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Samantha w„M„ A� o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYYY) 5/10/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Bolton Insurance Services LLC 3475 E. Foothill Blvd., Suite 100 Pasadena, CA 91107 CONTACT PHONE 626799-7000 ac No: 626 583-2117 E#1AIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# wwmboltonco.com 6004772 INSURER A: Fireman's Fund Insurance Company 21873 INSURED CWF,Inc. DBA: DBA: Al Party Rentals INSURER B: Benchmark Insurance Company 41394 INSURER C: American Automobile Insurance Company 21849 INSURER D: 251 E. Front Street Covina CA 91723 NSURERE: INSURER F 14a1'/9CCl4 ��"a Y Ili ltlf\I i C 111 91.1=:WgAlcIi rJ y1l1-9 b1J■Jllld,le THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN Is SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER POLICYNUMBER POLICY EFF MMIDD/Y1nPn POLICY EXP (MWOONYYYI LIMITS A r/ COMMERCIAL GENERAL LIABILITY CLAIMS-MADEED OCCUR ,/ 1/ UST006799220 2/1/2022 2/1/2023 EACH OCCURRENCE $1000000 PREMISES IF ... -17AMAGE TO Tunence $100 000 MED EXP (Any ono arson) $10 000 PERSONAL &ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY E] jEO �✓ LOC GENERALAGGREGATE $2,000,000 PRODUCTS -COMPIOP AGG $2000000 $ OTHER: C AUTOMOBILE LIABILITY SCV0121192201 2/1/2022 2/1/2023 COMBINED tSINGLE LIMIT $1000000 BODILY INJURY (Par person) $ �/ ANY AUTO 1 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (P..... itlant) $ HIRED NON -OWNED AUTOS ONLY ✓ AUTOS ONLY PROPERTY DAMAGE Per acddent $ A UMBRELLALIAB OCCUR UST004376221 2/1/2022 2/1/2023 EACH OCCURRENCE $5000000 AGGREGATE $5 00O 000 ✓ EXCESS LIAB CIAIMs-MADE DED ✓ RETENTION$ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANVPROPRIETOWPARTNEWEXECUTNE OFFICER/MEMBEREXCLUDED] NIA CST5022585 11/1/2021 11/1/2022 PER oTH- STATUTE ER E.L. EACH ACCIDENT $1000000 E.L. DISEASE -EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L DISEASE -POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS below A Equipment Floater UST006806220 2/1/2022 2/1/2023 Limit 5,500,000 Deductible $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GL Additional Insured applies per ENTGLO180119 attached, only if required by written contract/agreement. GL Primary & Non -Contributory Wording applies per ENTGLO180119 attached. GL Waiver of Subrogation applies per CG24041219 attached. GL Cancellation Clause applies per I100171198 attached. Additional Insured(s): The City of Santa Ana, it's officers, officials, employees, agents, and representatives. City Of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED PO w py �y,�*Dwml THE EXPIRATION DATE THEREOF, No it F Ros.&AvR 11, P.O. BOX 1988 ACCORDANCE WITH THE POLICY PROVISION w SF.rcrtRA �.✓.ai 20 Civic Center Plaza Santa Ana CA 92702-1988 AUTHORIZED REPRESENTATIVE John Guthrie ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 68163180 1 CWFZNCA-01 1 22-23 Master Certificate I Melissa Magana 1 5/10/2022 11:01:58 AM (PDT) I Page 1 of 6