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Angie Digitally signed by <br />Annh- <br />CERTIFICATE OF LIABILITY IWSURANICE <br />2 <br />D,ate-2 Z 2D) 2 2 <br />r <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERI TEMl9V!A39I4()ft@! THIS0=112111 <br />_AAW&9VMa <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 poilcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and <br />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 />Focusl Insurance Group, Inc <br />CT <br />NCAMTP Christine Callahan <br />FAX <br />1420 NW 17th Ave, Ste #588 <br />Portland, OR 97209 <br />-MANLE-SS: christine0focuslins.com <br />AtPR <br />-P <br />License #: NPN. 16192192 & CA <br />INSURERS AFFORDING COVERAGE <br />NAIL # <br />INSURER A -.Everest Indernnitv Inqinrnnrq Q­­­ 1oa51 <br />1_0851 <br />INSURED <br />Cherub Executive Service <br />x <br />INSURER B United Financial rn-minit-i _11770 <br />INSURER C Everest National Insurance ComRagy 10120 <br />10120 <br />PO Box 66005 <br />INSURER 0 <br />Los Angeles, CA 90066 <br />INSURER EINSURER' <br />F <br />­­VP-tVVU KtVISIUN NUMBER: 44 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED <br />TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT <br />WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID <br />CLAIMS. <br />INSR ADDL -§U—BR <br />LTR TYPE OF INSURANCE 21112 WVD POLICYN!IMBEII POLI Y EFF POLICY EXP <br />MMIDDIYYYY MIDD LIMITS <br />A X COMMPFICIALGENERAL LIABILITY I . <br />Y Y 51GLO15629-221 0310712022 03107/2023 EACH OCCURRENCE .-$ 1 000 0001 <br />5;1 CUR _GA_M_A­G_E_Tb_R_ENT_ED__ _ <br />CLAIMS -MADE OCCUR. <br />�XA,j OCCUR <br />1 <br />PREMISES (Ea Cur on $ 500,000 <br />MED EXP Any one eerscn) $ 10000 <br />_(PERSONAL & ADV!NJURY_ 1,000 000 <br />_$_ <br />GEN'L AGGREGATE LIMIT APPLIES PER' <br />GENERAL AGGREGATE $ <br />POLICY FX� PRO- 2'000 000 <br />JECT LOC <br />PRODUCTS -COMP/OPAGG $ 1 000000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />Y 02347547-3 <br />0110712022 <br />0710712022 <br />�I TE— <br />OMBD SINGLELIMIT <br />$ _,000 000 <br />OWNED y SCHEDULED <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />—AGE <br />$ <br />AUTOS ONLYAUTOS <br />UT <br />HIRED NON6-OWNED' <br />D <br />PROPERTY DAM <br />_faff accidentl <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA LIAR <br />OCCUR <br />OCCUR <br />EXCESS LIAB <br />CLAIMS -MADE <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED RETENTION$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />YT5300004879-221 <br />03107/2022 <br />03/0712023STATUTE <br />OT <br />ERH- <br />$ <br />Y/N <br />ANY PROPMETORIPARTNEEXECUTIVE <br />OFFICEFUMEMBER EXCLUDR]ED? <br />N/A <br />F,L. EACH ACCIDENT <br />$ <br />(Mandatory in NH) <br />describe under <br />DIASS6RIPTION <br />E.L. DISEASE - EA EMPLOYEE <br />__-1,000,000 <br />$ 1.000,000 <br />E.L. DISEASE -POLICY' LIMIT <br />$ i10001000 <br />A <br />OF OPERATIONS below <br />Errors & Omissions <br />— <br />51GLO15629-221 <br />0310,712022 <br />0310712023 <br />Annual Aggregate <br />$2,000,000, <br />A <br />Errors & Omissions <br />51GLO15629.221 <br />03107/7202203/07/2023 <br />Each Claim <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: Juneteenth Celebration event On June 18, 2022 at Centennial Park (3000 W. Edinger Ave., Santa Ana, CA 92704) <br />City of Santa Ana, its officers, officials, employees and volunteers are included as additional Insured with, respect General <br />Liability. Primary & NonContributory wording applies. Waiver of Subrogation applies General Liability, Auto Liability and <br />Workers Compensation. <br />r'9:PTIF:If1ATC HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />UTHORIZED REPRESENTATIVE Santa Ana CA 92702 L <br />REM <br />EwEr) & APPRova) 13Y. <br />T A-qu Acsvm(o <br />Risk Management Speemist <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD P �0 <br />