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CERTIFICATE OF LIABILITY INSURANCE <br />MIDDIYYYY' <br />S/21/2021/2018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsements . <br />PRODUCER <br />AN A J INSURCE <br />1000 Macarthur Blvd #66 <br />Santa Ana, CA 92707 N-2018-082 <br />OF,57419 <br />NAME NTACT <br />— <br />PmA"�Es (714) 673-5549 lac Jo <br />DD Ess:aiinsu.rainCe ive.com <br />INSURERS AFFORDING COVERAGE <br />NAICq <br />INSURERA,.NESA UNDERWRITERS SPECIALTY INS. <br />36838 <br />INSURED GALAXY PARTY RENTALS <br />ZAVALA, ROBERTO AND EUGENIO PEREZ <br />11707 CARDINAL CIR <br />GARDEN GROVE, CA 92843----- <br />INSURER B: <br />INSURER _ <br />INBURERD: <br />SURER F' <br />ChVr GAr]rC IIE1ICIn ATC nC a.eom. ­........ ......—._._ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ` <br />INDICATED. NOTWITHSTANDING ANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CIEMMS. <br />INSIR <br />LTR <br />TYPE OF NSDRANCE <br />R <br />o <br />POLICY NB <br />OD F <br />MMIDDY/VYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 1,000,000 <br />R COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE `t OCCUR <br />_ <br />MAUL IU R N `U <br />$ 100,000 <br />S 5,000 <br />MED EXP An ane erson <br />A <br />R DED: $500 <br />MP0004014000837 <br />09/26/1709/26/1Q. <br />PERSONAL AADVINJURY <br />s 1,000,000. <br />GENERAL AGGREGATE <br />s 2,000,000 <br />GENT AGGREGATE <br />1R POLICY <br />LIMITAPPLIEB <br />PRO <br />PER: <br />LDC <br />PRODUCTS, COMPIOP AGO <br />s 2,000,000 <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINED tDLELIMIT <br />..I <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />ALLOWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />H I <br />BODILY INJURY (PeracdtlenU <br />$ <br />PROPERTY DAMAGE <br />Per BCCI,.0 <br />S <br />S <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />S <br />EXCESS LIAB <br />11M5-MADE <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PRO PRIETORIPARTNE RI EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />(Mgnd.0r, In NH) <br />r IPS desa'Iba under <br />DESCRIPTION Of OPEIi Tb Sbelow <br />NIA <br />WC STATU- }[ pTH <br />E. L. FJ�CH ACCIDENT <br />S <br />E.L. DISEASE -EA EMPLOYEE <br />S <br />IS E, POLICY LIMIT <br />S <br />CONTENTS: <br />A <br />PROPERTY <br />MP0004014000837 <br />09/26/17 <br />09/26/18 <br />$250,0000 <br />DED: $1,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAnach ACORD iD1,Addlllonal Remerke SCM1edule,It mare space is required) <br />PARTY RENTAL STORE: <br />City of Santa Ana, its officers, agents and employees are named as additional ins�r`��. <br />\Q <br />SHOULD ANY OF THE ABOVE DESCRIBED LI AE IiVI LLED BEFORE <br />City Of Santa Ana Public Library THE EXPIRATION DATE THEREOF OTICEL DELIVERED IN <br />26 Civic Center Plaza ACCORDANCE WITHTHE POLICY PAI VISIONS, <br />Santa Ana, CA 92701 / <br />AUTHORIZED REEBE / <br />©1 I All rights reserved. <br />ACORD25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />