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A�oRn CERTIFICATE OF LIABILITY INSURANCE <br />03izoi2o s' <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER IDA VO <br />STATE FARM INSURANCE <br />745 S LEMON AVE <br />O WALNUT, CA 91789 <br />NONTA T ida Vo <br />PHONE we no • 909 55-22 <br />EMAIL A <br />DORE s: IOA.VO.D02UCatSTATEFARM.COM <br />INSURERS AFFORDING COVERAGE <br />NAIC9 <br />INSURER A: State Fan General Insurance CompanY <br />25151 <br />INSURED DAZZLING D'S PRINCESS PRODUCTIONS <br />648 F NORTH TUSTIN ST <br />ORANGE, CA 92867 <br />INSURER 5: <br />INSURER C: <br />INSURER D: <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILSR <br />OF INSURANCE <br />ADDLTYPE <br />WqR <br />BUSH <br />POLICY NUMBER <br />POLICY EFF <br />POLICY UP <br />LMITS <br />GENERALLIABIUTY <br />Y <br />92-EU-W679-8 <br />08/07/2018 <br />08/07/2019 <br />EACH OCCURRENCE <br />5 1,000,000 <br />PREMISES Ea amunence <br />$ 300,000 <br />x COMMERCIAL GENERAL LIAOILITY <br />CLAIMS -MADE ❑ OCCUR <br />MED EXP Any one person) <br />$ 5,000 <br />PERSONAL SADV INJURY <br />$ <br />_ <br />GENERALAGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS-COMP/OP AGO <br />$ 2,000,000 <br />POLICY <br />PRoF7LOC <br />F7 JE <br />BUS PERSONAL PR <br />$ 10,500 <br />AUTOMOBILE <br />LIABILITY <br />E accitlent I L LIMIT <br />$ <br />BODILY INJURY (Par Person) <br />5 <br />ANYAUTO <br />ALL UTOOWNED <br />AUTOS <br />HIREDAUTOS NON OWNED <br />AUTOS <br />BODILY BODILY INJURY (Per eoc1denh <br />$ <br />P 0PERTY DAMAGE <br />a acce, <br />S <br />5 <br />UMBRELLA UAS <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED 1 1 RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />WO 5TATU- OTF+ <br />ER <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOMPARTNELEXECUTIVE YIN <br />OFFICEIMEMSER EXCLUOEOP <br />NIA <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE• PA EMPLOYEE <br />$ <br />(MendZq In NMI <br />E.L. DISEASE -POLICY LIMIT $ <br />If yes, describe under <br />QFn <br />Additional insured:City of Santa Ana, Its officers, agents, and employees20 Civic Center Plaza Santa Ana, CA 92701 <br />DESCRIPTION OF OPERATIONS ILOCATIONS/VEHICLES IAUaeh ACORD 101, Additional Remarks Schedule, a more space is required) W��:) <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD , 1t),01486 13284g.5 11-15-2010 <br />