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d CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD YY) <br />2/13/2019 <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: lithe certificate holder Is an ADDITIONAL INSURED, the policy(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 Ileu of such endorsement(s). <br />PRODUCER <br />A J INSURANCE <br />1000 Macarthur Blvd #66 <br />Santa Ana, CA 92707 <br />OP57419 <br />NTA T <br />PHONE 714 673-5549 AI <br />5"N°I <br />AIL a inatlrance ive.com <br />INSURERS) AFFORDING COVERAGE_ NAICY <br />MESA UNDERWRITERS SPECIALTY INS. 36838 <br />INSURED GALAXY PARTY RENTALS f �_� (., �/�n �' <br />ZAVALA, ROBERTO AND EUGENIO PEREZ <br />11787 CARDINAL CIR <br />GARDEN GROVE, CA 92843 <br />INSURER B <br />INSURER—• <br />_• <br />SURERD-i <br />INSURER E. <br />GCIVFRA(;FS r]GRTIFIr1ATR MI IftmPP- DRVlclnnt aaTnawcR• <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 CONTRACTOR 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 MAV HAVE BEEN REDUCED BYPAID CLAIMS. <br />LTR <br />TYPEOFINSURANCE <br />ISR <br />YWD <br />POLICYNUMBER <br />IV IL <br />Y P <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCES Z ,,,000 000 <br />X COMMERCIAL GENERAL LIABILITY <br />UAWQIE+.x nen�8 S 100,000 <br />CLAIMS -MADE El OCCUR <br />MED EXP An one a,aenya 5.000 <br />A <br />X LIED: $500 <br />MR0004014000837 <br />09/26/1809/26/19 <br />PERSONAL &ADV INJURY s 1,000,000 <br />GENERAL AGGREGATE s 2,000,000 <br />GEN'LAGGREQATELIMITAPPLIES <br />PER: <br />PRODUCTS. OMP/ PAGG a 24000,000 <br />X P <br />PRO <br />S <br />AUTOMOeaEUABILITr <br />L L $ <br />( Per person) S <br />ANYAUTO <br />ALLOWNED SCHEDULED <br />AUTOS AUTOS <br />(Paraccldenq $ <br />HIREDAUTOS NON -OWNED <br />AUTOS <br />PROPERTYDAMAGEs <br />FAGGREGA <br />S <br />UMBRELLA UAS <br />OCCUR <br />B NOs <br />S <br />EXCESS IIAB <br />CLAIMS -MADE <br />WORKERS COMPENSATIONT <br />AND EMPLOYERS LIABIUTY <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />X OR . <br />E.L.EACH ACCIDENT S <br />E.L. DISEASE. EA EMPI,OVE $ <br />(Mandatory in NH) <br />R es, dePT Untl&' <br />E -P V <br />CONTENTS: <br />A <br />PROPERTY <br />MP0004014000837 <br />09/26/1809/26/1 <br />$250,0000 <br />DED: $1,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (AtWoh ACORO 101,AddilWnal Remares Scbedule,if mmspaoe istaquired) <br />PARTY RENTAL STORE: <br />,,LL <br />City of Santa Ana, its officers, agents and employees are named as addit\,\ �iN$ d. <br />Cit Of Santa Ana Public Libras SHOULD ANY OF THE ABOVE D meED Pw?,IQS'BE CANCELLED BEFORE <br />Y y HE EXPIRATION DATE TH ", NOTIDE WILL W DELIVERED IN <br />26 Civic Center Plaza ACCORDANCE WITH THE POLICYPROVISIONS. <br />Santa Ana, CA 92701 / <br />AUTHORIZED REPRESENTAFI' / y <br />,✓'F I <br />9 1988-20 " / }� 'eserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />