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AC"RV CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDD/YYYY) <br />04/11 /2022 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Jim McAnany <br />NAME: <br />Nielsen McAnany Insurance Services, Inc. <br />a/CNN Ext : (805) 379-8805 a/c, No): (805) 204-4501 <br />4165 E. Thousand Oaks Blvd <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Suite 325 <br />INSURERA: California Auto Insurance <br />38342 <br />Westlake Village CA 91362 <br />INSURED <br />INSURER B <br />ELITE SPECIAL EVENTS, INC. <br />INSURER C : <br />404 N Sparks St <br />INSURER D : <br />INSURER E : <br />Burbank CA 91506-1963 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: CL2222508466 REVISION NUMBER: <br />THIS IS TO CERTIFYTHAT 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 MAYBE 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 />INSR <br />POLICY EFF <br />POLICY EXP <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />MMIDDIYYYY <br />MMIDDIYYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />CLAIMS -MADE DOCCUR <br />Ea occurrence) <br />$ <br />-PREMISES <br />MED EXP (Any one person) <br />$ <br />PERSONAL&ADV INJURY <br />$ <br />GEN'LAGGREGATE LIMITAPPLIES PER. <br />GENERAL AGGREGATE <br />$ <br />HPOLICY ❑ PECT ❑ LOC <br />PRODUCTS- COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BA040000023533 <br />08/31/2021 <br />08/31/2022 <br />BODILYINJURY(Peraccident) <br />$ <br />XHIRED <br />FIR ERTYDAMAGE$ <br />Per accident <br />NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />rx <br />EMPIN <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE El <br />OFFICER/MEMBER EXCLUDED? <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The City, its officers, officials, employees, and volunteers are to be covered as additional insureds per attached <br />MCA85100817-CA. <br />Santa Ana Easter Event <br />April 16, 2022 <br />Centennial Park 3000 W. Edinger Ave, Santa Ana, CA. 92704. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />PO Box 1988 <br />Santa Ana CA 92701 J.McAnany „o=a E Risk ManagernadDiAsian <br />J \@ REVIEWED & APPROVED BY: <br />© 1988-2015 ACOF I, <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD _ _�_� RukManagement Specialist <br />