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CERTIFICATE OF LIABILITY INSURANCE Dale U6lD1/2D22 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 PRODUCES, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 endorsements . PRODUCER CONTACT NAME: CUSTOMER SERVICE PHONE FAX 'A1'C. N Ex 04282342 A1C, C No):8553794454 Infinity Insurance Agency Inc Po Box 204ti Birmingham., AL 35201-2040 E-MAIL ADDRESS: INHNITYBROX,ERSE. VICE IPACC.COM INSURER(S) AFFORDING COVERAGE NAIC i! '.. INSURER A: Infinity Select Insurance Company 20260 INSURED INSURED B : ..INSURED C : Createive Edge Amusements Inc. 12104 Park Street INSURED D : INSURED E ..INSURED CeMtos, CA 90703 F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THUS 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 DL IN TN SUER POLICY NUMBER POLICY' EFF POLICY EXP' LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PR SF. E en e $ MED EXP QAny one person) _ .'. $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $.. POLICY ❑ PRO- O LOC JECT PRODUCTS-COMPIOP AGO $. OTHER: AUTOMOBILE LIABILITY OMDINED SINGLE LIMIT (CEa accident) $. ANY AUTO BODILY INJURY (Per person) $2,000,000.... A OWNED ,� SCHEDULED AUTOS ONLY AUTOS 50461006'1952001 05/0212022 0613012'023 BODILY INJURY Paraccldent ( ) $2,000,000 HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE (Per accident) $100„000 UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 :::JEXCEae AGGREGATE S LIAR rLAI ll,MAIIE DED RETENTION $ $ WORKERS ENSATIO AND EMPLOYERS'LIABILITY PER STATUTE OTH- ER - ANYPRCPRIETORIPARTNEtUEXECUTIVE OFHGERNEMABER E (Mandatory In NH) N 1 A E.B. EACH ACCIDENT _ $ E.L. DISEASE.- EA EMPLOYEE $ IT yes,. describe Under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT _ $ DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached Iffmore space is. required) RlsklMorili Al City Of Santa Ana Risk Management 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DE; BEFORE THE EXPIRATION DATE', ACCORDANCE WITH', THE POLICY �,y orza�u.F DMsIon a REVIEWED ae AP Pii Or 1� Risk Management Supervisor AUTHORIZED REPRESENTATIVE � +MAn q tl R Evw m & AYPRti71 a) 8"r9 �z y r a w ;>rr°^rwwcm 1� '-' "Ri'akMlLe egrn�vn ClerounlxWrdn ��. C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD