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T. CERTIFICATE I <br />022 <br />PRODUCER <br />Baig Insurance Agency Plus <br />1 Z 3ti1' Pioneer Blvd. Ste. B <br />Artesia, CA - 90701 <br />Faiz Baig - 562.403.1786 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />INSURERAr Employers Preferred Insurance Co <br />NAIL # <br />10346 <br />INSURED <br />Creative Edge Amusements <br />12104 Park Street <br />Cerritos, CA-96703 <br />INSURERS: <br />INSURERC: <br />INSURERD: <br />INSURER, E: <br />4r411F/ :3'.le[e1:kl <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERMOR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />1MIN513C <br />ADD'L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICYEFFECTIVE <br />DAjgIMMjDD80j, <br />POLICY EXPIRATION <br />DATE MM DD Y <br />LIMIT'S <br />GENERAL LIABILITY <br />EACHOCCURRENCE. <br />-R <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE EJ OCCUR <br />-D <br />RTE- <br />PREMISES <br />MED EXP (Any one person) <br />$ <br />PERSONAL& ADV INJURY <br />$ <br />GENERALAGGREGATE <br />$ <br />GEN'LAGGREGATELIMIT APPLIES PER: <br />PRODUCTS -COMP/OPAGG <br />JECT POLICY PRO LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY <br />(Perperson) <br />$ <br />ALL OWVNED AUTOS <br />SCHEDULEDAUTOS <br />BODILY INJURY <br />(Peraccidenk) <br />$ <br />HIREDAUTOS <br />NON-OWNEDAUTOS <br />PROPERTYOAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY -EA ACCIDENT <br />$ <br />OTHERTHAN EA.ACC <br />$ <br />ANYAUTO <br />$ <br />AUTOONLY: AGG <br />EXCESSIUMBRELLA LIABILITY <br />EACHOCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR CLAIMS MADE <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />WC STATU <br />TORY - OTH- <br />ER <br />A <br />EMPLOYERS'LIABILITY <br />ANY PROPR'IETOPJPARTNER/EXECUTIVE <br />OFRCER/MEMBEREXCLUDED? <br />EIU.-479a364-©1 <br />06/01/2022 <br />06/0'1/20,23 <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE. -EA EMPLOYEE <br />$ 1,000,000 <br />If yes <br />S ECdescdbe under <br />IALPROVISIONS beIow <br />'.. E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS LOCATIONS IVEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />CERTIFICATE HOLDER <br />City Of Santa Ana Risk Management <br />20 Civic Center Plaza <br />Santa Ana, CA 92791 Ave <br />ACORD 25 (2001/08) <br />SHOULD ANY OF THE, ABOVE DESCRIBED POLIC'.. <br />DATE THEREOF, THE ISSUING INSURER WALL E <br />NOTICE TO THE. CERTIFICATE HOLDER NAMED' <br />IMPOSE. NO OBLIGATION OR UAjdlLilP'W OF ANY <br />REPRESENTATIVES. f/' 7Y 1 Z <br />AUTHORIZED <br />s„y orzau.F <br />a <br />REVIEWED ae APPROVID Or <br />1� <br />Risk Management Supervisor <br />.nvvrt Iv I-L v T3 YIYKII ILN <br />Risk 1I <br />a RPAE G? & AppRovw f'Y y <br />"d�:t °rC^x�tazcr Ali, <br />f"�Rd51i rN�et��f�rr�r¢CP® I LW,1r i,/' <br />i <br />