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ninitally cinnarl <br />,4coizo® CERTIFICATE OF LIABILI <br />E <br />ATE( O/YYYY) <br />by A i@6/14/2022 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Z:014PER9 Qmrbi-m UPON T It' <br />ERTIFICAT HOLDER. THIS <br />C: CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAA1A4MGIE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CCATRACT BETWEEN THE FSUING :YSURER S AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IA CpNIpa <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ifs) A D <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies ma; rr quire an <br />E�D rovislons or be endorsed. <br />Q9':93LtF� si®e�lle�n <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Will Maddux <br />NAME: <br />PHONE N Pay. (530) 477-6521 <br />ac No <br />East Main Street Insurance Services, Inc. <br />Will Maddux <br />ADDRIESS: info@theeventhelper.com <br />INSURERS AFFORDING COVERAGE <br />NAIC Y <br />PO Box 1298 <br />INSURER A: Evanston Insurance Company <br />35378 <br />Grass Valley CA 95945 <br />INSURED <br />INSURER B <br />INSURER C: <br />Howard Johnson Unlimited, LLC <br />INSURER D: <br />C/O Ladonna Williams <br />INSURER E : <br />336 West Lutge Avenue <br />INSURER F: <br />Burbank CA 91506 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER - <br />THIS IS TO CERTIFY THAT 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE 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 />ILTH <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICYNUMBER <br />POLICY EFF <br />(MMVO <br />POUCYEXP <br />MNVDD/YYYY <br />LIMITS <br />COMMERCIALGENRAL LIABILITY <br />CLAIMS -MADE OCCUR <br />THost <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMA ES (RENTED <br />PREMISES omunence) <br />$ 100,000 <br />MED EXP (Any one rain) <br />$ 5,000 <br />Liquor Liability <br />I Retail Liquor Liability <br />PERSONAL&ADV INJURY <br />$ 1,000,000 <br />A <br />Y <br />Y <br />3DS5473-M2931301 <br />06/18/2022 <br />06/19/2022 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY 0 PECTRO- ❑ LOC <br />J <br />GENERALAGGREGATE <br />$ 2,000,600 <br />12:01 AM <br />12:01 AM <br />PRODUCTS - COMP/OPAGG <br />$ 2,000,000 <br />I Deductible <br />$ 1,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />CEaOMBINEO SINGLE LIMIT <br />actltlent <br />$ <br />BODILY INJURY (Per Person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />Per accident) <br />BODILY INJURY ( ) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS-NIADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YyN <br />OAFFOE@IRIET REXCWOEEXECUTIVE El <br />N/A <br />I PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <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/LOCATIONS/VEHICLES (ACORD 101, Additional RemmksSchedule, may beartachad Bmore S"Wie required) <br />Certificate holder listed below is named as additional insured per attached MEGL 2217 Ol 19. <br />Attendance: 200, Event Type: Performer at Evenl(No Heavy Metal, Punk, Rap, Hip Hop or Hard Rock). <br />Waiver of Subrogation applies per attached CG 24 04 12 19. <br />Primary/Non-Contributory wording applies per attached CG 20 01 04 13. <br />he City of Santa Ana, its officers, employees, agents, and representatives are named as additional insured on this policy pursuant to written <br />contract, agreement, or memorandum of understanding. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana <br />ACORD 25 (2016103) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />CA 92702 l///°///{,//�� <br />@ 1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />REVIEWED & APPROVED BY: <br />A4feAcw.dA <br />Risk Management Sped Mist <br />