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HomeMy WebLinkAboutCARNIVALS, CHILDREN'S CIRCUS - Certificates of Insurance - 1 { CERTIFICATE OF INSURANCE RMSRD - IN LIEU OF-Wwf[FICATB OF IHStRtANM DATED 9t.LjY74 This is to Certify that the following insurance policies have been issued b the respective Com anies and are in force at the date indicated below. REINVES7MW • as CL BIGGER Name of Insured: ABC CORPMATION JXAt SOV71t OD!AST SHOWS P. O. Address of Insured: P. 0. Box 479, Lakowood, California 90714 Period for which the Certificate is effective Des riptio anc�,LRcati.on 10 18 74 lE} 1 V P&Zarns �Jti mere f / 1 to / 5/74 inclusive. SAINT BONAVENTURZ CHURCH 1"00 Springdale Huntington Bch, Ca. 92647 d F449CHER�,& r CITY OFNIINTINGTON BUCK City Hall - Lieenae Division Huntington Heath, Calif orni a B Y Dated: September 19 _I 9? This certificate is not a policy and does not afford any insurance coverage. NothinMed in this certificate sW10A3=onstrued as extending coverage not afforded toijAwdesignated policy or by en- dorsement thereto. AMUSEMENT LIABILITY Public Liability (Other than Auto) C TtFICATE HOMERS ARE NAMD AS ADDITEONAL INSURBDS Limits of B. I. each person each occurrence aggregate Liability P. D. = ;BELOW each occurrence aggregate INSURER POLICY NO. POLICY PERIOD Great Southwest Fire Iris. GL 21573 5/4/74 to 11/4174 Fremont Indemnity Co. ELP 0010909 9/13/74 to 11/4/74 TYPE OF COVERAGE LIMITS Amusement Liability - priory $100/300,000 bodily iir#Ary $10,000/10,000 property damage Execs Liability $1,000,000 combined single limit, in exee:ss of primary limits of liability AUTOMOBILE LIABILITY Policy No. Policy Period Limits of B. I. each person each accident Liability P. D. each accident each occurrence Medical Payments each person It is understood and agreed that the above named certificate holder (is) J&xg&t) added as an additional assured with respects to the business operations of the named assured. The addition of more than one assured shall not serve to increase the underwriter's total limits of liability. It is hereby understood and agreed that the certificate holder will be given ten (10) days written notice before any reduction of coverage or cancellation of this insurance is effective during the certificate period. R. C. F ISCH ER & CO. 1124 E. 14th. ST. OAKLAND, CALIF. U- RETURN ORIGINAL AND THREE COPIES OF ONLY CITY OF HUNTINGTON BEACH'S FORM COMPLETED CERTIFICATE TO: - CERTIFICATE OF INSURANCE OF CERTIFICATE OF INSURANCE WILL BE ACCEPTED. CITY OF HUNTINGTON BEACH TO P.O. BOX 190 CITY OF HUNTINGTON BEACH, CALIFORNIA HUNTINGTON BEACH, CALIFORNIA 92648 A MUNICIPAL CORPORATION This is to certify that the policies of insurance as described below have been issued to the insured by the under- signed and are in force at this time. If these policies are cancelled or changed in such a manner that will affect this certificate, the insurance company agrees to give 30 days prior written notice, by moil, to City of Huntington Beach, P.O. Box 190, Huntington Beach, California 92648. Archdiocese L.A. & City of St. Simon & Jude Churc, Huntington Beach Name of Insured .1-A- Wash Anisements, A Corporation, i A B32ib I. Robert ad,- co-partnership, $ J.A. Blash $ Alice Blash, individual, Robert Swartwood, individual Address of Insured a _T Blash, Robert Cwaxtwoo & Toh gw&rtweed, ee-part eiship 2805 Peyton Rd., LaVerne, Calif. 91750 Location of Insured Operations Church, 20444 Ma9mlia, Description of Operations fimmenent rides at fall Festiva! POLICIES IN FORCE POLICY DATE LIMITS OF LIABILITY NUMBER EFFECTIVE EXPIRATION A. Workmen's Compensation Statutory Employers' Liability $ Limit B. Public Liability: Lp 3503599 4/1/74 4/l/75 Bodily Injury: Manufacturers and Contractors 11 $ Each Person Comprehensive General 11 $ Each Accident (Including products completed operations) Property Damage included $ Each Accident C. Automobile Liability: Bodily Injury $ Each Person $ Each Accident Property Damage $ Each Accident Does policy cover: All owned automobiles ( ) Yes ( )No Non-owned automobiles ( ) Yes ( ) NO Hired automobiles ( ) Yes ( ) No D. Additional Insured Endorsement: The insured agrees that the City of Huntington Beach City Council,and/or all City Council appointed groups,committees, commissions,boards and any other City Council appointed body,and/or elective and appointive officers,servants or employees of the City of Huntington Beach,when acting as such are additional assureds hereunder. E. Hold Harmless Agreement: The insured agrees to protect, defend, indemnify and save harmless the City of Huntington Beach against loss, damage or expense by reason of any suits, claims, demands, judgements and causes of action caused by insured, his employees, agents or any subcontragtor arising out of or in consequence of the performance of all or any operations covered by the certificate of insurance,and such insurance shall be primary to any insurance of the city. F. Minimum Limits Required: Combined Single Limit Bodily Injury and/or Property Damage including Products Liability: $1,000,000 combined single limit per occurrence. G. Remarks: Stuyvesant Insurance Co. Date Febnl= 15, 1974 (Signed) INSURANCE COMPANY By MO;X##�E 94t4f0iftZ&WPRESENTATIVE Address petroleum Ca mlerre Blda San Antonio, Texas 78205 VI RE'r=URN ORIGINAL AND THREC-COPIES Of ONLY CITY OF HUNTINGTON BEACHES FORM " COMPLETED CERTIFICATE TO: _ CERTIFICATE OF INSURANCE ,�' OF CERTIFICATE OF INSURANCE WILL at - ACCEPTED. - CITY OF HUNTINGTON BEACH TO , P.O. Box 190 CITY OF HUNTINGTON BEACH, CALIFORNIA HUNTINGTON BEACH, CALIFORNIA 22618 A MUNICIPAL CORPORATION - This is to certify that the policies of insurance as described below have been issued to the insured by the under- signed and are in force at this time. If these policies are cancelled or charged-in such a manner that will affect this certificate, the insurance company agrees to give 30 days prior written notice, by mdfil, to City of Huntington Beach, P.O. Box 190, Huntington Beach, California 92648. Name of Insured J.A. BLAB 1 SHOWS INC. Address of Insured 28015 Peyton Rd. La Verne CAlifo rill 91750 Location of Insured Operations TWO �rtJYs Department Store 88P Adams Huntington `"-ao Description of Operations OlarnI�tr�.l_ POLICIES IN FORCE POLICY DATE LIMITS OF LIABILITY NUMBER EFFECTIVE EXPIRATION A. Workmen's, Compensation VOW, Continmus Statutory Employers' Liability 73 B. Public Liability: Bodily Injury: Manufacturers and Gz L.A_, 4-10-74 4-9-75 � C30C3 ��(} Contractors El (} t " $ ' : Each Person UJ%'e$aYt 221s, t; Aa�ldezzt Ina1-iIJed omp ehenslv e General $ Each Accident (Including products completed operations) Property Damage $ Each Accident C. Automobile Liability: odiIy Injvry $ Each Person map L"Umity D&A.L 20795 $ Each Accident Property Damage $ Each Accident Does policy cover: All owned automobiles ( ) Yes ( )No Non-owned automobiles ( ) Yes ( X )No Hired automobiles ( ) Yes ( X ).No D. Additional Insured Endorsement: The insured agrees that the City of Huntington Beach -City Council,and/or all City Council appointed groups,committees,' commissions;boards and any other City Council appointed body,and/or elective and appointive officers,servants or employees of the City of Huntington Beach,when acting as such are additional assureds hereunder. E. Hold Harmless Agreementi The insured agrees to protect, defend, indemnify and save harmless the City of Huntington Beach against loss, damage or expense by reason of any suits, claims, demands, judgements and Causes of action caused by insured, his employees, agents or any subcontractor arising out of or in consequence of the performance of all.or any operations covered by the certificate of insurance,and such insurance shall be primary to any insurance of the city. F. Minimum Limits Required: Combined Single Limit Bodily Injury and/or Property Damage including Products Liability: $1,000,000 combined single limit per occurrence. G. Remarks: Date July intic)74 (Signed) MORRIS HIS °N&LM-,t 3% 114S. AG N z INSURANCE COMPANY e rid 01. By SIGNATURE OF AUTHORJ#EO REPRESENTATIVE Address ` l 'A I'is .?o t ro l Cny yr, r r . I'] (/ x &n Ant ordo ";exas ; 9f'05 225-6101 ( .522) `'a . CERTIFICATE OF INSURANCE City of Huntington Beach c/o Paul C. Jones, City Clerk • P.O. Box 19 0 Ocean View Little League Huntington Beach, Calif. 92648 Attn: Connie Bauer 6162 Napa Circle Huntington Village Shopping Center Huntington Beach, Calif. 92648 8576 Wilshire Blvd. Beverly Hills, Calif. Attn. Mr. Nat Ross This is to certify that the following policy/ies in force at this time have been issued by Roberts, Huff and Thompson, Inc. for Reserve Insurance Company as described below. Name of Insured: Kemsley Kiddie Karnival, Inc. And or any fair or exposition association, sponsoring organization or committee the owner or lessee of any premises used by the named insured or any municipality granting a permit to the name insured, but only as respects accidents occurring within the area by the named insured for the purpose of operating and during the period of such occupation. See below for additional insureds. Address of Insured: 10911 Elinda Place, Sun Valley, California Location of Risk: Springdale and Edinger, Huntington Beach, California August 17, 18, 19, and 20, 1967 TYPE OF INSURANCE POLICY NUMBER EXPIRATION LIMITS Amusement Ride GA-9851142 8-15-68 $500, 000 Combined Single Limit Liability Bodily Injury and Property Damage If such policy/ies are cancelled or changed during the periods of coverage as stated herein, in such a manner as to effect the certificate, written notice will be mailed to the party designated above for whom the certificate is issued. Notice is hereby given that the Roberts/Huff Associates are not the insurers hereunder and they shall not be held liable for any loss or damage. Coverage as provided by this Certificate shall be restricted to the actual engagement dates of the assureds operations on the premises indicated. City of Huntington Beach, Huntington Village Shopping Center, Ocean View Little League, their officials, agents and employees, as additional insureds. DATED AT: Pasadena, Calif. August 14, 1967 ROBERTS, HUFF AND THOMPSON, INC. 521 E. Green Street Pasadena, California BY: August 15, 1967 9 i 5 5 AM Mr. Thompson's secretary, Kattie, of the firm Roberts, Huff and Thompson, Insurance Brokers , called regarding the insur- ance coverage on the KENSLEY KIDDIS KARNIVAL to be held at the Huntington Village Shopping Center, Springdale and Edinger Avenue on August 18, 19, and 20. She stated that the XENSLET KIDDIS KARNIVAL was sponsored by the Ocean View Little League and that Mrs. Connie Bauer, 6162 Napa Circle, City, (842-1408)was in charge of arrange- ments. She further stated that the Proof of Liability in the sum of $500,000 combined' single limits on bodily injury and property property damage insurance had been walled to Paul done*, City Clerk. She was unable to mail the document special delivery because the city has post office b*x ratherAthan a street address. She requests that Mr. Jones call Roberts, Huff and Thompson at the following telephone number. Area Code 213, 449-5985. Their street address is 521 E. Green Street, Pasadena, Calif. CRILAWTEMNS, tD-,-,, ►�R' ,AN O�M_;P,�►NY�� �prA4E INSURANCE MANAGERS i A ,1 �L ,i,� rRrttM 3540 WILSHIRE BOULEVARD j ly LOS ANGELES 5, CALIFORNIA 1;1i1 rEXAS I pprC Ifi This is to certify to CITY OF HUNTINGTON BRACH 1111� 111 CITY HALL HUNTINGTON BEACH, CALIFORNIA — ATTENTION: CITY CLERK 1�i ,111 That the following described Policy or Policies in force at this date have been issued through the office of the undersigned on behalf of insurers set forth below: ��►�' Assured:. GENE HOLTER 1�1 Address:. 10940 RIVERSIDE AVENUE, BLOOMINGTON, CALIFORNIA ;1 Insurer Policy No. Expiration (jl� I+i 1 1 UNDERWRITERS AT LLOYD'S, LONDON LHO 10238 —7-68 2) UNDERWRITERS AT LLOYD'S, LONDON LHO 10239 5-7-68 j 3) 4) Type of Coverage Limits 1 ) BODILY INJURY & PROPY DAMAGE l� ERT A $100,000.00 IIIII 2) EXCESS BODILY INJURY & PROPERTY DAMAGE $400,000 00 EXCESS t 3) 100,000.00 4) Jill �!1 ';yl Notice is hereby given that Cravens, Dorgan & Company, are not insurers hereunder and they shall + not be held liable for any loss or damage. I, 111 1111 For particulars concerning the limitations, conditions and terms of the coverage you are referred to the original Policy or Policies in the possession of the Assured. t Dated at LOS ANGELES, CALIFORNIA JUNE 16, , 19-6-7— Ili'11 iThe Undersigned are not the Insurers, however Insurance has been effected by the Signer ,t Corporation. Lot I{I CRAVENS, DARGAN & COMPANY w sa 3-64 By 0, OernDrate of Ansurance his IA to rudgl that,the following described policy or policies has or have been issued by CHARLES A, LENZ & ASSOCIATES, INC., authorized representative of the company or companies, and is or pre in force on the date mentioned below. ,Insured _ Ted DeWayne Lybarger dba DeWayne Bros. Circus &/or All Cities,_Pro pert<y__________ Owners, Committees, Sponsors s/or Organizations Under Whose Auspices the Insured May Operate - ---------------------------------------------------------------------------------------------------------- Policy of Insurance beginning at------ ---on the-aQl-day of----------Aug U.St.----------- 194a_, and ending* at----------1ZZQJ-AM---..-on the-15111-day of---------August.----------------- 196.1_, Standard Time at place of issue, described as follows: NAME OF INSURANCE CO. POLICY NUMBER TYPE OF INSURANCE LIMIT National Indemnity Company OLT 27326 Public Liability, $50/100/100,000 St. Louis Fire S Marine 1 XL 1 00 95 Including Products nsurance Company Property Damage , Excess Public Liability 50/200/200000 1100/300/300,000 This Certificate is issued at the request of Name --_NUNTINGTON BEACH AMERICAN LEGION &_C1JY OF_I-iUNTINGTON_B EACH------------------------- ------ ------------ HUNTINGTON BEACH CO. Address _.HUDtiJlgtDll-UeAC I.CaJ tforxd-a-------------------------------------------------------------- Special Conditions: Coverage applies to C ' rcus Operations, including Collapse of Grandstand; Live Pony E Li-ve Elephant Rides S Concessions, Location: Main Street across from Huntington Beach High School Notice is hereby given that CHARLES A. LENZ & ASSOCIATES, INC., are not the insurer hereunder and shall not be held liable for any loss or damage. However, as the authorized representative of the above mentioned company or companies, CHARLES A. LENZ & ASSOCIATES, INC., will endeavor to give written notice to the above named certificate holder in the event the policy or policies should be cancelled,' assigned or changed in such a manner as to affect this certificate, but accepts no liability for failure to do so. . Dated At St. Petersburg, Florida _----__----June 22, -19- 65------------ ---------- -- CHARLES A. a ASSOCIATES INC. — 14.92 - 4TM ETRc[T NORTH - P. O. Box 12769 �t ST. P[T[RBMURO. FLORIDA 33733 r G `✓ �A, �� By------- CHARLE'S'�NZ �- I (Zemficatc of Ansurance ThiS 1f t0 MIR that the following described policy or policies has or have been issued by CHARLES A, LENZ & ASSOCIATES, INC., authorized representative of the company or companies, and is or are in force on the date mentioned below. Insured ------- _ I ;, + _I ark ;rtAr d3 '4 l atf$oyt� _ ._ _ OCO, Or _ .1�_ .� 4s, 0000 -t --- ----- rso C4rm1ttws or OrganigationS 0444so MW$4 Auspfte$ the 1"sured ---------------- _ _ Policy of Insurance beginning at___________________on the_____`__day of-------- 19____, 64 and ending at_____ _ `*-----------on the--_ t oa :I- P -- __ -day of_________________________.__----_, 19----- Standard Time at place of issue, described as follows: NAME OF INSURANCE CO. POLICY NUMBER TYPE OF INSURANCE LIMIT 2. Si. LOUIS Para 4, et m 1 .w .. I X� 1 00 ds " pubitio, 'Liability �. This Certificate is issued at the request of Name t i of. am - --- ------------------------------------- tiry a Vo=h Land ccvony city o wmd"tery ft * C h Address ----------------------------------------------------------------=------------------------------- Special Conditions: C'4'rop $ t31r +, fi ' Ow losu ed:19 eXhIbUtIng at. t 11 ► W sett. too s :_ Bich. Q'i I IR18* Notice is hereby given that CHARLES A. LENZ & ASSO.CIATES, INC., are not the insurer hereunder and shall not be held liable for any loss or damage. However, as the authorized representative of the above mentioned company or companies, CHARLES A. LENZ & ASSOCIATES, INC., will endeavor to give written notice to the above named certificate holder in the event the policy or policies should be cancelled, assigned or changed in such a manner as to affect this certificate, but accepts no liability for failure to do so. Dated At St. Petersburg, Florida --------------- =- --� - ------------19_64 CHARLES A. g ASSOCIATES - INC. 1492 . 4TH STREET NORTH .�P: �Ox j. 9'., CERT•4 J 1/� ? ST. PETERSBURG. FLOW /73 Form 26 - 3M v By---------------------/ ----- - -------- / November 23, 1964 Mr Mel De asyne 7260 Bellaire North golly ood, California Iie �Mr. Ve Waynea ,,is letter, ohen signed by you, shall serve as our permission for the one-day ess of property as i.ndicated. Th* ute, fret: of charge, for the circus and in conjuaeti.aaaa . . with the Huntington Beach Juni.dr C1180ber of Comarce shA21 be dependent can the following c i. Proof of insurance coverage b 4100, 00 to $3 0,000 liability .and $10,000 property damage to cover your opeiation. 2. Full consent and cle aranc® with the offi ials of the City o Huntington Beach said compliance with City ordinances. 3. Cleanup and restoration of the property In the same cokidition as before use. 4. Location of all structures, tents, etc, at least 10W ircia all otl wells and other surface oil facilities. Thiv area 16 Block 2002 and the surface of Lota' 2, •4, 6, $, 10, 12, 4nd 14 and the west half of Lots I, 3, 5, 7, and 9- are used by the Huntington Beach Hi.gb School District for a prarS,,i.ng area. have secured permission from Mr. Charles Mashburn ©f the High 86hool District for ,your use. Further, this are& is. subject tp an coil lease a Miley-Xeck, with Signal Oil and Gas Coar4o'!Uy. Permission was received from Mr. Unrold Ni6&en of.Signa.l for your ume. Mr. Nissen r6quested the 100' set-back from oil fadilitits. Please sign and return a copy* of this letter to 4s. Ypurs truly, . Assistant Secretary Agxaed to on this d4y of November, 1964 Hy ; cc: Wesers. H. Nissen C. M..a shburn October 26, 1964 APPROVED BY CITY Huntington Beach City Council Civic Center Huntington Beach, California Dear Council Members : The Huntington Beach Junior Chamber of Commerce is sponsoring the De Wayne Brothers Circus to be held on December 12, 1964. We respectfully ask for your permission to have the circus in town and for a waiver of all fees. Proposed location of the circus is the land located on the northwest corner of the Huntington Beach Union High School, which is the parking lot. This land is owned by the Huntington Beach Company. Mr. Strachan of the HB company is working to get us clearance to use this property. All monies received from this circus is to be used to help with our civic projects such as a Dennis the Menace Park and Playground and Facts About Our City. These and other projects of service to our community need the money from the circus. Your help in this matter will be appreciated very much. Sincerely -fours, Richard N. Troxell External Vice-President HUNTINGTON BEACH JUNIOR CHAMBER . RNT:bh IN6`rdy� _ City f Huntington Beach y o ng California O D November 3, 1964 Mr. Richard N. Troxell Huntington Beach Junior Chamber of Commerce P.O. Box 289 Huntington Beach, California Dear Mr. Troxell: The City Council of the City of Huntington Beach at their regular meeting held Monday, November 2, 1964, granted your request for permission to have De Wayne- Brothers Circus on property located opposite the High School on December 12, 1964, with fees waived, to raise funds for your civic projects. The De Wayne Brothers insurance with the City expired as of September 20, 1964. Therefore, it will be necessary for them to submit to the City, liability insurance in the amount of $100,000/$300,000, and property damage insurance in the amount of $25,000 with the City named as co-insured, as a stipulation bf the granting of this request. Sincerely yours, Paul C. Jones City Clerk PCJ:tr C.E. A L d-y4 N M R EE r 1 1819 2p�j 650 SOUTH SPRING STREET > f,9 , N LOS ANGELES 14, CALIF., MA 3-3504 azCEIYED '� t rb VERIFICATION OF INSURANCE t � City At, tar7e`ach Office Y s C To: ORANGE COUNTY CYSTIC FIBROSES CIRCUS PROJECT AND C 1 TY`OF HUNT I NGTON BEACH We, the undersigned Insurance 'Brokers, hereby:certify.'that the-following-described-insurance-is in force at this date, of which 100 per cent is insured with Certain Insurance Companies. REL I ABLE I NSURANCE COMPANY ASSURED: TED DE .WAYNE DBA DE WAYNE BROS. CIRCUS ADDRESS: 7260 BELLAIRE, SPACE 380 NORTH HOLLYWOOD, CALIFORNIA LOCATION OF RISK: MAIN AND,:MANS ION,STREETS, HUNT I NGTON BEACH, CAL I FORN I A DATE OF RISK: NOVEMBER 239 1963 4y' - ( r t TYPE OF INSURANCE: Bob LLB( 'INJURY' AND PROPERTY DAMAGE POLICY OR CERTIFICATE NO.: AA 8727 & AA 8728 PERIOD: From SEPTEMBER 20, 1963 To SEPTEMBER 20, 1964 LIMITS OF LIABILITY: Bodily Injury $100,000/300,000. Property Damage $10,000. This document is furnished to you as a matter of information only. The issuance of this document does not make the per- son or organization to whom it is issued an additional assured, nor does it modify in any manner the contract of insurance between the Assured and the Companies. Any amendment, change or extension of such contract, can only be affected by specific endorsement attached thereto. td Should the above mentioned contract of insurance be-cancelled, assigned or changed during the above named policy period tr in such manner as to.effect this document, we, the Undersigned, will endeavor to give 10 days written notice to the �E holder of this document, but failure to give such notice shall impose no obligation of any kind upon the Undersigned or upon the Companies. A, F. ARNOLD CO., LTD. cy p tZ -- -------------- B ------- NOVEMBER 18 1963 r..._--� v; Dated---------------- - --- - ------ - - - Y ---•• - - ------ -- - -=---------- ------------------------------------------- (OVER) r� SLP 5085 (COMPANIES) PRINTED IN U.S.A. rn c IT IS HEREBY UNDERSTOOD AND. AGREED THAT THE FOLLOWING ARE ADDED AS ADDITIONAL ASSUREDS HEREUNDER, BUT ONLY AS RESPECTS THE OPERATIONS OF THE NAMED ASSURED; T _t . .1; „l; _;� .� I I :T c'r ',i:. _ r`.I:U,., I, ORANGE COUNTY CYSTIC FIBROSES CIRCUS PROJECT CITY OF HUNTINGTON BEACH IT IS FURTHER AGREED THAT THE INCLUSION OF MORE THAN ONE ASSURED _,,SHALL,NOT, OPERATE TO INCREASE THE LIMIT OF THE COMPANYIS LIABILITY. A LD &,C 0 LTD. G .1ar < fr -�Z, " , r t 1 V ) Ai.• ar-.r _ , S 1:� KG /A/G . [eedstllyl(/63 �e i i J11 / I - C.E. A L L A N M R E Piv I,�,� pp p - �� VERIFICATIO URANCE A�I'' 0 . 650 SOUTH SPRING STREET LOS ANGELES 14,.CALIF., MA 3-3504 1� p� �0 WI1'4.aftFj '`"s COW-RT.i n Y."S.Lu',f. 4'r) ( .w §T We, the undersigned Insurance Brokers, hereby certify that-the ,following described insurance is in force at this date, of which per cent is insured with Certain Insurance CompanieMsn IND - ASSURED: ,.;tdL;, .::i.r :,. '-,3,.`d.+ ...1 i..� 4`1+';',T,3• �.ti,•db eta'::>r:: . � vJ�•.,cV .:� ADDRESS [ 3+3 two `�::i„,. �r ,� .• ..1 a;":'P c'�.�.`�w»,t„y„9 - ,_a.:.,. .ow y r� v fi I '. `%�3d»�.�);°(tF�,.�, r .d,.>r:�,.3.�s r. LOCATION OF RISK: .. si .4''�i. .s: �'•Ys.d .%eS�! }, y'�+y->; � 3�Ty: i ¢ti� A"v �'a. �`1 gn f -f� h•:°. Srt>�';&,�'6d� � ;,�.A. I.+. :}:'�. d.••d.d�..�....�� L.P6'Y.2:S�.» q. � F'!�r'taiT;in'.1 `1�'i i.'b --N,F ta.,,� ,,,i{'..I I',..Y;«a� ]!n•.. E'�y rn.- r•.,,f o.A.}'%F.Y ;':J L;,r it '. .�.yJr':,?.v ... TYPE OF INSURANCE: _ {{ �3 V—, _d,�NjtTIF Vg {.'. I)�Ti.011�.ik'�i� POLICY.OR CERTIFICATE NO.:--. PERIOD: - From To LIMITS OF LIABILITY:.Bodily Injuiy Property Damage tX) This document is furnished to you as a matter of information only. The issuance of this document does not.make the per- son or organization to whom it is issued an additional assured, nor does.it modify in any manner the contract of insurance between the Assured and the Companies. Any amendment, change or extension of such contract can only be.a!ffected by specific endorsement attached thereto. Should the above mentioned contract of insurance be cancelled;•assigned or changed+durin the above named policy period in such manner as to effect this•document, we, the Undersigned, will endeavor to give , days written notice to,the holder of this document., but failure to give such notice shall,impose no obligation,of any kind upon the Undersigned or. upon the Companies. z , v' AJPjam <;.iiz{<<)L� ek. CO. Ufa w,..�o s' Dated----------x nl.;rf qra __`�: "f ------ B --------- �� J SLP 5085 '(COMPANIES) PRINTED IN U.S.A.— - �• _FROM r _ TO Doyle Miller VILLIAM GALLIENNE,,_ -- Manager Chamber of Commerce HUNTINGTON BEACH DATE June 17, 1965 _ CALIFORNIA I NOTE INSURANCE POLICY ENCIDSED. = - GCS CERTIFICATE OF INSURANCE . This is to Certify that the following insurance policies have been issued by the respec- tive Companies and are in force at'the date indicated below. Name of Insured: "WEST 'COAST SHOWS., I NC.. P. O. Address of Insured: 240; J.ONES`':STR13]', SAN FRANC:I:SCO,CAL„I.FORN:iI Period for which the Certificate is effective Description and Location of Operations or Work Covered DUNE 16, 065: to*1UNE :20.., 1905iclusive. . . HU.NT,I NGTQN': B,I�ACH:`CH�4MBER._ OF COMMERCE, HUNT INGTON BEACHKIWANISCLUB, CITY- OF HUNT I NG11QN BEACH AN' HUNT i NGTQN BEACH".00MPANY MR. . WM. .GAL'I_.IENNE R. C. F CHER"& CO. CHAMBER,.-OF COMMERCE. 311.4 5.Tk STREET_. By: 1/7 HUNT;INGTON .`BEACH, 'CALiORN.IA Dated: 6/1_1./65 19 This certificate is not a policy and do,eftant afford any insurance coverage. _-Nothing contained in this certificate shall be co extending coverage not afforded by the designated policy" or by endorsement thereq ` ' AMUSEMENT LIABILITY ' Public Liability (Other than Auto). Limits of B .I.'00.0',000.. each perso 1:,000,,0OO.each occurrence aggregate Liability P. D. 100,0001-. each occurrence. aggregate INSURER POLICY NO. POLICY PERIOD l . AMER i CAN:: `HOME_.�AS.SUR. . CO. :6.15_ 1:69:7 l./1/65. .,to_ T./1,./66 2. .UNDERWR I AASS AT ,LLOYDS 15,. 1455. �.. 1'45b 3 . 4. TYPE OF COVERAGE LIMITS 5Q00./1 'AMUSEMENT L1/ B1LITY 00 ,00q, o " .I nj.ury B ' Z . 100,000. Property .Damog.e 3 . 4 . AUTOMOBILE LIABILITY Policy No. Policy Period Limits of B .I. each person each accident Liability P.. D. each accident each occurrence Medical.Payments each person It is understood and agreed that the above .named certificate holder (is). x ( 1 � added as anadditional assured with respects to the business operations of the named assured. The addition of more than one assured shall not serve to increase the underwriter' s total limits.of liability. It is hereby understood and agreed that the certificate holder will be given t'en (10) days written notice before any reduction of coverage or cancellation of this insurance is ef- fective during the certificate period. CITY"*CLERK, S CERTIFICATE OF INSURANCE COPY This is to Certify that the following insurance policies have been issued by the respec- tive Companies and are in.force at th,e.date, indicated below. Name of Insured: . KEMSLEY 'S_ KI RD I E KARN I.VAL.;.I NC.: P . O. Address of Insured: 1091 1. EL I NDA PLACE, SUN' VALLEY; ,CAL I.FARN IA Period for which the Certificate is effective Description and Location of Operations or Work Covered 8/'27; 28,, 29. and 30 ;.M j964 inclusive. OCEAN` V I EW 'L•I.TTLE-LEAGUE SPONSOR VON'S, $HOPP I NG BAG MARKETS C I.TY' OF HUNT I NGTON ' BEACH PA,RT I C FPAT I NG,`4SER�1.Ed" CLUBS R. C . FI CHER & Go. COMMIT TEE: ANO ALL"O'FFI'CERS- By: .HUNT I NGTON � $tA,CH; .,CAL I.FORN:I.A Dated: 9/20/64 19— This certificate is not a policy and do Nei Cott afford any insurance coverage. Nothing contained in this certificate shall be consfi�k"'ed as extending coverage not afforded by the designated policy or by endorsement ther• . AMUSEMENT LIABILITY Public Liability (Other than Auto) Limits of B .I.$30.0,000. each person. 500 ,000: each occurrence aggregate Liability P. D. M—,000. each occurrence aggregate INSURER POLICY NO. POLICY PERIOD 1 .AME11ICAN HOME ASS,UR, CO. 61.4 1253 7/l./64 to 7/1 /65 2 .U.NDERWR I,TERS AT, LLOYD'S 15-.1 .181 & 1 182 3. 4. TYPE OF COVERAGE LIMITS 1-.AM0SEMENT. L IA,B I L f TY -50%, bf $'25 ,000/25 ,0.0.0.. . Bod i.l y:" Injury 2 . 50% of $25:,000'. . Pebpert Damage' $75/275 ,000. . excess- .of � 25/ .B.. I . 3 '.EXCESS' AMUSE. LIABILITY `5'c)%' o'f .: 25 ,000/25 ,.000. Bodily Injury 4 . 50/ .of. 25 ,000: -Property, Dam6ge AUTOMO ILE LIABILITY Policy No. Policy Period Limits of B .I. each person each accident Liability P. D. each accident each occurrence Medical Payments each person It is understood and agreed that the above named certificate holder (is) (J(N"Xkadded as anadditional assured with respects to the business operations of the named assured. The addition of more than one assured shall not serve to increase the underwriter' s total limits of liability. It is hereby understood and agreed that the certificate holder will be given ten (10) days written notice before any reduction of coverage or cancellation of this insurance is ef- fective during the certificate period. PRf . FC. RAfi ' --------r--1�9----, r � TY AT EY PAUL C. JONES, City Clerk I 1 1 u R. C . E I S C H E R & CO . JnJurance- Surety Poridi 1124 EAST 14TH STREET OAKLAND 6, CALIFORNIA PHONE 534-6723 AREA CODE 415 August . 19 , 1964 City of Huntington Beach CITY CLERK'S 'City .Hal1 � ' Hun'tington .B'each , California RE: AEMSLEY S K.I DD I E KARN I VAL Enclosed are Certificates of Insurance for the captioned insured as requested. We trust the enclosed will be found in order. Yours-v"e Illy, R. C. FI HER & CO. G� �'jw, CERTIFICATE�.OF ANSURANCE CITY OF HUNTINGTON BEACH CITY HALL, LICENSE DEPT. HUNTINGTON BEACH, CALIFCR NIA THIS IS TO-CERTIFY:'as.to the existence of•insurance with:,Under.writers at Lloyd's, London.and/or,Insurance Companieg, as described below: Bradley & Kaye Amusement Company and Name of Assured: Earl L. Kreutel dba E & M Amusement Rentals 8506 Beverly.Boulevard, Los Angeles Address of Assured:' 1485 Hayes Street, Long Beach Location of Risk: A Fantastic Fair Stores, 16672 Beach, Boulevard, Huntington Beach ' April 23, 24, 25 and 26, 1964 Kind of Insurance: Amusement Park Liability $_ Certificate No.,;`-i100137 period from 8/ 1'.�63 to 8/ 1/64 Limits: Bodily Injury each person. $ 100, 000 each accident $ 300, 000 aggregate $ Property Damage—each accident . $ 50, 000 aggregate. $ It is understood and agreed that the City of Huntington Beach and all its 'elected and appointed officers and employees are hereby named as ADDITIONAL INSUREL Kind of Insurance: when acting in their official capacities, but only with respect to claims arising out of the .operations of E & M Amusement Rentals, Certificate No. ;period from to Limits: Bodily Injury each person $ r each accident::. $ aggregate - - $ -Property Damage—each accident_ $ aggregate $ M•� a c� Kind-of Insurance: Certificate No. period from to L � Limits: H C It_is•hereby.understood -and agreed that the certificate holder.will be given ten;(10),days written-notice:before any reduction of coverage or ; cancellation.of this insurance is effective. C�J Dated at Los Angeles, California this 22nd day of April, 1964 cc: Insur,ed� jg SWETT&CRAWFORD BOOTH AND SIMPSON 801 No, La Brea,, LA 9003.8 •U 6082 LS cfs 25M 10-63 Printed in U.S.A. u%F&wJnA , I ; CERTIFICATE OF INSURANCE THIS IS TO CERTIFY that the following policies, subject to their terms, conditions and exclusions, have been issued by this company: This is not a policy of insurance, nor is it an endorsement making the person, firm or corporation at whose request it is issued an additional insured on the policy or policies referred to herein. In the event of cancellation of any such policy or policies, the company will-endeavor to give the principal named herein......1.0........days written notice prior to cancellation. If the number of days is not stated herein, then the maximum period of notice shall be five (5) days. NAME AND ADDRESS OF PARTY TO WHOM CERTIFICATE IS ISSUED NAME AND ADDRESS OF INSURED CITY OF HUNTI.NGTON BEACH LITTLE KIDDIE ATTRACTION H. E. & T. J. SALTER HUNTINGTON BEACH, CALIFORNIA 520 E. LOMITA GLENDALE, CALIFORNIA \- POLICY EFFECTIVE EXPIRATION ' TYPE OF INSURANCE NUMBER* DATE DATE LIMITS OF LIABILITY* Workmen's Compensation Statutory In confo?finance with the Compen- sation Law of the State of Public Liability OLT-121+924 2-4-64 2-4-65 $ 100000 Each Person Bodily Injury $ .2p4,000 Each Accident _ $ Aggregate Products '1 / $ 000 Each Accident OLT—1 24924 2-4-6`t $ Aggregate Operations Public Liability $ Aggregate Protective Property Damage $ Aggregate Products $ Aggregate Contractual $ Each Person Automobile (Bodily Injury) $ Each Accident Automobile (Property Damage) $ Each Accident $ $ r . r rt $ *Absence of any appropriate entry.means no such insurance is in force. M (D REMARKS: a a f ............ ...............:........ ........................ ...... ...... r Dated. -------� -6 ...- H.LGHWAY....INSURAI�IC.E...C.OMPA(uY,....CHLCAGQ,.....1-LL..---... (Company) e MO RIS H K LI�F 0 ,. G NTS By.. .. ... yCl/................... . ... .................................... . .' 1 \ MrKinrI S KA \ 11 o I _��A/b/Oz=-A Jail GONTINENTgL g55URgN0 0. �� pm 2 v MORRIS H. KALIFF & SON 29 JU�l 620 PETROLEUM-COMMERCE BLDG. 196A ti 201 N. ST. MARY'S STREET SAN ANTONIO,TEXAS 78205 U S AE��wPfE'PaIIL \ CITY OF HUNTINGTON BEACH VIA AIR MAIL \ ' HUNTINGTON BEACH CALIFORNIA ///////////_ ///!!!!////