1998-0519_CHAMBER OF COMMERCE, SJC_Insurance Certificate ALLIED SPECIALTY INSURANCE OF CALIFORNIA INSURANCE AGENCY, INC,
• 1699 EAST ROSEVILLE PARKWAY. SUITE A, ROSEVILLE, CALIFORNIA 95661
Toll Free 1-800-434~1110
Fax 916-773-1590
Certificate Number : 3
CERTIFICATE OF INSURANCE
This certificate ne'ither aff / rmativeLv nor neqat / veiv amends, extends or alter�
the coverage afforded by the noLicv( ies) described hereon and is issued as a
matter of information and confers no right upon the ho [der ^
The poiicv( ies) identified below by a polic/ number is in force on the date of
certificate kssuance+ Insurance is afforded oniY with respect to those
coverages for which a snecific Limit of Liability has been entered and is
subiect fo all. terms of the noiicv haviog reference thereto . Nothing herein
contained shaii modify any provision of said policy.
In the event of canceiiation• ef the noi <cy, the company issuing said poiicy
wiii make all reasonabie effort to send Notice of Cancellation to the
certificate holder at the address shown herein, but the Company assumes no
responsibilities for any mistake or faiiure to give such notice.
Any insurance made a part of the poiicy inciuues as a person insured with
respect to an occurrence taking niace at a Fest / vai ( 1 ) the
Fair or exhibition association, sponsoring organization or committee (2) the
owner or Lessee there of (3) a municipality granting the Named Insured
permission to operate a ( n) Festival , but only as 'respects bodily
' injury or property damage caused by or contributed to by the negLiqence of the
Named Insured. while acting in the course and scope of their empioYment .
•NAME ADDRESS OF INSURED: ADDITIONAL INSURED:
San Juan Can \ strano
Chamber of Commerce
P O Box 1870 City of San Juan Capistrano
San Juan Canistrano 32400 Paseo Adelanto
CA 926931878 San Juan Capistrano , CA 92675
NAME & ADDRESS OF CERTIFICATE HOLDER: City of San Juan Capistrano and
all its employees and agents .
• DATESSan Juan Summer Nites Concert
�
6/I7/98 , 7/15/98, 8/19/98 ,
and 9/16/98 .
--PBIM8BY-QOYEBAGE--
Company! T.H.E. Insurance Host Liquor Coverage
Company
Policy Number : 98LC9138
LIABILITY LIMITS
Bodily Injury & Bodily injury &
BI/PD OCC: I1LQOQAQQ-~-------- Property Damage Property Damage
AGO: i1iQQQ*SSCL------_-- �O--_---------''--- IQ--___.___^-~~~~^�
Excess of Excess of
IQ- IQ-----�-~~------�
Food Products: 11,Q(>�A.Q<lQ--~----~~- 50-~-------------- I()-~--------------
Poiicx period :
From: 03/15/98 O0/00/00 • 00/00/00
To : 03/15/99 OO/OO/OO 00/00/00
* - COMBINED SINGLE LIMIT
Coverage shown herein appi \ es unCy to those iteo)s scheduied on or endorsed to
the noiicy.
This certificate is not vaiid unless an original signature appears beiow^
(Copies Not Vaiid)
•
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DATE OF CERTIFICAT� ����[j������� �' �,---'---
AUTHORIZED "^=". . ""