required to make this endorsement effective. Effective_ _ -- 7100 _ � , this endorsement form as part of lssuad to Q Entertainment. Inc, Named Insured Countersigned by Authorized Re ntative Title: -------Preswrnt 3/28/11 07/12/11 TUE 09:03 FAX 1 760 735 8543 CHRISTIANSEN AMUSEMENTS 0 002 CERTIFICATE OF LIABILITY INSURANCE �CHGZZ —aHl'� Allied Speciali-Y Tmauralmoe �I � . � T� CONFERS rs ISSUED As A 1UPONR OF [NFORMfRT10N 7t11$J(1 4N N[! CONFTzRS NO R7iwH7S UPON THE CEKTIFICATE 8 N . E . Loop 410, Sui. LYC Eg �7AM • THIS CERTIFICATE DOES NOT AMEND, E7[TEND OR ALTER THE COVERAGE AFFOROED BY THE I�DLICI� srAw. Sam Antonio, Tic 7821-6 21 O --A 14 - 13 2,],,. Y � 24 -. I0106irid ll AFFORDING CCA ERAGE NAIL a _ HWSUHe�D Christiansen AmuserrtBrrts. ino. pyyl/r HL'q:T H _ ., __Yrttsuranca r.9 _._-- and SouMland Shows, Inc. - — - - fNSVRRiQ _ ... P-0. Box 997 K� a6 i — y NeURER O Escondido. CA 92033 HNsuHa�.e — THE POL]CIES OF INSIURA M USTHP 8 f3-0W HAYS BEEN ISSUF23 TOTHE INSURED NAnir-D ABOVE FOR THE POLICY PEEMOD WOMATED- NOTWRHSTANDW43 ANY REQUIREMENT. TG77M OR 0604D1710H OF ANY CONT340kCr OR OrH9R DOCUMANT WfrFt RESPECT TO WHICH THIS GER11RCATE MAY BE ISSUED OR MAY PERTAIN. THG INSVRANCE A:R'JRDED 8Y TFfE POLICIES DESCRIBED KCF=N M SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONOMONS OF OUCH POLICIES. ACiGRE[iATE Lt1.4'fS SHt3Y.Tl MAY HAVE BEEN FM)VCEO BY PAM CLAIMS. ..a _.�• wR_RCY Halleaaa Rwuc'Y CFrlCTNa 041011=11 �erwnoH 04MI12012 tlaliti A X COWARRCUU- GENER�-ALL UP&a rfY CIARAS iRI1D8 k orLua CPPOi00601-01 F �'r CZ 1. 1A09.0OO E d cs) 550 000 _.... n EKP .__ Poeeowa s ADv raruRY s: i3ODO,D00 semu&a ----_"_tE 5,10.1m.000 ,100 DOO.--- gEW'L AO6NEDATE LIMITA�-.T�PEIt Mt48-WMIWCPwo[3 S7i000tQ00 _ POLHFro PRO Lou AYTDII.DaLLa uAn6ffY ANY AtrrQ COiABWED mmeO YLOT fEe �y % a LY v4 Wl Y cP.r AeVtP.1 S .. ALL VAMOAVrOS 8*r1 LED *Afro .. HIRED AUTOS NON-CWVPPVD AUTOS OQORY INJURY Sp a! s p*R*DE Wa4ll1Y i �,y ' ^LrrOONLY -PAACC1slBET S OTHER THAN E+0. ACC AUTO owy; wOG S Nr1'AUTO 'yJ t_.: •.; i �yeRaee / 1iMNRlILIJ� W,MLITIf G Omm r n-Wm MAPF —MeTm aLE ET�NTIDN S --., _-.. .�-� � ,.. - ..-'•. ObO�� - s S._... AGCREGITff S ; YrORREaa liW�rPorSATKlN ATU� _ AND ERH.FLOYERy LLAap.rrY NAY PROPAtETDH/PARTTIOVEGEOUTNE �'GrcrJ.UDCV! Itre.iEaAery F Hwii S E.L. EACH ACCIp[7ii EL D3S - M ___.... OTHER Okme.W-0. DIF oPEr1AT10MaI LOCATHAHEIYEHACL"I O(CWu.Om AaOED YY iNDOAS914= t aPEC1AL PROV191ON9 Additlanal !nS *d wilE respeets Vo the apmr-4Lioae nftl c r =Tmd msumd fitly-. City of Sewn. —, —ptey— BYl:nt:'Camival am Jea . Park. For the datoe: VAMWI I thaovgh V1 V t I rrcaHrH - rc naauucHc — il�/ Rpf SPAIti Arta SNOVI.DARYOFtf1EAaOVE DE3CRfaEO ppLtOMeaE GIICELLEOa�AHiTHEA�RATIOH Nwkv, Racmattott and CommultKy Services Agency DATE THEREOF. T/m 1� AWG INSAiRm 3Q OwTs ..lRrTrr.Pt lttnt 8llvia Cuevas NvtRg TO THE RxRT OPITE NOLUER N*LI� TO THEA.9�T :G CtvEc Corder Plaza _ ;unta Axle. CA 927011 A117HORPED Hi7EPRF> RaTA J' ' 4CORD 25 i20681o13 a -186(F-2fte ACORD CORPORA-17I0N. All riphts reaarved. The ACORA rmtne and logo arm ralltsterwa tnamm or ^%;umLr 07/12/11 TUE 09:03 FAX 1 760 735 8543 CHRISTIANSEN AMUSEMENTS aoo3 pDOMOMAJL =NSUA,ED ENDOR&P- r1EW !staara—e C--n--r T-T3 E 'x WS snddt:seaet=t=uXUBW atom op in affo-l-d by tba Of Poucy 0 FaaK21 6 to th- fouo-rkmv The Citg of Saxes Ana, 20 Ctri< i'fa�a. S air 927tFir �r aids �v+rn are named as ssassyred no by � =vi des odE atdts N=01=2 F tht p ,=-iLtGxts and us" pex#o t U%e4 tsy =m bolmif of dos aemsd imsw"Pd 2. `ttfti� rasg�s is dB�re ttr�s�g t�css adr ffine vs aad u9ea p by at► EsdtwlE of 0 itss� a as 3s aff.xdsd by this pou,7 So rztumy eesui ft give w 04 to ar=nbdbaang wi@a slay' omes cAWzWd yg os Ear tltie taf'the aiadriacmmi hmv mi d• 3. 'i ds 7r,*M_ X]ppn— aeparatety to ead�c fixed.-Swiaeh wkloaa ClKo"e �e Maxie cc btaltis ux.,-tem ameiep't—M,. reee to tbs —)"s lise3ta to ]iettx7ity. 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THIS cERTIFiCATE OF INSURANCE DOHS MOT CONSTTfUTE A CONTRACT 66 fiEN THE ISSUING INSURERIS). ALfTHORIZED RCPRESENTAT)VE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTAN-h It rlao ns:ltmente holder CG an ADDITIONAL INSURED, the POR-YU—) muat be and rsed. IF Su6ROGATION 13 WANED, sabJact to the terms and conditionsurr of the PoUnV, corta)n pollulea may reqa an endoraament. A stateme t un i)11S Ftlrrlr-at6 daces not ccult- r)ghts to the as�avr J. Z.11.al.— 3u.0 iri�e>aeLt $Bi'vi�aa• =II4'- FHpNE q$5�54936 F �5�457-3�35 GyMAP- s_o_ nme 367 m 1 AiPclielNG NNa6 i7eklpW-tl. WT 9BPC9-0367 Dana It-^-- 4NAera1 tinaa C o£ AmQFa.CR Chris tiaaasa Amuu o>:m>Sta, Ync- w1 c - v. O. sae 997 IN9ueFRb= E• 8¢aondi de, G 92033-09H7 @1${IgER F THIS ISTO CERTIFY THAT THE POLICIES OF INSSUR LISTED BELOW HAVE DEAL ISSUED 7O THE INDICATED. r4cT ZTANDING ANY REQ1ifR1=MENT. TERM OR C:oNp1T1OM OF ANY CONTRACT OR K CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSVRANcE AFFORDED BY THE PouG6S D E]iCLU 516Ns ANt7 C{aNDTrloWs pF' �JUGH POLIG[E9, L-LMRt3 SHOWN MAY HAVE 6fiGN R by PAID NSVRIED NAM17p A00VE FOR THE PCIUC`/ PERIOD TH41 040CUM6HT WITH RESPECT TO WHICH THIS ORMED HEREIN IS SUBJECT TO ALL THE TERMS, �F INSUNANCE NCMH MAIMS —TYPE Law& - 6ENEAat W91LRY 6 PREbJl S 9 •. COt.41dQ2C1AL 6ENPR�LIAaaJT'/ WO KKR — i cLAUR9y4fADE acCLIR PERSONAL 6 ADu 11.Ii1RY a a w GREGATE i - 1QQ Y R0 PRODUCTS- P 5 A AYTbMOBU--E L{w81L1T•—,W-2-462 coo S=ILY iN2URY (p I.—) 8 x xNY AUTCI COOLLY IN.IURY (For acelaenp S ALA OWN®p SCHEQu&C5 x D wUTS iJOIH-[riVNEO w'iCu P HA�'I� 9 i uMHRELLw UwB e ssw Ua0 O=UR MS -MICR !\`, -y2 �Zv%i� . `Y t_ 3 __ ... F gq�lEWBNCE S RETENTIONS WryRIrS cop�W 4wTla1'1 � A is S !dL QnCH.4GO1 S aNP CaU'LOYeRs LIwH W lY ANY PpaPR1ETOR� ARTNB�/EaIE�uT1YE Y / N O(�FFICJ=M�.1lIHER E..:LU M (Manl�tel3' � MOREaaeeE unCer Rlp'1- F QF6'R4 blew N li7, a �. ' DIBFASE - Elo• � S b E-FoUCY MR S pi�cnx�iN}N�. OP®i4210N5 /lOCAT10N$/vEHICLE6 [Aaacn AGONd 101, wGtll[b,ol/!®rla 3d.ad.11a Hm.ro 4�«a TZae CiCy Oi 3iIICi A2lA, �iA O£1P.xCtlxe. elnpl ey.6as. avoLL —a—.P—aymY.ae — ara but cnlx as ss3pnn 1p they vprarat .— oP Cho aaaaad iaaoa:.a per peSiry G.Z 4-4 a nm. Easoaa Daft— Aqy¢ � includea an nd7J.�.t1aaa-1 isvaat9ds tios.N pox Ream c 71115 03 07. t B - 17, �Qa1 S 1.7 o€ B—a - Aa3 Atia= Rob sa:t CnSxo11 20 Ci-S. Castes Places Saata A-.. CS 927C1 ACO RD 25 (2010/05) crs ii2c aaasa6xe sF+oar — -N or THE ovH pESCFc113ED POLICIES BE CANGEILLEb BEFORE THE ETP. UL%TION TE THBREvp. NOTICE WILL BE DEuvb:Rav IN ACO05ZVAx ' WITH E Polley PROVISIONS. aaA Q 1998- TO ACORD CO 174N. The ACORD nerve and logo ara reg)Stered marks of ACOIRD ❑7/.12/1U L.1'L. TUE 09:04 FAX I 760 735 MANAGEMEryCHRISTIANSEN AMUSEMENTS NU. IyyO r. � Q005 -- R&PFJNT PiR0*TF ZF'C1 12man1-• THIS ENDORSEMENT CHANGES THE POLICY. PLEASE AUTO PLUS ENDORSEMENT This endamerent modltles irmmrancs provided under the following: BUSINESS AUTO COVERAGE FORM With respnot to coverage provided by tfris endorsement, the provisions modiried by the endorsement. Er4TFiNORD CANCELLATION CONDITION BLANKET A Paragraph 2.b. of the CANCELLATION Common SRaTtO d U - LI Polity Condition is replaced by tho, following: IS AN INSURED p'i of the following: b. SO days bafore the effective dato of car o [Imllon ff we canal for any atit®r mason_ o. Any person o) attired by an Tli iNZPOkARY SUBSTITUTE AUTO — PHYSICAL ante iE sit ' OANIAGE COVERAGE additional pro. Under paragraph C. — CERTAIN TRAILERS, MO- (1) The lith during th3 ElLC V_QtJIPMFNRS f AND TEMPOARY UBSTITUTE rations. a AUTOS of SEC770N 1 --� COVERED AUTOS, the ffie following is addad5 T (2) This pamr€ It Physical pogo coverage. is provided by this troy,- only to. * oraga Form, then you have coverage for_ ongoing I the work Any 'auto- you do not overt whiie vend with the per- only to tt mocldod mission of R. cromer Liu m tamporwy substhuto for a covnrad atria- you awn that is out of servlmo be- Is being cause of its breakdown, repair, servicing, 'loss' or ployses. destruction- (3) Thorn is Or Omani HKOA0 FORM NAMED LmaUP.1120 ployawseas. porly. SE-CT1ClXE it -- 1 ABI:UTY COVESAGC -- A-1, Wk4O IS AIT •(h!SURED provlslan 1s amersdad by9tra drRNon (4) covarago of *to loftwing. shalt be :¢erica a d; Awry bamimees, nt mtv rbwAY acquilre s or #om*wd by pafdqA yo!► at,rlov nice policy period Pccitrided' y'rrxr own 0) Ttts 00!e 50% or -mob-m of trio brrsineas entity end -ilia ,tartdared business entity le not separatmly Insured W- soon as Sugf tesa Auto Coverage. Cwaragm In modandad whfch Pt 11P B. a rreEttdmurn of le0 deys fotlorvktg acquisl- cwrn Or lion or forouglen of ttre buslnass entity. Covonmge under this provision is afforded only un1R the and of the policy period, _ COMMERCIAL AUTO CA 79 90 03 07 IT CAREFULLY_ the Coverage Form ally urgers INSUPAD COVERAGE --- AA. WHO is amended by the addition organization for whom you arm re- nsureb contract- rm provide Ittsur- ,mured", subject to the iollcrvWng ild contract" rnrr6l bo In effect rollcy period shown In the pecle- I must have been executed prior Ely injury"' or 'property damage"_ t or organization is an "insured' extent' yet$ are liable dole to your aratlons for that Insured. whether performed by you or for you. and extent you arm hold liable far an occurring while a covered 'rruto" ivan by you or one of your am- covemge provided to this person lion for 'bodily Injury" To Its em- w for "property darrmigs" to its for 29s person or crganizstio n kr$fed to Ois extent of your meglt- $ b gltshe aocabi ift %d* cidrtapWmW*d ,negan r =70 of soy claim or suit- arrest be tby this person or or'annization as pradllrabta to an other Insurers tentimily provide Insurance for such 'sure.'. Includes capyrlshted material of Insurance Services OHlce. Ilia., VAth Its PemZlsalan. Copyright, insurance Services Office, Inc -,I 1097 cA 71 10 w 07 Pap.. I d s I EP 11 TUE 735 8543 07JUL/ 12. Zn11 09: 4 FAX 1 A6IG RISK M14NA(itMtlVICEIRISTIANSEN AMUSEMENTS iuv. Iyyo r. ct �OUB - lrtPP0GWaFFmMTM FOPkrsU6Rririr (G) The coverage provided will not extend the lessor cf. (a) The =overaos and/or limits of this policy: or (by The coverage, and/or omits required by the 'insured contract'. (7) A personas Or organizatlo 1& Statics as art Mn3ured' under thSs subparagraph d ends when your operattoris for that 'insured' are completed. EMPLOYEE AS INSURED Under Paragraph A. of Section 11 — UASILTTY GOV- EFTAOr= item f. la added as folivwa: Your "employee' while Using his Owned "auto", or an "auto" owned by a member of his or her household, In your business a your personal affairs, provided you do not own, hire or borrow that 'Wito", This coverage is excess tea any other collectible irioutance cavempe, FLL1AW EMPLOYEE COVERAGE Exclusion 5. FELLOW EMPLOYEE of SECTION It — LtAgiT_ITY COVERAGE — f3_ EXCLU6JObM Is amended by the addition of the lollowing: however, this oxamalon does not apply if the 'bodily inp.iry" results from the ..4a of a covered 'auto' you vwn or hire. and providedthat any coveraga under Ws proirlislon only applies In excess over enY other enllecUble insurance. BI ANIsET WAIVER OF SU131ROOATION We waive, the right of recovery we, may have for pey- mert.s made for "bodily tn)wy" or "property dams" on behalt of the pamone or organizations added as linaurstis' under Section H — LIABILITY COVERAGE -- AM.D. BROAM FORM NA&WD INSUSED and AA.w, St ANKET ADDIT14MAt rW80gED 1'iiYA1CAL raAMAGZ — AST L TMANS- PdR*ATWN. f `�Pmmm, G'lillem k9E The first sentence of paragraph A.*. of SECTION Ill — PHYSIaAL DAMAGR COVERAGE I& amended as lbucrwa: Vile will pay up to $50 per day to a rrmXMwm of Si,soo for temporary transportation expense Incurred fay you because of the total theft of a covered "auto' of the prrvatie passenger type, PERSOK 'L EFF v4 COVERdr3E A. 3EGTlON 111 _ PHVSIGPL DAMAGE COVER- AC:E,COVERAGE EXTENSIONS, Is brnandad by dding the following, c. Personal Effects Coverage For any C lwriod -auto" that le Involved In a coved loss, vre will pay up to *MO for 'tiamona effaciga chat era lost or damaged ,as a Tea ilk of the Covered `toss', wRhout applying deductible_ EXTRA EXP — BROADENIED COVERAGE P-10—ph A. — COVERAGE of SECTION III -- IPHY8ICAL DAMAGE COVERAGE Is amended to add: F. We will pay fc a thw expense of returning a stolen covered 'hul -to you. AiR.BAt3 COVEW LIGNi Under paragraph — EXCLUSIONS of SECTION Ill — PHYSICAL DAA AGE COVERAGE, the following Is added-, -rho excluslon role ing to mwchantcal Eweakciawn does not apply to the ac cidentAT discharge of an elfb$g. MEW VMJIMi-E PLACEMENT COST Under Paragraph C — LIMIT OF INSURANCE of Section M — iCAL DAMAGE COVERAGE sec tion 2 is amended ss foll 2- An ad)uBtme for deprsclation and physical note bitten wNi be rnada In determining satu$1 cash value in the a nt of e. total)osa- However, trt the event of a I loss to your 'rcaw vehicle- to Which this Verage applies, ss shown in the doolsradons, we will pay k0 your option: a. TTva vedf aGAe artevw iroMcTa' pLWctlasa price you ,paid' fx* VcLw detnagedi• vahfcfa, ncM fi r >r rt-IFtfbulrence ar wkirmati n pill- b. The . - prlba, am conotlafed by us, of a "aw Va hIcI& rif this same make, model end wqulprtta % not boob+ding any lrcrrciehihgs, Peitz or equipment not IristBlled by the manufaid ijrer or manufacturers deafarship. If the o model is not avallable pay the purchase price of the most similar model P62- 1 01 6 07/12/11 TITE 09:05 FAX 1 760 735 8543 CHRISTIANSEN AMUSEMENTS JUL.1-2.2011 9:58AM AJG RISK MANAGEMENT I IM 007 NO. 1996 P. 5 -�--xtrxa[rT�PpOst'me<Eamss 1 tiefrnrt+'-" c. The market value of your damaged vehicle, not Including eerryry furnishings, parts or taqulp- ment not Inslalted by the manufacturer or manufacturer's dealership. Thls coverage applies only to a covered -auto' of the private passenger, fight truck or rnadlurn truck type (Plo,000 Ibs or lose groas vehlcfe walght) and does not apply to Inidailon or set up costs associated Wlth loans or teases. 'fW0 OR rAORE nBpUCTIBLI✓s Under SECTION III — PHYSICAL DAMAGE COV- ERAGE, if two or more company- policies- or cever- age forms apply to the same accident, the following applies to paragraph O. oadtutmis: a- if the applicable Bus;Tness Auto deduct- ible is tin mrrlarler (or smallest) dodu=- Vale 8 will be watered; or b. If the applicable Business Auto deduct~ Me is not ties simmer (or smallest) de- duotlble It will be reduced by the amount or the smaller (or wrielleat) deductible; or c, If iho ions involves two or more Bust - tress Auto coverage fpfins or policies the smaller (or smallest) deductible Wfill lie waived. For the purpose of this endorsement 'company' maa.ns a. Safeco tnsuranoa Cornpany of America b. American States tneurance Company, c. Gonaral Insurance Company of Amartoa d. American Eoonerny Irsurance company e- First Wilonat Insurance Company of America f. American Stabas Insufancs Company of Taxes ,w Am. erk mn She Preferred Ineurerwe, dditp'aa th. SFafezm rns%ffar, ce C Dmpar y of'IlurTCAS, at. Actual h value of tine damaged or stolen plaparty sat the tfrna of the 'teas", less an adjustme for depreciation and phyatcai condition or b. Balance ua Linder the terms of the loan or lease th the damaged covered "auto" Iv subject at the Urne of the 'lass^, lama any one or al of the following aMustmenle= (1) ver'due payment and financial enBltlas associated Wifh those ayments as of the date of the toss'. (2) nanotar ponanles lrvpoaed under a ass due to high mileage, exoes- e use or abnotmat wear and War— (S) oats for exionded warranties, Cra- ft Life Insurance, Health. Accldent r Dlsebtlity Insurance purchased the loan or lease. (4) tansfar or rollover ballartcea from revious loans or louses. (5) nal payment due under a 'Balloon olm". (6) The dollar amount of any in-repalrad damage that occurred rtor to the 'metal Ices' of a covered u4o'_ (7) 3acurlty deposits riot raNnded by a essor. (8) 511 refunds payable, or paid to -you 510 a result of the early termination a lease agreernarrt or arty war- aMy or extended service agree- ent on a cowered lftrrto'. (0) kny amount ►eprasenting texas. (10) man or lamas termfnatlon Fees MLASB REPAIR WAIF OF C1)EPt.IC 1-H& w -Urklar• pgwegrapla 31. -- Dr=EnjqTVWj.M at SMAnxION W eldii'cif: L40A'NfLEASE GAP COVERAOS Nrb daduatilAs o Iles -1* mlass damage If the gtaas Is sepalred rathera n replaced. Under paragraph — LINIiT OF IA1SliFiAMCt3 of SECTION lit — PHYSICAL CAMACiE COVERAGE. AfN1EPMED Pull 11ma IN IrHE r=VF-NT OF ACCI- the following Is. added_ DENT, CLAIM, E UIT OR Li O:Sis 4. The most we will pay for a total "foes' Nn any one The requMstnern In LOSS CONDITION 2.R. -- "accident' is the prnater of the followtc+g. subject DUTIES IN THE EVENT OP AGGIDE r, L-LA►M, to a $1.800 mweirnwTi Umliz surr OR LOSS — of SECTION IV — BUSIMESS AUTO COND17 that you must notlfy us of an Ga 71 io ca 47 r�gp 3 of 0 g 07/12/11 TUE 09:05 FAX 1 760 735 8543 CHRISTIANSEN AMUSEMENTS JUL. 12. 2011 9:59AM A,A RISK MANAGEMENT I NO. 199b P. 6 Q 008 aeF�irrr6o paeNt a16Foraas teua�iaw"" °accident" appliea only when the "accident' is known deductible and a provisions, we will provfdo to: coverage equal to the broadest coverage appecabia (1) You, It you are an rnd(viduat; - to any Covered "a to' ycu own. (2) A partner, tf you are a parinersNp• or HIRED AUTO PH VUICAL DAfNAMM COVERAGE — LOSS OF USE (3) An exucutiva officar or Insurance rnatnagar, if you are a corporation. SE47fIaN III — HYSICAL DAMAME AAb. Form does not apply- UNINTIFNVONAL FAILURE TO DISCLOSE HAZARDS Subject t0 a max1r tum of S1,QW per accident, we will cover loss of use of a hired auto' ff it resutta from aEo710N Irv— 61331mess AUTO CONOTMI48 — an accident, you o legally liable and the lessor In- 13.2- Is amended by tips eddlflon of the following: curs an actual Inns rw4al loss. if you unintenflonal[y fail io disclose any hazards ax- RENTAL REIM$ SENT COVERAGE isting at the incaptfon date of your pollcy, we Will not deny coverage under this Coverogo Form because of A. We Wilt pay+ rental relmbtarsarrtent expensed such failure. However, this provielon dons riot affect 9rictrrrod by U for the rental of an "auto be - Our right to *afloat adef147onst premium or exen4oe vur cacise of a c erad "loss` to a covered "auto". right of cancellation or non -renewal. Paymont app as in addition to the otherwise Ap- pQaable smo m Of each covaraga you have on a HIRED AUTO — LIMITED WORLD WIDE Ct7VER- covered 'au ". No dociucpblee apply to this AGE coverage. Under Conh-W: ns, Paragraph — E3usithe t3. We will pay only for those expenses Incurred during tits Pc Cy penaq bagiMrit ng 24 hatim after r3_�.a.e(1) Is rapteeed by the following: (I) is rtion pt f pie 'loss' aruS andfng, regardless of the policy's (1) The acefdent" or -loss- results expiration, vAl h the lesser of the fallowing number from the use of an *auto" hbad for of dayar 30 days or less- 1. The nurn 3,ar of days reasonably required to RESULTANT MENTAL ANGUISH DOVERAt3E repair a 'lose- Is replace the Covered auto", if caused by !haft, this number of OV — AEFDEFINITIONSC. is replaced bythe SECTION ECTIing days Is a In locate ed to the number of Jaya It takes the covered auto- rand ratalrn it to f0flavvYou- 'Hodify injury' moans bodttly trllury, sickness or d(s- Y. 30 days_ ease sustained by It person Fnoludrng mantel eraguish G, Our payment is limited to the lesser of the lot — lowing amour ts. HIRED ALTO (PHYSICAL DAMAGE COVERA436 I. Nocessaff F and, actual expenses Incurreo, If Mead 'autos" are cdver"d "autne, Tor kkabiBly caw S' $50 Pat; Brame and If Comprehensive, Speafffad Causes OF tomes ere Moran- Fra. ara a* are pro odded 410klbF S¢s D, TW cc%4kVQ 9, dbev halt apply• >r"e flrare nre 'xWMr g Warm San any -MAQ- ydu ewrh *hen qipft concha IC.uvsra,les I2 OOFme autos" �si'iglletfid t'v i tors Vour t MVtded' are axtbndeE!' to "atdOW' yoct fiira or bortow. E. If "loss" reau ta fr9m the tatrll theft o7 a covered Private passenger "auto' of U18 poV typo, we The most we wilt a for -loss to an hired Acto- is pay Y under this that ra9q orf3yr that arFlDUnt of your of our 8W.000 or Actual Cash Value or Cost of Rapdtr, rental Fat mbtr arnent expenses which To not al- la [smallest minus a deductibba. The de- 'whichoxer ready provtrd for under the PHYSICAL DAM- ductible w111 be equal to the largest deductible appy- AGE COVER E coverage Extonslom cable to any owned 'auto" of the private poasanger or light truck type for that coverage_ Kiiry ed Auto Pity- F� �® Rehtaf ITlaurserneht Gov erage described aloof Damage coverage is excess over any other, col- above boas apply to a covered auto" that Is Iactlbre insurance. Subject tb the above limit, described or lgnated Ise a covered auto" an Pays 4 of 5 07/12/11 TUE 09:06 FAX 1 760 735 8543 CHRISTIANSEN JUL.12.2011 9:59AM AJG RISK MANAGEMEN] NO. 1996 N. I Foos • Papabrr r-RO l TyWweaa`s Usad-Ar.... Rentat Ralmbumemont Coverage Farm CA 9!9 23. AUDIO, v1SUAL AND DATA ELECTRONIC ISQUIPMENT COVERACrz A. Coverage 1. We "III pay with respect to a covered auto" for 'loss" to any slertronic equipment that receives or transtnits audio, Visual or data signals and that is not designed solely for the repnoduetton of sound. This coverage applias only If the aqulpment to parmanerwy Instalted In the covered "auto" at the Urns of the 'loss' or the equipment is ronrovabla from a housing unit which Is permanently Installed In the covered 'auto" at this Urea of the "toss", and such equipment IS dostgrred to be sotoly oparated by use of the pow" from the "aufo's" electrical system, In or upon the covered "auto". 2. We vAU pay with respect to a. covered `auto" far "loss" to any accessories used with the electronic aquipmerit doserlbed In paragraph A.I. above. However, this dc®a not ineluda tapes, records or discs. 3. If Audio, VI_%agf and Data Eleatronlo Equip- ment Coverage form CA 99 60 or CA 99 94 Is att:achad to this poltcy, then the Audio. Vi- sual and Data. Electronic. Equipment Cover- age described above does not apply. B_ H:ccivattana The exclusions that apply to PHYSICAL DAW AQE 13CtrERAQE, awcapt for the exclusion rslat- Ing to Audio, Visual and Data Electronic EgtApmant also apply to this coverage. In addt- tfon, the following axclusions apply_ We wdl not pay for etthec any ataohmwstc egdtp- ment or scas mesa. used' wtfh such electrorc egv4xT6O4t (hat -IS; 1. t4eceasary 4o* 4Vm. 4;eosmPO operalPe k of ftft c wonpd 'iepu '• for 'iris anon14ei6rp of 4bu covered 'arato`s oparAtfctg system: am S. Both- a. an tntagrsl part • of the sant0 unft housing any sound reproducing equipment da- signed solely for the reproduatton of sound If the sound reproducing equipment Is permanuntty Instalied In the covered -auto­,and b, permanently installed In the opening of the dash or console norrnany used by the Irhanuiaclurer for the installation of a C. Limit of Innu ranail With respect to this coverage, the LtMrf OF 1W- SURANCE rovislon of PHYSICAL DAMAGE COVERAGE a repteaed by the following: 1. The mos we win pay for loss' to audio, vi- sual of o Isla 6lsctronto aqulpmant and any mccossar M& used with this equipment as a result of any one "accident" is the lesser of: a. The actual rash value of the damaged or s clan property as of the time of the 'loss",. or b. The cost of repstring or repiacitng tits or stolen property with nthor pror arty of like kind and qua¢ty. 2. An a4us Iment for depr®ciagon and physical condition wlil be made In dotarmtning actual cash val at this timeg of the oes'. S. if a rap r or replacement results in better than like kind or gtratliy, we will not pay for the am o of the. betterment. G. Deduotliala 1. If 'Iosa" to the audio, visual or data also- tronic a ulpmert or accessoriaa used with this equ' marrt is the result of a loss" to the cov®red Isom^ under the Business Auto Coverage, Forms Comprehensive or Colil- slon Cpv rage, then for each covered 'auto" our obiig ation to pay tor, repair, return or fa- da od or stolen properly will be ra- dt duced the appltoebte deductible Shown In the 17MPP15 rs. Any Gomprettar19iva C4v- arygeba shown In the Decfa.ratlons does to 'loss" to audio, vfaual or dew equipment- caused 6y fire or 2. If lT-Ao-� o the andia,, -Astral or dzda eleo- *r. Ptrront +nt •rr=AaBOSIAs Hoed• Wiffl- 1*7ha Mwalt cc a 'toss" to *M �tUlo" lordly the Bus7ness ACaOFinite's Specttfed F3ause� oftoss Covthan fir oath covvarrd 'awto� our obTio payfor, repair, rotttm ar replace damr aetllen property wAfl de reduced by doductfbla_3. If "lcurs safety to the audio, vsua/ or daionic oquiprnent or actasaodes usethis agtiipment, then for each cov- ereI our obllgauon W pay for, repair. CA 11 •w to aQ Page 8 "r a ] FP 07/12/11 TUE 09:06 FAX 1 760 735 8543 CHRISTIANSEN AMUSEMENTS Q 010 .JUL. 12. 2011 10:OOAM A.1G RISK MANAGEMENT { NO. 1996 P. 8 ^ iL NTEDMDM THFFURId31!@R — return or replace damaged or atalen property SECTION V IS will be reduced by a $100 deduotlhla, the following: 4. In tho Avant that there is more trtan one ap- Q. 'Personf plleable deductible, only the highest deduct- property We will apply, In no ovont will more mart rsno ceps Tor t deductible apply, FZ. 'Now ve you are ftaa not than aaa Prpn a of s Is arnerided by adding effects" moans your tangible tt Is woM or carried try you, ex- s, Jewelry, money, or seounues, le` means any "riula" of whfoh i original owner and the "auto" an preViouely titled and Is less y-- past the purohaso dais_ CERTIFICATE OF LIABILITY INSURANCE D/28/ 03-3. 6/2H/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I 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 HOIDEN.. IMPORTANT: If the certificate holder is a H.D 4 1OVA _ IIi�JF4WD,ItWe policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, c o cies may require an endorsement. A statement on this certificate does not confer rights to the PRODUCER NAMECT dg -Ma a Hlurton Ka11££ =neuranC@ 1 [_ " . PHONE - - (210) 829-7634 CLEt • (A/C.No_)Ei11) _ - _ 1A/C. Noj- (210)629-?636 P.O. BOX 171225 E-MAIL __ ADDRESS: d�Se@kal i£f _ COm PRODUCER_cU---__- --- _-_- sTOMER to XP00003.93. San AntOn10 TX 78217-_8225 _. INSURER(S)AFFORDING COVERAGE NAIC ft INSURED ` 's?c,� \ _ INSURER.A:C@rtaln Underwriters @ Lloyds__ _ INSURER B : O Entertainment_ TnC _ INSURER C 539 East Bixby Road INSURER D: S Li:L to 5 9 INSURER E: Long Bach CA 90807 INSURER F : 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 _.._ ___.—_— ADDLSU _. _. _. POLICYEFF POUCYEXP LTR TYPE OF INSURANCE INSR INVO POLICY NUMBER MWDDMrYY) (MMIDDfYYYYI I LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000, OOO X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES. (Ea Occurrence] - -- $ 100 • 000 A CLAIMS -MADE L X..1 OCCUR MKI.00347 /1/2011 /1/2012 MED EXP (Any One person) $ 9XC1ud®d X L1CIuor.. Liability PERSONAL & ADV INJURY _ _ $ 2,000,000 $1,000,000 Limits GENERAL AGGREGATE S 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER -_.- _ PRODUCTS - COMP/OP AGG S 3,000,000 O- X POLICY PRLOC _.. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea ec ki—t) ANY AUTO - BODILY INJURY (Per person) $ ALL OWNED AUTOS --___- BODILY INJURY (Per eceitlenq $ SCHEDULED AUTOS - __--__- ------ --- ----- PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON -OWNED AUTOS $ UMBRELLA UAB OCCUR t- �" �?_ G� y �:.1/ 1 'T l _ EACH OCCURRENCE $ EXCESS UAB CLAIMS -MADE AGGREGATE $ DEDUCTIBLE -!..P ""`�'�'`- S RETENTION $ _ _. - --h $ WORKERS COMPENSATION _ _ �` t (`� r \ VJC STATU- OTH AND EMPLOYERS' LIABILITY Y/N - - : l /��oi�c •'" ' _ IORY LIMITS. ER ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT OFFICE R/MEMBER EXCLUDED? � N / A _ (Mand.Eo y In NH) E.L. DISEASE - EA EMPLOYE $ If yes. describe urld- _..... __ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Atlach ACORD 101, AddM—.1 Remarks ScheduN, N mote apace Is .squl.sd) ADDITIONAL MMSS7RED As RESPECTS TO INSUREDS OPERATIONS_ City o£ Santa Ana, ita o££icera, acaentB 6 amploye®a only me their interest. may appear_ Event: Santa Ana S­ B'eatival Data.: August 12-3-4, 2011 (714)571-4235 City O£ Santa Ana Santa Ana Parks, Recreation S Community S Edith. Santian0 P.O. Box 1988 M-23 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE tcheXX ACORD 25 lmr uzo (2009OB) Ina Ha..a.rrcv .la ono Mow- aro ray.ararou .narwa u. Ma.. 07/08/2011 04:16 5624955961 PAGE 02/02 2011-07-08 12:20 Kaliff Mitchell 1 210 829 7636 >> 5624955961 P 2/2 A001710NAL INSURE!= ENOORSEMEHT Insurance Company— i Lloyds This endorsement modifies such insurance as in afforded by the provisions of Policy # Relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Arm, California 92701, officers, employees, agents and represantatives are named as additional Insured with regard to liability and defense of suits arising from the operations and uses performed by on behalf of the named Insured- 2- With respect to claims arising out of the operations and uses performed by on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insured, 3_ This insurance applies separately to each Insured against whom claim is made or suit is brought except with respect to the comparWs limits of liability. The inciudsion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insured, this Insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty -30 days written notk�e has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, Calftrnta 92701. cornptedon of the fidh2 witig, including , is required to make this endorsement effective. bffec ha 7/0/2p1I , this endorsement form as part a¢ Policy # MKL0034 Issued to _ 4 Entertainment. Inc. Named Insured Countersigned by _adL&&A'. / Authorized Re ntative Title- President 3/28fi 07/12/11 TUE 09:03 FAX 1 766 735 8543 CHRISTIANSEN AMUSEMENTS Q 002 'Rd' CERTIFICATE OF LIABILITY INSURANCE �Osna/2n 1 1}11ied specimlCy zn9u 116�z�1� k Tr1-_�tv-_ NF to rsNO R as a (UPON of INFO mA IF1 'LJ y' L' `��`Mi1 CONFERS NO R7AH78 UPON THE CERTIFI S N . E' . Loop 410, $ui M6 THR5 CERTIFICATE DOES NOV AMEND, EJC4EH ALTER THE COVERAGE AFFORDED By THE ADL.�- BE San Antonio, Z'X 78216 INe{IRt:P Chrtstlausen Amussmsnts, and Sa61tt11and Shows, Inc. P_O_ B.ox 997 Escondido. CA 92033 THE POUCIFS OP INSURANCE. USTED 6F10Nf HAVE BEEN ISSUED TOTHE INSURED NmMeD, ABOVE FOK THE PoLtCY PERIOD INDICATED. t" WITH5TANDW1- ANY REQlJM;lE 4ENT. TERM OR CONOMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO NMtOH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE IW9URANCE AFPORDm BV THE POLICIES DESCRIBED HEIMN LR SUBJECT TO ALL THE TE�RMB. EXLXSIOKS ARID CONDITIONS OF OUCH POLICIES. AGGREGATE LWQTS SwWM MAY HAVE BEEN REDUCED BY PAID GLAaAS. - POLICY rdldaMal vw_w / aFflRl V �arwnOa UUM3 F'�`I a° s 1,000,000 QEN4riALUA$dJTY CPP0100607-0'1 0410112011 04MI12012 X I COda1ERCIAL L9ENORAL Una MEO t><P o.,. A rwlMs L1ADE 0 arrya 0. __ FgsaopK}aft�vw�ar s:4a0UD.D00 mErvav+lt. ABATE Y s i 00 000 .._-- :1,000,000 _ tyEer�A[iOREMTELIyQTAPRl6avElt oRawcra-.� PO1Kl• Loc AYlOIIrbrL! LIA9ILRY CO►ldiED 9Hd9LE YrpT .j ANY At111Q 60MLY YJA)RY ALL pyVNED r"TJ •. U'.rOO>RYq D*HEOULM AUTOS _..- HIRED Al1T05 5�Lftw _ NON-ONRiI=D ALIT= lf� PApAOE LIABLrrY AUTD DIM-Y. 6Al1aC®B+J S ---_ OTHER THAN wA r1CC • __ AhIY A1Jf0 - '..- ptooa I DtltpllrLJ. LtAMtnY _... _ _ - h�� i. - (}CCUA CtAaN2 MADE 06DUCr1aLE P� i __.-_ KE'r tiSls\J WORKENS GQMPv�SaT1bN AM OiFF A, —LOVwWY r1r. ANY pRdpRtETORlPARTNF3rlEXEOIirIVE E.L. EM.H AO=Wff fi.L pFFpGgMD.la4Si' Gl(Gy/DC VJ Iri�lillAtOfY M Nt) a }n arM.ate p CWL pROYI$ID aDWw OTHER offeen V'rlawD OpaMATlOdsrLOCATIORa r YC1dCLPO I ERC1.Yuam AWED BY END0RSFJmpw1 M.MMAL Pftcwl N9 - Addltlanal InSLVOd with re3pL-ars VD the aperaaloaa Dfa m Barrwd i—ad on13o,. City oFSwr,Id Ana, ire ofr�. agsnta. e Pl."W- F_vkn4:'Camivnl E 7ex . P^ fk- For the datva- RAW] I tlamugh S J W J I GERTIFI TE KOL.UGK �����^""'^ City of SsrKa /lrta sHOYLDJ11rYOFYdEAaOVE Ot3CR16EPPOL1C16.>f OF. CANCELLED WWVF ETur V-wmATKm Parks, acmmi;ion and Community Services Agency DATE THEREOF. 7UE Ir�dad� OftLIR u' SO RNAYa WRn'7El/ Attnt SII VIA CtreVSS ND:MPE TD THE Cf!7t77PICATE NOLOEn NAYW Te TOE t.GfiT 25 Civic Corner Plaza Santa Ana, CA 92701 AL"Nomvaa to=vnt RYAmWE77 ACORD 7-5 (20091013 ® t86ff-2'aW ACORD CORPCRA"TION. All rights raaarved. The ACORD mn- anO logo are repteterad marus eT ACORQ 07/12/11, TUE 09:03 FAX 1 700 735 8543 CHRISTIANSEN AMUSEMENTS 0 003 ADtiMC KAA4 ENSURED �NfDQRSElM�i�lT lcwgsaace r TU E Ijusm c3grAgemm -- This aYL4msemmRL 37od aw RwKtk aim 00 in afforded by tba p:'avis4Wa Of Policy Ftelsm-s to tlss folio The City of Bar** Ara. 20 Csrtc Cie Pba� An,,,C�forsda ' ogdams�utwa TeprevertbAtv+es we nmm%ed an -add ,vLcueAvag"idto XubOrW mmv1 dxsfeeat a# Oub s ash t'" vPO=UOrcgena twee p msd by csa baimm of i is named tassaed. 2. wah respe=is C11 Lbl-m wAsing w-tarfim mpawKummw ara u9es p by acn beh&U of rise nummedtossue4 ash iOa as is affoxd d by tisis Phi gs ply *.vA is roC ad i 50 ne mNbdtnmW wftsny Oft— carried by cc far the'bene#itof the addldiauoai bid. 3. ayspitea separably ba cads wed a9rin6t wbCM 'L4w= Q sWsade Cw awtis laxvs;ght except -off raageet to t3se Ys lim3m %*0 mabaftyi'Rse baeitirs3om of +a*Y p n' ax CogattwffAtan ss sun iaseileA 81%* i I lot Smack any r-40at,Wkneh acKhpersamn pr orsmzdmantum wcmld *mwe as a r1Gt 90 troduded. 4. 3f�1felft +°" t'� 'C$e a *r *Ww shall x=t be ..uncellod_ pr attptmzi9W rad4mond in jnpvvwOW% or YmmVw eft 6fb1 '90 da7s.vog3 e^ r outse has givens to ib a C5jr or g4tw* wrs, 20 Cycle C.4rdtrs' pq%za, testa, Ana, C a 13270 - C4""V)etlnA% of the ZoAlip iu& Inc%udtYeg 'r- ys segtaUrcl tmmmUe *.% a emarx emeativa. lmctivz~* tads `s Pw t of Poucy * T9stbR4 to r"44 er s�/sr 07/12/11 TUE 09:04 FAX 1 760 735 8543 CHRISTIANSEN AMUSEMENTS JUL. 12. 2011 9:57AM A.JG KiSK MANAGEMENT s�caRv� c�RTIFICATE OF LIABILITY INS RANCE NU, I `1 `1 b r. z 191 004 DATE QR .,V—n c717-1/a 011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RI NEGATIVELY AMEND, EXTEND OR AR CERTIFICATE DOES NOT AFFIRMATIVELY OR LTE BELOW. TKIS CERTIFICATE OF INSURANCE DOESNOT CONSTITUTE A CONTRACT B 5 UP'ON THE CEJiTLF1CATE NOLDEIi THIS lE C WERJJCiO B AFFORDED BY THE POLICIES EEN THE iSRUING )NSURERM). AUTHQREZMD 1CCPRESENTATIV6 OR PRODUCER. AND THE CERTIFIGAT>= HOLDER. IIAPORT^N'r- If th. ceruticate holder is an AODMONAL INSOR915. the poll -YO—) muae a and tho terms and canditicns of the policy, cQrtatn pall l.a may requ-n an on.* .. rlsnt A stateme rseCL IF SUBROGATION t5 WAIVED. ZybJact to t on llrs c.errr ¢, is do®s not corxrtr TIBIAS to the cartffi ate holder in lieu of such endor$ement(x)- PRDDU`iR-2r2ri-}54 -93 as Arefays J. Galla4]aex ¢ie]c Hx s�lmaL6 Sa2T1C60, InG- se Jq�>fo a P NE 9RSAbl9ie F _ 45a6533'T16 Ca-T >m P. o. ]!me 367 1 APPORDING EWC ZlgkiGws�, ➢rl'. 95005-0367 Qlglr31 —" C oP Al =&C•« wz -Ix - tNauPa=o ws c- Chrisaiaaaua 4+mua arsgs+ta, Inc. IN'sUNcRb _ S. 997 M3S! E P-.—dl.da, C3 92033-0987 ONfaR F a THIS IS TO CERTIFY THAT THE POLICIES OF INSURAN UETID BE -OW HAVM BEEN M64JED TO THE INDICATED. r4crFw TH£TANDIN6 ANY REQUIRUMSKT. TERM OR CONDITION OF ANy QC& RALT OR 4 ceurriFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POI.ICI%a 00 EXCLUSIONS AND CFJNDMnNs Of SUCH POLIC SM. UMITr3 SHOWN MAY HAVE BEEN R1WYUC0D BY PAM INSUFZeD NAMBP H AOCIVE FOR THE POLICY PERIOD TmM DOCUMWAT WITH RESPECT TO WHICH THIS CRiBED HEREN IS SUB4EGT TO ALL THE TERMS. - IN�N Y TYPF IN5UNANDE NDMB Pc P V~r9 - 6E13EAaL LLaDILrTY . WL1.4EFLUlL 6ENPRµ L1ABLJTY cLwIM9-MAID 4oCUR - PF 6 P S S MED EXP— i PERSONI+L 6 qpv INy/RY i AOOREGATE i L AOOREG E UNrr AF'FUE5 PER POLICY P LDC PRODU S- P S 8 A AUTt]MP61LE Liaa11 X aNY AUTO ALL eWNED �A9uuC'rTHQ�EPUL� wU s NGN NED x -AEM wLEEUs a avros a L 1, DOD, ovo 64PILY mJURY IFw Pdnarl) i QOMLV IN.fURY (Pwe¢ -Q S P DAlAA� i s uMBRELLw LIAR 6scess U.D GGUR Tap.,-. MS-MAG6 y tT FA pO NCC 9 OEMRETENT6Nf wgRK1fR0 ODPPEN 9AT1oN DNP CmPLOTEAS LIAH�nY T r N PROPRIFTOR/PAR- E14o3' NIA L,MM� 1. � i _ _ — -_ _ �'�:-.�.�i.• __- _- A L► yGH ACGI�LrTOFFICEPAWEMHER GL DISE.AM. E b E - POU UMA i OE3cRIPiION�oP01ATlONS/LOCATIONS/VEHICLE$ [Alloce Ar"eNti 1el, Addldwvl]lrmvFs3d�w�.Aa Nm�r. eM«N T]10 CiCg. Oi a—t:- Ana., j.*- OERyC6Yd. -.p!X 7.909. .20O t —a S6�ZOD4m�nCis+as SS9 but oalx as s ajP to Yha oparanL— q£ tno —sd iaavrad per pdSiry ae,zmo e—A c RHa Jeasae W—IL 3�1— De taa= +I l.aeladsa av ad.71EiMO1 3seU-Tads tiL.no p9.>r 4e>m p711D 0307_ t B - 17, Z071 CtiLry a€ 3aata Ana A>;La_ IioLalet Cwsrgll 20 C1-1. Ceases PL— Saasa Ana. CA 937D3 ACORD 25 (2010106) .—C:L)c 22253641-9 s -.— -NY or Tnn THE MCPURATION 9 nQA 1 The ACORD name and logo are mglstsred ►narks of ays of .W113Ed POLICIES BE C.NOEALL1:b BEFORE i THufaEaF. 140TICE WILL BE ,WuvtRED IN POLmy FROYmoN5. le4017--- Q irl 07/12/11 TUE 08:04 FAX 1 760 735 8543 CHRISTIANSEN JUL.12.2011 9:57AM AJC RISK MANAGEMENT ENTS rye. I yy 0 r. 3 [A 005 -- RFPRWi6oFRDMT+IGP"f� rll""I"-.- THIS ENDORSEMENT Ci M43ES 7HB POLICY. PLEASE AUTO PLUS ENDORSEMENT This endorsement modlfles insurance provided under the following: BUSINESS AUTO COVERAGE FORUM With raspnot to coverage provided by this endorsement, the provisions modified by the endorsement. Exo raNDED CANCELLATION CON>,MON BLANKET ADVWTI Paragraph 2.b, of the CANCELLATION Common sECTWW 0 -- W Policy Condition Is replaced by tho following, IS AN INSURED p of the fvlldwing: b. 60 days before the effec8ve datra of cancellation a we cancel for arty ocher reason. a. Any parson « quired by an ,rE:mPO4¢ARl( SUB&TITUTE AfJTO — PHYSICAL anoe iE an ' DAMAGE COV17PAME additional pros Under paragraph C. — CERTAIN TRAILERS, MO- (i) The 'ins duffing th9 QUIPMENf AND TEMPOFRY SUBSTUTE BIL.0 1:AIT , 19 -- AUTOS of SECTION I COVED AUTOS, It" is the i following is added, (2) Ttus poreri If Physioel pamago coverage is provided by this Cov- only to it ©rage Forrn, than you have coverage for_ ongoing 4 the work Any -auto" you do not oWh white used with the per- only 10 it recolden' mission of its owner fl ± s temporary subatilrtte for a co Fsnsa auto" you own that is out of servlcs be- Is being cause of itra breakdown, repair, servicing, 'lost' or plcyses. destructlon_ (3) Thera is or s BROAD FORM NAMED INUUkEb ployoas. , property. SECTION 11 -- UABti-MY COVERAGE — A -At. Wk4O (4) IS Ai? •(NSUHED pravlslon W arhended by,tie eddltfon area t rf the fallamrtcr8: :;range a di " bu4dA--Mtif rmwAyaoquW-d—#orrAed by parFa ill- yoeF 4Orrkip %tile polloy period poovldeir You own Ttis 501A or Yndra of tho business entity and -tiros 2erulaced buatnes.s entity la not separatbly Insured far soon Business Auto Coverage. Coverage to axEandad wuch p< ;: up to a FrMAM4m of 180 days following acquisl- cWrn or lion ar forrtWzCbn or the business entity. C ONIGM9e under this provision is afforded only untR the end of ttte policy per'lad'. _ COMMERCIAL AUTO CA 71 10 03 07 EAD IT CAREFULLY - the COVereQ8 Faml apply unless X14AL INtSUfif u 31LtTY COVEnAiGE — A-1. WHO WL-Slon Ls amended by the addition organization for whom you are re- nsured contract- to provide lnsur- ,mured", subject to INA 1011C ring fired contfabt" must 6o In effect policy period shown In the aecla- *id must have beert executed prior rdlly Injury" or 'property darnage'- on or organization Is an "lnsUred" a extent you aTe liable due to your rperWlons for thaf insured, whether s performed by you or for you, and o extent ycwx are held cable for an " occurring White 6 covered -Auto" Jr -won by you or one of your sm- coverage provided fo this person ton for "bodity Injury" To NA arn- t- for "property damage" to ita w lids person or organization krifted 10 the extent of your negit- �e weglig� or Yadit. wwa W srw won or 5sirtt- alust be *V this parson or organization as praolfaabla to all other insurers tonflakly provide insurance for such Includos co"nighted material of Insurance Services Office. the-, with Its permission. Copyrigrrf, ;r>surancs Services Office, lnc.,l 1997 CA 71 10 Ca 07 pr t of s I a 07/12/11 TUE 09:04 FAX 1 760 735 8543 CHRISTIANSEN AMUSEMENTS fgj006 JUL. 12. 2011 9:58AM AJG RISK MANAULMLNI Ivv. lyyo r. • X&prlg3C0FRsU7t= roFUjjt2Mt* r­ (c.) -rho ooverage provided will not excead the lessor of< (a) The coverage and/or limits of thls policy. or (by The coverage and/or limits regUired by the -insured contract-. (7) A parsonis or organza d"ys status as an Insured" under *j. �dbparagraph 41 ands when your operatlares for that 'Insured" are completed. EMPLOYEE AS INSURFM Under Paragraph A. of Section 11 — LIAWLiTY GOV- EIiAGE item f. Is added as follows: Your "employee' while us1n9 his owned -auto", or an "autri" owned by a member of hie or her hotlsabOld, In your business or your persona( affalre, provided you do not own, hire or borrow That "(auto"_ Thls coverage 19 sXoese to any other eoliecd ble lr autanoe ooverai3e, FELIAW EHIPLOYEE cOV ERAGE Exciuslon S. FELLOW EMPLOYEE of SECTION u LIABILITY COVERAGE — B_ EXCLUSIONS le amended by the addition of the following: however, thFs o=luslon does rKa apply if the '11041y injury" results from the use of a covered -auto" you own or hire. and prodlded that any coverage under this provinIon oily applies in excess over any other enllecUbte insurance. BLANKET WAIVERCW OVBROOATIOM We waive, the right of recovery twos may have for pslo merits made for "bodily Injury" or "property damage" on behalf of tt- paraone or onaanUallons added as "insureds" under Section If — LIABILJTY COVERAGE — A.I.D. BROAD F1 1M NAMED INSUREII and A.I.a. B-LANKr=T ADDITIONAL "t-MIEv Mya1CAL UJQ1111Aaz — T TMANS- PdTttATWN. tx"IENUML'"OVERPiSE The first sentence of paragraph A.*. of SECTION ill — PHYStaAL DAMAGE CovERAGE la amended as [ollcwa: We will pay up to $50 per day to a maximum of 31.9o0 for temporary tranopoatatlon expense incurred by Yeu because of the total theft of a coveted 'auto' of tho private passanger type. PERSONAL EFFE MTS COV@RAMM A_ Ssiryno I Ill -- PHYSICAL DAMAGE COVER- ACF. Ael. COVERAGE EXTHASIONS, is amended by 13 dding the following: c, personal Effects CcveraSe For any C 1wried -auto" that To Involved In a covered se', we will pal/ up to $=a for -personal offects" that are lost or ""aged as a result of the covered 'loss", without applying 9, deduemis_ 1~?CfRA EXP — BiROADENED COVERAGE Paragraph A. — COVERAGE of SECTION tp -- PHYSICAL DAB", add: E COVERAGE Is amended to S. We will pay r the expense of rietuming a stolen covered Saul -to you. AiRBAtS coV GR Under paragraph — EXCLUSIONS of SECTION Ill — PHYSICAL DAAAGIE COVERAGE, the following Is added -- -Me excluslon irrg to mechsntcai brealtdawia does not apply to the 'dental discharge of an airbag. NP.W va"ICLE It EmPLACEMENT COST Under Paragraph G — LIMIT OF INSURANCE of Section III — PHY 31CAL DAMAQE COVERAGF sec tion 2 is amended as follow= 2_ An iadjUatm8,n 14or depreciation and physical corn d1flon will be made In determining actual cash value in the a tont of a total4oss- However. Cn the event of a tc W loss to your 'new vehicta- to which this coVerage applies, as shown in the docleraBona, wfil pay at your option: a. Tho VOM awe 'Arrow votdcre, pil¢cfra9e Price you ,pales Pict Brous datrtsgte} vefrtcf7 ,. rlot frr- 'Cffr '%atrwoce or N ®a PUT- PAD. I oI e b. Trio . price, ae 000otisfed by us, of a 1veW v leis• »Y the acme make, model and equipme t. not IrmAuding any lumFnhings, parts or equfprnent not Ins=sd by the masvifedt irer or rnanufacturor'�% dealgrghlp. If the an no model is not avallabfe pay the puroiraee price of the most skniter model 07/12/11 TUE 09:05 FAX 1 760 735 8543 CHRISTIANSEN AMUSEMENTS AL. 1-2. 2011 9:56AM AJG RISK MANAGEMENT j N0. 1996 P. 5 Z 007 •••-at6lHia[ITOP/,Olt TtE FCRYSLrisJYtr'-" c. The market value of your damaged vshide, a. Aolual ca rh value of the damaged or stolen not including errlyry furnishings, parts or aqulp- propel i sr. of the time at the 'toes", less an ment riot rnstalled by the manufacturer or acyustmei it for depreciation and phyarcaT manufacture Ye deatership. condition or Thin coverage applies only to a covered 'auto- p. Balance us under the terms of the loan or of the private passenger, 1(gfrf Truck or Medium I. a tit the damaged oovsared "auto is truck type (20,000 lbs or iris gross vahlele Ssrb)eCt B4 The Urne of the-tarssl% lcwo any walghr) and does not apply to Initiation or Sol tip one or al of the folowing adpisbnenle: costs assoclawd with loans or !:gams. (1)vart(r1s payment and finances! TWO oR N1f517E b1rplJCilBL6S rrrra[tles aseoclaed with those Bymants ne of the date of the Under SECTION III — PHYSICAL DAMAGE COV- a ' ERAGM It two or more -oompwW- policies, or cover- (2) nanclor penalties Imposed under a age forms apply to the same accident, the follcmAng ass due to high mileage, exoes- applies to paragraph n. Oaduemble: a use or abnoemar wear and tear. a, if the ,applicable Business Auto deduct- (3) Sets for extended wafrarttfes, Cre'- ible Is tho smaller (or smallest) deduct it Life Insurance, Health. Accident We H will be walved, or s Dlsebttlty Insurance purctrased b. If the applicable Business Auto deduct Zih the loan or Isase. Tbls is not The amaner (or smaallest) do- (4) ransfer or rollover bafancea from duodble it wirl be reduced by the amount rsvious loans or losaas. or the smaller (or smallest) deductible; (5) nal payment due under a lBalloon or 69rt". a If the to" involves two or more Bust- (6) a dollar amount of any tress Auto coverage, fames or policies the smaller (or smallest) deductiblet�lf n_rspalred damage that occurred he waived. rror to -the 'toM loss- of -acovered ,auto.. For the purpose of this endoraema et `company moor,: (7) scarify tispasits not nefslnTled by & essor_ ta. Safeco Insurance Company of America (0) 5,11 refunds payable or paid to -you b. American States Insurance Company is a result of the early terminallon c. Gonorml Insurance Company of Amsrloe Et lease agreement or any war - arty or extended :service agree- d. American Ecortoany Insurance Compatty w1ent on a covered "amtv". a_ First Iatatkmal Insur-anco Company of (a) Nny amount representing taxes. Amarfca (10) an or [ease tBRn[netion fees f. American Stages Insurance Company of Texas GLAS O REPAIR WAS OF CtrsDl.ICTUM-M P Amerloen Sbxtea Preferred lne,rrxsoe c ww -UE§d&V -- DEDUCeINKLIS 0f RVAM40N ME — VWSICR>_ Cam, the ToituwDtp:Te h. 4ftfa,:41 fnsw atace Compacg ef•111lctols add'vii: LOAWfLLABE GAP COVERAOS, Nb deductWe a 11eS 40' 810086 damage If trim glae8 Is so paired rafhar n mplacod. Under paragraph — LIMIT OFR�IJFiAfVCE of SECTION lit — MYaICAL RAFAAOE COVERAGE. AMENDED 01,11JUS, IHt THE EVENT OF ACCI- the following is added: DENT, CLAIM. E U1T OR 6A5S 4- The most wve will pay for a total 'floss- In cry une The requirame in LOSS CONDITION 2-ft. --- "accldent, is the gm -tor of the fxlrlowing. subject DUTIES 1N THE EVEidr OP ACCIDPJYr. CLAIM. to a $1.800 maxlmtvn Iirnlu SUM ON Legg — of SECTION IV — aUStNESS AUTO CONDITI that you most notify us of an cri Yr 10 ® er sago a of* EP 07/12/11 TUE 09:05 FAX 1 760 735 8543 CHRISTIANSEN AMUSEMENTS JUL. i2. 2011 9:59AM AA RISK MANAGEMENT NO. 1996 P. 6 0 0os 'accident" applies only when the "acotdent' is known deductible euid a provieions, we win provide to: coverage equal to the broadest coverage appilcable (f) You, it you are an fndNldual;' to any covered "s do" you own. (2) A partner, ff you are a partnership; or HIRED AU1.O PH VIXICAL DAMACIM COVERIttr3E — LOsS OF USE (3) An a autiva officer or Insurance manager, if you are a corporation. SECTION Ili — PHYSICAL DAMAGE AA.b. Form doer not apply - UNINTENTIONAL FAILURE TO DISCLosE HAZARDS Subjaot to a Max1i lurn of St,ppp per accident, we will cover loss ref use of a hlrad auro' If it resuns from SEOVOP1 1V -- Business AUTO Got,40 TiONS — an accident, you a legally tlable and the le9ect itr EL2. Is amended by the addition of the following- curs an actcral fin 1 loss. tf you unintentionally fail io disclose any hazards gx- RENTAL RRIMEL PtSEMENT COVERAG>= fisting at tha inception data of your poifcy, we will not deny coverage under this Govorage Form because of PaY A We wIq rental relmburaarrterR expenses such failure. However, this provision does riot attest incurred b a u for he rentalof an "auto- be - our right to ooliact ndti tlonal premium or exercise our insure of c red a o a covered 'auto". vexed a right of c&ncallatiun or non -renown. payment a es addition the l aP- pl[cable amot nt of each coverage you have on a HIRED AUTO — LIMITED WORLD WIDE COVER- Covered 'au '. No deductibles apply to this AIDE coverage_ Under Section IV— eusinoss Cbnd141ons, Paragraph Is - 13. WO will pay Ina pa onty for those Expenses Inourred Cy paned baginnftV 24 hcUrs after Is replaced by the following: the 'loss' an 5 ending, regardless of tiro policy's (1) The 'bectdent" or Ross- results expiration, wI the lesser of the following number from the use of an `auto"' hired for of dayr. 30 days or Kass. 1. The nurn mr of days reasonably required bo RE131ULTANT MENTAL ANGUISH COVERA013 repair or 'lose' Is replace the covered -auto-. if caused by (heft, tuts number of $ECT10N V — DEFINITfONS -- C. is replaced by the days Is s to locate Ided to the dumber of days It takes a cover -ad `auto- rand return it to following: v olt 'Badffy injury' moans bodily injury, sickness or dts- Y. 30 days_ ones sustainad by a parson Including mental anguish or death resulting from any of these. Ou r ur payment is limited to the lesser of the foI- Iowing amour Is: HIRES) AUTO PHYSICAL DAMAGE COVERA1016 1. Naceasal yr and, actual expenses Incurrep, If WCEW ^autos^ are COVE, a1Ao6- for i Mmilty eov- 2. $sp per, WIX90 and If Comprahencive, Speciffad Cams" aF '(�.Atsrr eae i?slan• isnvErayaa am pmodd'ed! 43JOkIlow V*w D. TW Coverwo N, Oboe wet -avety- Wme there are r'ioGCEJtrgA irerRl 'ILV arte�r ' " ydu ov nh *hen the gam' Q3f0X11Wd IIo' YOU fir+ �to4r lyl GkrC 'taYa age ICov9Ferga.4 pravidlaff• are aiClbnd" to 'arrtarg+' yocr f9re or borh:rw. E. If 'toss°' lastr fryRrr the natal !haft of a Covered P� ate paa�enger hype, we w111 pay Efts most we wilt a for loss m any hired 8otoa pay y under thole raga only that amount of your W 000 or Actual Cash Value or Cost of Repair. rental reim'u ernent expenses which is not el - whichever Is smallest, minus a dtib educia. The de- ready pravtd d for under the PHYSICAL DAM- ductlblo will bo equal to the largess deductible eppit- AGE COVER E Coverage Extension - cable to any owned 'auto" of th4 private passenger or light truck type for that coverage_ Fared Auto Phy- F. The Rental mbursement Coverage described mra Gloat Damage oovoga is Excess over any other col- above door. apply to a covered -lsuto" that is lacilbre insurance. -Subject to tiro above Hmlt, deoorlbad or Ignatod Re a covered "auto- on Paps 4 at e 07/12/11 TUE 09:08 FAX 1 760 735 8543 CHRISTIANSEN JUL.12.2011 9:59AM AJG RISK MANAGEMENT No, 1 99b f . 1 0 009 •••• gEPpQ+tE4Fa461 tMCE� LRAK[r •••• Rental Ftelmbursemortt Coverage Faun CA 00 23. AUDIO. VISUAL AND DATA ELECTRONIC squ9F-MENT COVERAGrm A. Coverage 1. We will pay %hdth respect to a covered auto^ for 9oss' to any alecuonle equipment that reoelves or trarismis audio, visual or data signals and that Is not dasigned solely for the reproduction of sound. This covaraue applies only if the equipment is pennane"y Installed In the ooVered "auto• at the three of the "loss• or the equipment is romoyabla from a housing unit which is permanently Installed In the covered "auto' at the time all the ,loss'. acid Such equipment is destgnad to be solely oporated by use of the pervw from the "sutsk's^ electrical system. In or upon the covered "auto". 2. We wltt pay with respect to a covered `auto" for -leas' to any accassories used with the -leckronic equipment descrU:wW In paragraph A.I. above. However, this does not ineiude tapes, records or di=4_ 3_ If Audio, VISVOI and Data Electronic Equip- ment Coverage form GA 99 80 or CA 99 94 Is a"=had to this polloy, then the Audio. Vi- sual and L7ata Electronic Egwprnant Cover- age described above does not apply. B_ E:rclustuna The exclusions ihat apply to PHYSICAL DAM - AMP COVERAGE, axnapt for the ezcfuslori relat- ing to Audiof Visual and Data Etectronic rquiprnent also apply to this coverage. In addl- tlon, the following oxclusfons apply: We wdt not pay for salter any electronic acp - ment or acee� used with such electrordts oqu$w�ni6&m d wtda: t, INacea y tot +uie. slog operaVen of Otte c veered 'auto" -lor Via nnon1kntni; of 416B mvemid ^suto"s- operatlQ0 system, OF 2. Goth- a. an tntsgral part of the samo unit housing any sound repraducing equlpmertt da- signed solely for the reproduction of sound if the soured reproducing aqutpment Is permanently Installed In the covered "auto"; and b. permanently installed irk the opening of the dash or console normally used by the rhanufaclurer for the installation of a C. Limit of Innu name VMh respect to thls coverage, tho UMfi OF !id- SURANCE g rovislon of PHYSICAL DAMAGE COVreRAiGE a replaced by tits followirxs: 9. The mow we will pay for loss^ to audio, vi- sual or d lata elactronio equipment and any accassor 0& used with this equlpfnent as a result of any one 'ecoidont' is the I®sear of: a. The ach4W cash value of the damaged or s ofen property as of the time of the "los "f or b. The cost of repairing or replacing tttt> or stolen property with other proarty of IIIcs kind and quality, C. 2. An cash val a. if a rap; than like the amo D. Deductible 1. If 90sa' tronkc e this OCId covered Coverap Zion Co% our obrq place cis duced b the Dee Ona�ge d does or data alb 2. if by a f70 ^toss- dNta ale used wM -red -at ment for depreciation and physical will be made In delarmrning actual e at the time of the goes'. fe or roplaooment results In better kind or quality. we wFfl not pay for nt of tha bettgmwnt tp the audio, visual or data elso` ilpment or accessories used with ment is the rest4ft of a 'foss" to the 'auto- under the Business Auto Form-- Gomprehenalve or Collt- �rage. ihen for each covered 'auto" Ition to pay tor, repair, rsTur» or rs- rm9ad or stolen property will be re - the appltcabie deductible shown in ratrons_ Any comprehon9fve C4v- itrctlble shown In the Doolaratlons apply to goes' to audle, visual or hvrda equipmen caused by fire or 40 the audio,, visetel of data alec- kOvrn,ans' laaad• ,,Aft Ofto t I* tha readft or a 'lows, to *M undo[ 11m6 Business AL4D Fol;M's Specified Causes of Loss than fbr each covered auta^ our to pay der. repam raturn or replace or ardlen property will be reduced dedOctQ7•le. occurs notary to the audio, vlstial or stronic oquiprnerit or aoceawnrkas Wds sgorpmant, then Tor each cov- .o' our obligation W pay for, repair. CA 11 to 03 07 peg^ 8 ^r 0 1 W 07/12/11 TUE 09:06 FAX 1 760 735 8543 CHRISTIANSEN AMUSEMENTS JUL. 12. 2011 10:00AM A.1G RISK MANAGEMENT { NO. 1996 P. 8 0 O10 ^^ Ft�a1MEFilioM Tb1EFCRrd51iQA�KY�� return or replace darnaged or stolen properly SECTION V — D FINITIONS is amended by adding will be reduced by a $100 deductible. the following: 4. In tho pvont that there Is more than one ap- f]. 'PersorS BHects" Means your tangible plteablo deductible, only the highest deduct- property hat is worn car carried by you, ex- lbfa wilt ripply, In no ovont will rrrore fnan ano cept for S, jewelry, money, or aseuntles, deductible apply. R 'MeW ve 11cle, means any -Auto' of whirrh YOU are ho original owner and the 'auto' has not Dean previously, titled and Is less than eSS days past the purchase date_ Page a of a .4 a CERTIFICATE OF LIABILITY INSURANCE /28/2011 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 HOIL�DF-Ii. the terns and conditions of the policy certificate holder in lieu of such endor PRODUCER Ka1>_££ Snauranca P.O. SOX X71225 San Antonio TX 78217-9225 INSURED A �^ \ \ O Entertainment, 2nc. 539 East Bixby Road Suite 59 Long Beach CA 90807 IN URERF: /"f1VCOAl�CC I�G�T,t•,l�w TC Y of _!T T /17 f7 f1C1 "fC e'f ��i, •���� �,, ,����e�_ may require an endorsement. A statement on this certificate does not confer rights to the NAPE: ��_ Madge 8lurton PHONE IA/C No _E�id): (210) B29-7634... FAX I.C/yCy NoJ: (210)829-7636 _. D AD ESS: madga@kalif£. CoIn PRODUCER Cl)sLOIMER ID #D O O O O 191 1NSURER(S) AFFORDING COVERAGE NAIC # _ INSURERA:Cartaln Underwriters @ L lOyds _._ INSURER B : INSURER C : -._._ _ _... .... _.. INSURER D: INSURER E: 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. OF INSURANCE ADC SUER POLICY NUMBER MMIDDY/YYYY MM/DD/WYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY - DAMAGE -TO RENTED PREMISES. (Ea occurrarxs) $ 100 , 000 CLAIMS -MADE I X I OCCUR 00347 /1 /2011 /1/2012 _ MED EXP (Any one person) $ excluded [LTSPTYPE X LSC;ilOr Liability PERSONAL & ADV INJURY $ 2,000,000 $1,000,000 Limits GENERAL AGGREGATE _$ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000 - _- PRO- X POLICY LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ee accid ) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS _. PROPERTY DAMAGE -- - HIRED AUTOS (Par ar-cidant) _.._ $ _._. NON -OWNED AUTOS $ $ UMBRELLA LIAR OCCUR ,r�`'y� t �. ):-' /� w_J V e ''1/ "� EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE .DEDUCTIBLE AGGREGATE $ $ _... RETENTION $ - - -c-- hl"ff`---_: $ WORKERS COMPENSATION" _ _ \ \NC STATU- OTH- AND EMPLOYERS' LIABILITY YIN /�1 ��I:.. ..i -... . SORY. LIMITS ER _. ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/ME M BER EXCLUDED? F N / A -- -- - (Mandatory In NH) E L DISEASE - EA EMPLOYE $ H yes. daacriba under - _.$ DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, AdcIft1 al Remerfls Schedule, It more space Is requlmd) ADD2T20NAI. SNSURED AS RESPECTS TO XMSURED•S OPERATSCWS: City Of Santa Ana, it. oPf_t a a, agent. 6 employee. only Be their inteze.t. may appear. Event : Santa Ana Summer P'asti 3_ Dates: August 12-14, 2011 (714) 571-4235 city of Santa Ana Santa Ana Parks, Facraation 6 Community S Editha, Santiaaa P.O. Sox 1996 M-23 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE IM,SUZb (200900) 1 nB ,Ii{.,Vrcv namB ano 1080 a— raglsLerao ma — yr /ra --- 07/08/2011 04:16 5624955961 PAGE 02/02 2011--07-08 12:20 Kaliff Mitchell 1 210 829 7636 >> 5624955961 P 2/2 A001710NAL NPOSUREIi EHDaj RSEMEm-r Insurance Company --Certain Li s This endorsement rnadifies such insurance as in afforded by the provisions of Policy # MKi}0347 Relating to the following - I. The City of Santa Ana, 20 Civic Center Plaza, Soma Ana, California 92701, Officers. employees, agents and representathees are named as additional insured with regard to fiabllity and defense of suits arising from the operations and uses Performed by on behalf of the named Insured_ 2. With respect to claims arising out of the operations and uses performed by on behalf of the named insured, such Insurance as is afforded by this policy is primary and is not addiHonar to or contributing with any other insurance carried by or for the benefit of the additional insured. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. the includsion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so Included. 4. With respect to the additional insured, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty -30 days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, Cafftrnfa 92701. Completion of the following, inchuiing coomitersignsurre, is required to make this endorsement effective_ EFFective- 7/i3/201 , this endorsement form as pan of Policy # MKL00347 fscued to 9 Entertainment, Inc //�� Named Insured Counterslaned by AgL� e Authorized RepoWentative Title- -- _ — P , erlj 3/28/17 OP ID: JU CERTIFICATE OF LIABILITY INSURANCE DAT F 08/04 OS/04/11 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 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 endorsements . PRODUCER 530-662-9181 Wraith, Scarlett & Randolph Ins. Serv_, Inc OB48084 530-662-6452 622 Main Street Woodland, CA 95695 Craig Huft CONTACT ME PHONE FAX C ac Nu: AODREss: PRODUCER C STONER ID : CHRIS23 INSURERS AFFORDING COVERAGE NAIC # INSURED Christiansen Amusements INSURER A: COm anion PropertyPr.perty & Casualty 12157 Stacy Brown P.O. Box 997 INSURER B Escondido,, CA 92033 INSURERC INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 LTR TYPE OF INSURANCE L POLICY NUMBER POLICY EFF MM/OD POLICY EXP MM/DD/Y LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE = OCCUR EACH OCCURRENCE $ PREMISES Ee oeeu El rrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F I PRO LOG PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS `` a I L t l�PPR0 v L 1� --��� ) �yUCa Ay�i�ian (. i A 4 t �'-y __ — :�iy , --- COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Par person) $ BODILY INJURY (Per arcident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICEWMEMBER EXCLUDED? (Mandatory in NH) If- describe under DESCRIPTION OF OPERATIONS below N / A CPCA13469 08/01/11 08/01/12 X WC SLIMI OTH- E.L. EACH ACCIDENT $ 1.000,00 E.L. DISEASE- EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1-000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101. Additional Rema SohedYle. U more apaoe la required) RE: Madison Park Carnival August 26, 2011 - September 7, 2011 a.crc1 Ir1l..ia1 c "-cm CANCELLATION CITYSA3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Risk Management 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701-4058 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY DOA6/04/2013. INSURANCE 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 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 1-425-954-3386 Arthur T. Gallagher Riek Management Services, Inc. P.O. Sox 367 CONTACT Joanna MaaiOa NAME: PHONE .4254543386 aD Nc: 452453.373.6 -MAIL ADDRESS: INSURER(SLAFFORDINGCOVERAGE NAICA Bellevue, WA 98009-0367 Dave Harman INSURERA: General Inauranca Company Of America INSURED Chriatianaen Amusements, Inc. INSURER B -- INSURER C INSURER D: P. O. SOX 997 INSURER E: Escondido, CA 92033-0997 INSURER F : 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 LTR TYPE OF INSURANCE POLICY NUMBER MM/DDY/YYYY MM DDY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR AMA PREMISE�a occurrence] $ MED EXP (Any.— arson $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ POLICY PR0. F7 L. $ A AUTOMOBILE X LIABILITY ANY AUTO 24CC2779362 COMBI NED SINGLELIMIT accitlent 1_,_000, 000 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per abciden[ ( ) $ X NON -OWNED HIRED AUTOS E AUTOS PROPERTY DAMAGE Per 'den $ UMBRELLA LIAR EXCE =.1 _ ___ OCCUR CLAIMS -MADE A TT� 1+, i ""P- O V ED AS 11 '1� Tv S EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABIL= Y / N ANYPROPRIETOWPARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDE07 (Mantlatory In NH) ' yes, describe untler DESCRIPTION OF OPERATIONS below N / A --U. ----�'- (,�; _ .1\l I v ASSISL"dRL L1Ly L l O r r1 L y. - WC STATU- OTH- T31 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD IOt. Additional Remarks Schedule. If m,m apace Is required) The City of Santa Ana, its Officer., amp1Oye0e, agents and representatives era included as additional ineureda but only ae respecte the Operation Of the named ineured par Policy terms and conditions. Policy form CA 7110 a307 provides blanket additional inaured wording - copy attached. RE: Caralval at Madison Park Event Dates. August 26 through September 7, 2011 rra.h r c r-rv�ucrt GANGCLLA I lurli SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attno RObart Carroll 20 C1v1C Canter Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92703. ,,..�..1' USA III' �•' In 198a-2010 ACORD CORPORATION_ All rioht. recrxtved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD J —.-:Lon 22617299 -REPR]N EO FROM THE FORMS LIBRARY.... COMMERCIAL AUTO CA 71 10 03 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. EXTENDED CANCELLATION CONDITION Paragraph 2.b. of the CANCELLATION Common Policy Condition Is replaced by the following: b. SO days before the effective date of cancellation if we cancel for any other reason. TEMPORARY SUBSTITUTE AUTO — PHYSICAL DAMAGE COVERAGE Under paragraph C. — CERTAIN TRAILERS, MO- BILE EQUIPMENT AND TEMPORARY SUBSTITUTE AUTOS of SECTION 1 — COVERED AUTOS, the following Is added: If Physical Damage coverage Is provided by this Cov- erage Form, then you have coverage for: Any 'auto" you do not own while used with the per- mission of its owner as a temporary substitute for a covered "auto" you own that Is out of service be- cause of its breakdown, repair, servicing, `loss" or destruction. BROAD FORM NAMED INSURED SECTION 11 — LIABILITY COVERAGE — A.I. WHO IS AN INSURED provision is amended by the addition of the following: d. Any business entity newly acquired or formed by you during the policy period provided you own 50% or more of the business entity and the business entity Is not separately insured for Business Auto Coverage. Coverage is extended up to a maximum of 180 days following acquisi- tion or formation of the business entity. Coverage under this provision is afforded only until the end of the policy period. BLANKET ADDITIONAL INSURED SECTION II — LIABILITY COVERAGE — A.I. WHO 1S AN INSURED provision is amended by the addition of the following: e. Any person or organization for whom you are re- quired by an 'insured contract" to provide insur- ance is an insured", subject to the following additional provisions: (1) The 'insured contract" must be In effect during the policy period shown In the Decla- rations, and must have been executed prior to the 'bodily Injury" or 'property damage". (2) This person or organization is an insured" only to the extent you are liable due to your ongoing operations for that insured, whether the work is performed by you or for you, and only to the extent you are held liable for an 'accident" occurring while a covered 'auto" Is being driven by you or one of your em- ployees. (3) There Is no coverage provided to this person or organization for `bodily Injury" to its em- ployees, nor for `property damage" to Its property. (4) Coverage for this person or organization shall be limited to the extent of your negli- gence or fault according to the applicable principles of comparative negligence or fault. (5) The defense of any claim or suit" must be tendered by this person or organization as soon as practicable to all other insurers which potentially provide insurance for such claim or "suit". Includes copyrighted material of Insurance Services Office, Inc_, with its permission. Copyright, Insurance Services Office, Inc., 1997 CA 71 10 03 07 Page 1 of 6 EP • * REPRINTED FROM THE FORMS LIBRARY"" (6) The coverage provided will not exceed the PERSONAL EFFECTS COVERAGE lesser of: A. SECTION III — PHYSICAL DAMAGE COVER - (a) The coverage and/or limits of this policy; AGE, A.4. COVERAGE EXTENSIONS, is or amended by adding the following: (b) The coverage and/or limits required by c. Personal Effects Coverage the 'insured contract". For any Owned 'auto" that Is Involved In a (7) A person's or organization's status as an covered "loss", we will pay up to $500 for insured" under this subparagraph d ends 'personal effects" that are lost or damaged when your operations for that 'Insured" are as a result of the covered 'loss", without completed. applying a deductible. EMPLOYEE AS INSURED Under Paragraph A. of Section 11 — LIABILITY COV- ERAGE item f. Is added as follows: Your "employee" while using his owned "auto", or an 'auto" owned by a member of his or her household, in your business or your personal affairs, provided you do not own, hire or borrow that "auto". This coverage Is excess to any other collectible Insurance coverage. FELLOW EMPLOYEE COVERAGE Exclusion 5. FELLOW EMPLOYEE of SECTION 11 — LIABILITY COVERAGE — B. EXCLUSIONS is amended by the addition of the following: However, this exclusion does not apply if the 'bodily injury" results from the use of a covered 'auto" you own or hire, and provided that any coverage under this provision only applies in excess over any other collectible Insurance. BLANKET WAIVER OF SUBROGATION We waive the right of recovery we may have for pay- ments made for "bodily injury" or "property damage" on behalf of the persons or organizations added as "insureds" under Section 11 — LIABILITY COVERAGE — A.I.D. BROAD FORM NAMED INSURED and A.I.®. BLANKET ADDITIONAL INSURED. PHYSICAL DAMAGE — ADDITIONAL TRANS- PORTATION EXPENSE COVERAGE EXTRA EXPENSE — BROADENED COVERAGE Paragraph A. — COVERAGE of SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add: 5. We will pay for the expense of returning a stolen covered auto" to you. AIRBAG COVERAGE Under paragraph B. — EXCLUSIONS of SECTION III — PHYSICAL DAMAGE COVERAGE, the following is added: The exclusion relating to mechanical breakdown does not apply to the accidental discharge of an airbag_ NEW VEHICLE REPLACEMENT COST Under Paragraph C — LIMIT OF INSURANCE of Section III — PHYSICAL DAMAGE COVERAGE sec- tion 2 is amended as follows: 2. An adjustment for depreciation and physical con- dition will be made in determining actual cash value in the event of a total loss_ However, in the event of a total loss to your "new vehicle" to which this coverage applies, as shown in the declarations, we will pay at your option: a. The verifiable "new vehicle" purchase price you paid for your damaged vehicle, not in- cluding any Insurance or warranties pur- chased; The first sentence of paragraph A.4. of SECTION III b. The purchase price, as negotiated by us, of — PHYSICAL DAMAGE COVERAGE Is amended as a new vehicle of the same make, model and follows: equipment, not including any furnishings, parts or equipment not Installed by the We will pay up to $50 per day to a maximum of manufacturer or manufacturer's dealership. $1,500 for temporary transportation expense incurred If the same model Is not available pay the by you because of the total theft of a covered "auto" purchase price of the most similar model of the private passenger type. available; Page 2 of 6 "" REPRINTED FROM THE F0RM3 LIBRARY" c. The market value of your damaged vehicle, not Including any furnishings, parts or equip- ment not Installed by the manufacturer or manufacturer's dealership. This coverage applies only to a covered "auto" of the private passenger, light truck or medium truck type (20,000 Ibs or less gross vehicle weight) and does not apply to initiation or set up costs associated with loans or leases. TWO OR MORE DEDUCTIBLES Under SECTION III — PHYSICAL DAMAGE COV- ERAGE, if two or more "company" policies or cover- age forms apply to the same accident, the following applies to paragraph D. Deductible: a. If the applicable Business Auto deduct- ible is the smaller (or smallest) deduct- ible It will be waived; or b. If the applicable Business Auto deduct- ible Is not the smaller (or smallest) de- ductible it will be reduced by the amount of the smaller (or smallest) deductible; or c. If the loss involves two or more Busi- ness Auto coverage forms or policies the smaller (or smallest) deductible will be waived. For the purpose of this endorsement "company" means: a. Safeco Insurance Company of America b. American States Insurance Company c. General Insurance Company of America d. American Economy Insurance Company e. First National Insurance Company of America If. American States Insurance Company of Texas g. American States Preferred Insurance Company h. Safeco Insurance Company of Illinois a. Actual cash value of the damaged or stolen property as of the time of the 'loss", less an adjustment for depreciation and physical condition; or b. Balance due under the terms of the loan or lease that the damaged covered "auto" is subject to at the time of the -loss", less any one or all of the following adjustments: (1) Overdue payment and financial penalties associated with those payments as of the date of the 'loss". (2) Financial penalties Imposed under a lease due to high mileage, exces- sive use or abnormal wear and tear. (3) Costs for extended warranties, Cre- dit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease. (4) Transfer or rollover balances from previous loans or leases. (5) Final payment due under a "Balloon Loan". (6) The dollar amount of any un-repalred damage that occurred prior to the 'total loss" of a covered "auto". (7) Security deposits not refunded by a lessor. (S) All refunds payable or paid to -you as a result of the early termination of a lease agreement or any war- ranty or extended service agree- ment on a covered "auto". (9) Any amount representing taxes. (10) Loan or lease termination fees GLASS REPAIR — WAIVER OF DEDUCT113LE Under paragraph D. — DEDUCTIBLE of SECTION Ill — PHYSICAL DAMAGE COVERAGE, the following Is added: LOAN/LEASE GAP COVERAGE No deductible applies to glass damage if the glass Is repaired rather than replaced. Under paragraph C — LIMIT OF INSURANCE of SECTION III — PHYSICAL DAMAGE COVERAGE, AMENDED DUTIES IN THE EVENT OF ACCI- tho following is added: DENT, CLAIM, SUIT OR LOSS 4. The most we will pay for a total "loss" in any one The requirement In LOSS CONDITION 2.a. — "accident" is the greater of the following, subject DUTIES IN THE EVENT OF ACCIDENT, CLAIM, to a $1.500 maximum limit: SUIT OR LOSS — of SECTION IV — BUSINESS AUTO CONDITIONS that you must notify us of an CA 71 10 03 07 Page 3 016 EP - REPRINTED FROM THE FORMS LIBRARY ---- "accident" applies only when the "accident" is known deductible and excess provisions, we will provide to: coverage equal to the broadest coverage applicable (1) You, if you are an Individual; to any covered "auto" you own. (2) A partner, if you are a partnership; or (3) An executive officer or Insurance manager, if you are a corporation. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV — BUSINESS AUTO CONDITIONS — B.2. is amended by the addition of the following: if you unintentionally fall to disclose any hazards ex- isting at the Inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal. HIRED AUTO — LIMITED WORLD WIDE COVER- AGE HIRED AUTO PHYSICAL DAMAGE COVERAGE — LOSS OF USE SECTION 111 — PHYSICAL DAMAGE AA.b. Form does not apply. Subject to a maximum of $1,000 per accident, we will cover loss of use of a hired "auto" if it results from an accident, you are legally liable and the lessor In- curs an actual financial loss. RENTAL REIMBURSEMENT COVERAGE A. We will pay for rental reimbursement expenses incurred by you for the rental of an "auto" be- cause of a covered "loss" to a covered "auto". Payment applies In addition to the otherwise ap- plicable amount of each coverage you have on a covered "auto". No deductibles apply to this coverage. Under Section IV —Business Conditions, Paragraph B. B.7.b.e(1) Is replaced by the following: (1) The "accident" or "loss" results from the use of an "auto" hired for 30 days or less. RESULTANT MENTAL ANGUISH COVERAGE SECTION V — DEFINITIONS — C. is replaced by the following: "Bodily Injury" means bodily Injury, sickness or dis- ease sustained by a person Including mental anguish or death resulting from any of these. HIRED AUTO PHYSICAL DAMAGE COVERAGE If hired -autos' are covered "autos- for Liability cov- erage and If Comprehensive, Specified Causes of Loss or Collision coverages are provided under this Coverage Form for any "auto" you own, then the Physical Damage Coverages provided are extended to "autos" you hire or borrow. The most we will pay for loss to any hired "auto" is $50,000 or Actual Cash Value or Cost of Repair, whichever is smallest, minus a deductible. The de- ductible will be equal to the largest deductible appli- cable to any owned "auto" of the private passenger or light truck type for that coverage. Hired Auto Phy- sical Damage coverage Is excess over any other col- lectible insurance. Subject to the above limit, We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the following number of days: 1. The number of days reasonably required to repair or replace the covered "auto". If "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered "auto" and return it to you. 2. 30 days. C. Our payment is limited to the lesser of the fol- lowing amounts: 1. Necessary and actual expenses incurred. 2. $50 per day. D. This coverage does not apply while there are spare or reserve "autos" availableto you for your operations. E. If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which Is not al- ready provided for under the PHYSICAL DAM- AGE COVERAGE Coverage Extension. F. The Rental Reimbursement Coverage described above does not apply to a covered "auto" that is described or designated as a covered "auto" on Page 4 of 6 "" REPRINTEDFROM THE FORMS LIBRARY.... Rental Reimbursement Coverage Form CA 99 23. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE A. Coverage 1. We will pay with respect to a covered "auto" for "loss" to any electronic equipment that receives or transmits audio, visual or data signals and that Is not designed solely for the reproduction of sound. This coverage applies only if the equipment Is permanently installed In the covered "auto" at the time of the "loss" or the equipment is removable from a housing unit which is permanently Installed In the covered "auto" at the time of the "loss", and such equipment is designed to be solely operated by use of the power from the "auto's" electrical system. In or upon the covered "auto". 2. We will pay with respect to a covered "auto" for "loss" to any accessories used with the electronic equipment described In paragraph A.I. above. However, this does not include tapes, records or discs. 3. If Audio, Visual and Data Electronic Equip- ment Coverage form CA 99 60 or CA 99 94 Is attached to this policy, then the Audio, Vi- sual and Data Electronic Equipment Cover- age described above does not apply. B. Exclusions the manufacturer for the Installation of a radio. C. Limit of Insurance With respect to this coverage, the LIMiT OF IN- SURANCE provision of PHYSICAL DAMAGE COVERAGE is replaced by the following: 1. The most we will pay for 'loss" to audio, vi- sual or data electronic equipment and any accessories used with this equipment as a result of any one "accident" is the lesser of: a. The actual cash value of the damaged or stolen property as of the time of the "loss": or b. The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. c. $1,000. 2. An adjustment for depreciation and physical condition will be made In determining actual cash value at the time of the `loss". 3. If a repair or replacement results in better than like kind or quality, we will not pay for the amount of the betterment. D. Deductible The exclusions that apply to PHYSICAL DAM- AGE COVERAGE, except for the exclusion relat- ing to Audio, Visual and Data Electronic Equipment, also apply to this coverage. In addi- tion, the following exclusions apply: We will not pay for either any electronic equip- ment or accessories used with such electronic equipment that is: 1. Necessary for the normal operation of the covered "auto" for the monitoring of the covered "auto's" operating system; or 2. Both: a. an Integral part of the same unit housing any sound reproducing equipment de- signed solely for the reproduction of sound It the sound reproducing equipment Is permanently Installed In the covered "auto"; and b. permanently installed in the opening of the dash or console normally used by CA 71 10 03 07 Page 5 of 5 1. If 'loss" to the audio, visual or data elec- tronic equipment or accessories used with this equipment is the result of a 'loss" to the covered "auto" under the Business Auto Coverage Form's Comprehensive or Colli- sion Coverage, then for each covered "auto" our obligation to pay for, repair, return or re- place damaged or stolen property will be re- duced by the applicable deductible shown in the Declarations. Any Comprehensive Cov- erage deductible shown in the Declarations does not apply to "loss" to audio, visual or data electronic equipment caused by fire or lightning. 2. If 'loss" to the audio, visual or data elec- tronic equipment or accessories used with this equipment is the result of a 'loss" to the covered "auto" under the Business Auto Coverage Form's Specified Causes of Loss Coverage, then for each covered "auto" our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by a $100 deductible. 3. If "loss" occurs solely to the audio, visual or data electronic equipment or accessories used with this equipment, then for each cov- ered "auto" our obligation to pay for, repair, EP "" R PMEO FROM THE FOR 3 Llftk tY ••^ return or replace damaged or stolen property SECTION V — DEFINITIONS is amended by adding will be reduced by a $100 deductible. the following: In the event that there Is more than one ap- Q. `Personal effects" means your tangible plicable deductible, only the highest deduct- property that is worn or carried by you, ex- ible will apply. In no event will more than one cept for tools, Jewelry, money, or securities. deductible apply. R. "New vehicle" means any "auto" of which you are the original owner and the "auto" has not been previously titled and is less than 365 days past the purchase date. Page 6 of 6 CERTIFICATE OF LIABILITY INSURANCE 08DATE "'°;"YYY' PRODUCER Allied Specialty Insurance, Inc. 85 N.E. LOOp 41 O , Suite 600 San Antonio, TX 78216 - - - - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Christiansen Amusements, Inc. and Southland Shows, Inc. P_O. Box 997 Escpndido, CA 92033 WSURER A: T n Blab B: ,NSURER C: INSURER o: INSURER I — THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 ALLTHE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 114"OR DL POLICY NUMBER Cpp0100S07-01 POLIOY EFFECTIVE 04/01/2011 POLI 1 3, IRATgN LIMITS A GENERAL WBIL(r1f COMMERCIAL GENERAL UASILITY CLAIMS MADE r X1 OCCUR 04/01/2012 EACH OCCURRENCE $1 000,000 S SO 000 MED EXP CoIInV — Ieon f PERSONAL 6 AOV INJURY t 1 000 000 GENERAL AGGREGATE s 10,000,000 GENL AGGREGATE LIMIT APPLIES PER' PRODUCTS - COMP/OP AGO f 1.000,000 POLICY ED LOC AUTOMOBILE LIABILrrY ANY AUTO COMBINEDSINGLE LIMIT f BODILY INJURY (Par Pa.anrl) f ALL'OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Par aoeWent) f HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Par amrdtlenq f GARAGE LIABILrrY AUTO ONLY . FA ACCIDENT f OTHER THAN EA ACC AUTO ONLY: AGO f ANY AUTO f EXCESS A UMBRELLA UAAIUTY OCCUR CLAIMS MADE EACH OCCURRENCE f AGGREGATE f s DEDUCTIBLE RETENTION f f WORKERS COMPENSATIOIJ AND EMPLOYERS' LIABILITY / N ANY PFROPRI R,1ME rpq/pARTNERIEXECVTIVE � OFFICEWMEMBER E%CLUDED7 IMyaanrr,LaL�rY I,I NNI SPEC ��I .. babe. A mw'yY E.L. EACH ACCIDENT f EL DISEASE - EA EMPLOYE f EL DISEASE - POLICY LIMIT f On1ER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSMYENT I SPECIAL PROVISIONS Additional insured with respects to the operations of the named insured only: City of Santa Ana, its officers, agents, employees, representatives and volunteers.. Event: Carnival at Madison Park. For the dates: 8/2611 t through 9/7/1 I �� 4./V\VCLIJ� I IVn1 City of Santa Ana SHOULDANYOFTHEASOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION Attn: Risk Management DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO NAIL 30 DAYS WMTTEN 20 Civic Center Plaza NOTICE TO THE CEIMFWATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL Santa Ana, CA 92701 IMPOSE NO OBLIGATION OR UABaJW OF ANY IOND UPON THE INSURER. RS ENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTS. ACORD 25 (2009101) ® 199 -2009 ACORD CORPORATION. All rights reserved. Me ^CORD name and logo are registered marks of ACORD I!(rj:�w CERTIFICATE OF LIABILITY INSURANCE os os/zo1` i°` Y" Allied Specialty Insurance, Inc. THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATIOP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 85 N.E. Loop 410, Suite 600 HOLDER. THIS CERTIFlCATE DOES NOT AMEND, EXTEND OF ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW San Antonio, TX 78216 AFFORDING COVERAGE I NAIC 0 Christiansen Amusements, Inc. INBURERw Insuratyice and Southland Shores, Inc. INSURER B: P.O. Box 997 PSURER C: INSURER D: Es ndido, CA 92033 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_ NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIGH 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. AGGREGATE LIMITS SHOWN MAY HAVEBEENREDUCED BY PAID CLAIMS. R rr GENERAL LIABILITY BI X COMMERCIAL GENERAL LIALITI' CLNMS MADE � OCCUR POLICY NUMSER PC EPFeenve OM01/2011 Po orPlRAnoN LIMITO A CPP0100507A7 04/01/2012 EACH OCCURRENCE S1,000.000 - MPJD EXPCAV ale f 50 000 f PERSONAL 4 ADV INJURY = 1,000,000 GENERAL AGGREGATE f 10,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP Ann f 1 000 000 POUCY PRO.SECT LAIC JUJTOMIOSILELIABILRY CO BONED SINGLE LIMIT f BODILY INJURY (PNR Penal) f ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (P--ki Al) f HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Pw sorJdsnt) f GARAGE LIABILITY AUTO ONLY- EAACCIDENT f * ` f�J � OTHER THAN EA ACC AUTO ONLY: AGG f s 1 EXCESS UMBRELLA LWWTY OCCUR CLAIMS MADE ��� 7 / 1 _ �� EACH OCCURRENCE f AGGREGATE f Ilf DEDUCTIBLE RETENTION i `. f WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y A N ANY RBOPRIETOR/PARTNERIEXEGUTIVE' (M-d.wry 1. H) txcLUDED7 (M�rMd- In NH) we STATU- OTH- E.L. EACH ACCIDENT f El. DISEASE - EA EMPLDYE S EL DISEASE - POLICY LIMIT f SIREAL PROVISIOundwNS SPECIAL PROVA310W laabW OTHER DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES I EXCLUO,ONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS Additional insured with respects to the operations of the named insured only: City of Santa Ana, its officers, agents, employees, Fiesta de Carnival. Event: Carnival at Madison Park. For the dates: 8/26/1. 1 through 917/11 VIY�I,CLIJ\ I 1 V ry City of Santa Ana SHOULDANYOFTHEABOVEDESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Parks, Recreation and Community Services Agency DATE THEREOF. THE ISSUING INSURER WIL MAIL 30 DAYS WRITTEN Attn: Silvia Cuevas NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LIE 26 Civic Center Plaza - imam Santa Ana, CA 92701 AUTNORI?TO REPRESENCA / / A /. //% ACORD 25 (2009101) _- ® 196 -2 09 ACORD CORPORATION. All rights reserved. The ^CORD name and logo are registered marks of ACORD ADDITIONAL INSURED ENDORSEMENT Insurance Company T.H.E_ =rj8u -arv.e COMManv This endorsement modifies such insurance as is afforded by the provisions of Policy # CPP0100507-01 relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents and volunteers are named as additional Insured ("additional insured") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named Insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insured. 3. This insurance applies separately to each Insured against whom claim is made or suit Is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an Insured shall not affect any right which such person or organization would have as a claimant If not so included. 4. With respect to the additional insured, this insurance shalt not be canceled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic. Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 8/26/11 this endorsement form as a part of Policy # C_•PP0100507--01 Issued to C'hri ianconArmasRrnri}c., Trx-_ rx3 Scn,t-hlaryl S}vxjgV Tnr• med Insure Countersigned by irf/ Authorized Sig ature