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CERTIFICATE OF LIABILITY INSURANCE <br />2/13/2019D YYY) <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(ies) 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 endorsement 5 . <br />PRODUCER <br />A J INSURANCE <br />1000 Macarthur Blvd #66 <br />Santa Ana, CA 92707 <br />OF57419 <br />CONTACT <br />NAME <br />P"°NE (714) 673-5549 FM <br />AIC P <br />E-DMAIE _imnsurance ive.com <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />IN A MESA UNDERWRITERS SPECIALTY INS. <br />36838 <br />f �'yy <br />INSURED GALAXY PARTY RENTALS � �. L —1 �V <br />INSURER B' <br />ZAVALA, ROBERTO AND EUGENIO PEREZ <br />INSURER C' <br />INSURER D: <br />11787 CARDINAL CIR <br />GARDEN GROVE, CA 92843 <br />RER EINSURER <br />E <br />COVERAGES CERTIFICATE NUMBER: RFVI.RION NIIMRFR- <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 SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONSAND CONDITIONSOF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BYPAID CLAIMSINSR . <br />LTR <br />TYPE OF INSURANCE <br />INSR <br />MD <br />POLL YN B <br />MM/DD/YYYYY <br />MM/DDNYYV <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />s 1 000 000 <br />MMXMPREMI E oIrmirosl <br />$ 100 000 <br />g COMMERCIAL GENERAL LIABILITY <br />MED EXP An one rmn <br />$ 5 000 <br />CLAIMS -MADE 0OCCUR <br />PERSONAL $AR <br />$ 1,000,0001 <br />A <br />S DED: $500 <br />MP0004014000837 <br />09/26/18 <br />09/26/19 <br />AGG$ <br />2,000,000 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />-C <br />$ 2 000 000 <br />x POLICY <br />PRO- LOG <br />$ <br />OMOBILE UABIUTY <br />SINANYAUTO <br />ffPRODUCTS <br />RY$ALLOWNED <br />SCHEDULED <br />AUTOS <br />H <br />URY$AUTOS <br />)NON <br />-OWNED <br />HIREDAUTOS AUTOS <br />DA <br />Peracci en <br />$ <br />UMBRELLA UAB <br />OCCUR <br />occ,MS-MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS UAB <br />DED ETENTION <br />WORKERS COMPENSATION <br />WCSTATt ][ OTH- <br />AND EMPLOYERS' UABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICEMMEMBER EXCLUDED? <br />NIA <br />E.L.EACH ACCIDENT <br />$ <br />E.L. DISEASE- EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />ifyes, destn'be under <br />DESCRIPTION F OPERATIONS W, <br />P 1 rYqP&qP-POLICY LIMIT <br />CONTENTS: <br />A <br />PROPERTY <br />MP0004014000837 <br />09/26/1809/26/1 <br />$250,0000 <br />DED: $1,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Aaach ACORD 101,Additimal Remaft Schedule, if more space is required) <br />PARTY RENTAL STORE: <br />City of Santa Ana, its officers, agents and earployees are named as additi wo001 d. <br />City of Santa Ana Public Library <br />26 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DPMRIBED PO' Xg-BE CANCELLED BEFORE <br />THE EXPIRATION DATE TI{EREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATI' <br />©1988-20 <br />eserved. <br />ACORD 25 (2010/05) <br />The ACORD name and logo are registered marks of ACORD <br />