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aCt�A'C]' CERTIFICATE OF LIABILITY INSURANCE <br />MIDDIVYYVf <br />3/21/2021/2018 <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 INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions or 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 />A J INSURANCE <br />1000 Macarthur Blvd #66 <br />Santa Ana, CA 92707 N-2018-160 <br />OP57419 W_ <br />NAME CT <br />PNGNE (714 673 5549 �"%� <br />C. J:stl ..� ..... — At No$. <br />pQRR:ajinaurance Va.Com <br />INSURERS) AFFORDING COVERAGE <br />NAIC» <br />kI RA.MESA UNDERWRITERS SPECIALTY xNS. <br />36838 <br />INSURED GALAXY PARTY RENTALS <br />2AVALA, ROBERTO AND EUGENIO PEREZ <br />11787 CARDINAL CIR <br />GARDEN GROVE, CA 92843 <br />INSURERS: <br />INSURCRC <br />msuRERo <br />II F <br />COVERAGES CPFTTIFIrATF NI IMFIFW 0C1/ICR1M elan.... <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ` <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY DE 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 BYPAID CLAIMS. <br />Use <br />I.TR <br />TYPE OF INSURANCE <br />NUMBERMe POLICY <br />POLICY <br />IUY yXy <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 1 000 000 <br />COMMERCIAL GENERAL LIIABILITY <br />F llfflION <br />S 100 000 <br />MEDEXP Arrane anon <br />5 5 000 <br />CtAIMSMADE L^' OCCUR <br />A <br />8 DED: $500 <br />MP0004014000837 <br />09/26/1709/26/18 <br />PERSONAL. aADVINJURY <br />5 1 000 000 <br />GENERAL AGGREGATE <br />S 2,000,000 <br />GEN'L AGGREGATE <br />LIMIT APPLI <br />BPER: <br />PRODUCTS CtlMPIOP AGOM-000PO <br />I <br />PRO <br />OAUTOMOBILE <br />LIABWTY <br />COMB/ SN' EL IrANYAUTO <br />BODILY INJURY(Par person) <br />ALLOWNEO SCHEDULED <br />AUTOS AUTOS <br />AUTOS <br />BODILY INJURY (Peraccleanl <br />INOWOWNED <br />ft0 Efi MAGHIREDAUTOS <br />ec,eenUMBRELLA <br />LIAS <br />OCCUR <br />EACH 0 CURRENCE <br />EXCESSCIAIMS•MADE <br />AGGREGATE <br />DEB RETENTION <br />WORKERS COMPENSATION <br />AND EMPLOYERTUABILITY y�q <br />ANY PROPRIETCRIPW17NERIE%ECUTIVE F�1 <br />OFFICERIMEM6ER EXCLUDED? IL_!I <br />NIA <br />WC STAN OTH <br />EL. FACH ACCIDENT <br />5 <br />E.L. DISEASE - EA EMPLOYEE <br />5 <br />(M.tshtcry in NH) <br />II sUeecebe under <br />R TI N F P R T SCol. <br />1 <br />CONTENTS: <br />A <br />PROPERTY <br />MF0004014000837 <br />69/26/1709/26/18 <br />$250,0000 <br />DED: $1,000 <br />DESCRIPTION OF OPERATIONS r LOCATIONS/VEHICLES IAeach AGORD UNAddillonat Rema,xs SCHeJula,irmonsPerefsrequima) <br />PARTY RENTAL STORE: <br />City of Santa Ana, its officers, agents and employees are named as additional inz��. <br />I-� <br />City of Santa Ana Public Library <br />26 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE <br />THE EXPIRATION DATE T <br />ACCORDANCE WITH THE POL <br />AUTHORIZED REPRE / <br />1- <br />Lil <br />ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD <br />'.LIED BEFORE <br />DELIVERED IN <br />All rights reserved. <br />