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Anqie <br />CERTIFICATE OF LIABILITY <br />Digitally signed by <br />Angie Aqevgdp— <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFE T ' VOfTtl/NZZ <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAr,E AFFORDED �BY�TH EPPOLIICIESIS <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 policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terns and 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 Sunh nndnrcama .flel <br />PRODUCER Focusl Insurance Group, Inc <br />1420 NW 17th Ave, Ste 9588 <br />Portland, OR 97209 <br />License #: NPN: 16192192 & CA <br />INSURED <br />Cherub Executive Service <br />PO Box 66005 <br />Los Angeles, CA 90066 <br />COVERAGES CrdrnarATE NUMBED. <br />THIS <br />"—"-- <br />IS TO CERTIFY THAT THE POLICIES <br />OF INSURANCE <br />-G546Ba <br />LISTED BELOW HAVE BEEN <br />ISSUED TO THE <br />REVISION NUMBER: <br />44 <br />INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT <br />TERM OR CONDITION OF ANY <br />CONTRACT OR <br />INSURED <br />NAMED ABOVE FOR THE POLICY <br />PERIOD <br />CERTIFICATE <br />MAY BE ISSUED OR MAY PERTAIN, <br />THE <br />INSURANCE AFFORDED BY THE <br />POLICIES DESCRIBED <br />OTHER DOCUMENT <br />WITH RESPECT TO <br />WHICH THIS <br />EXCLUSIONS <br />AND CONDITIONS OF SUCH <br />POLICIES. <br />LIMITS SHOWN MAY HAVE BEEN <br />REDUCED BY <br />HEREIN <br />PAID <br />IS SUBJECT TO ALL <br />THE TERMS, <br />INSR <br />L <br />TYPE OFINSURANCE <br />DL <br />R <br />POLICY NUMBER <br />M LICDY� <br />CLAIMS. <br />PMIUDD E%P <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />Y <br />Y <br />51GLO15629.221 <br />0310712022 <br />03/0712023 <br />EACHOCCURRENCE <br />D -E <br />$ 10000Q0 <br />PREMLSE n <br />$ 5OO QQQ <br />MED ENP M one erson <br />$ 10 000 <br />GEML AGGREGATE LIMIT APPDES PER <br />PERSONAL& ADV INJURY <br />$ 1006000 <br />GENERAL AGGREGATE <br />$ 2 0Q0 000 <br />POLICY jECT LOC <br />PRODUCTS -COMP/OPAGG <br />$ 1 OOO QQQ <br />OTHER: <br />$ <br />B <br />-AUTOMOBILE LIABILITY <br />ANYAUTORed <br />Y <br />023475473 <br />0110712022 <br />07107/2022 <br />E Mel tlan st LI IT <br />$ .QQQ QQQ <br />OWNED S0 <br />it <br />BODILY INJURY(Per Parson) <br />E <br />BODILY INJURY (Per aoddenU <br />E <br />_OULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE95 San <br />S <br />UMBRELLA LIAB OCCUR <br />EXCESS LIAB CLAIMS -MADE <br />EACH OCCURRENCE <br />g <br />AGGREGATE <br />$ <br />DEO RETENTIONS <br />PER D <br />X <br />$ <br />C <br />NIORNEP!OYERCOMPENSATION <br />ND EMPLOYERR'LIABI,IER <br />Y <br />5300004679-221 <br />03I07I2022 <br />liDl07/2023 <br />YIN <br />ANYCERIMEETORIPARTNDED7 CUTIVE <br />REXCLUDE09 <br />NIA <br />$7 ER <br />E.L EACH ACCIDENT <br />$ 1000000 <br />N N <br />story In NH) <br />(Mandatory InN <br />EA- DISEASE -EA EMPLOYE <br />$ 1000000 <br />If .., <br />DESCRIPTION OPERATIONS <br />E.L DISEASE -POLICY LIMIT <br />$ 11000000 <br />A <br />OF betaw <br />Errors & Omissions <br />51GLO15629-221 <br />A <br />Errors&Omissions <br />1031QZ12022 <br />51GLO15629-221 <br />0310712023 <br />Annual Aggregate <br />$2,000,000 <br />03/0712022 <br />03/0712023 <br />Each Claim <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddItlonal Remarks Schedule, maybe attached If more apace la requlratl) <br />RE: Juneteenth Celebration event or June 18, 2022 at Centennial Park (3000 W. Edinger <br />Ave., Santa Ana, CA 92704) <br />City of Santa Ana, Its officers, Officials, employees and volunteers are Included <br />as additional Insured with respect General <br />Liability. Primary & Noncontributory wording applies. Waiver of Subrogation applies General Liability, Auto Liability <br />Workers Compensation. and <br />CERTIFICATE HOLDER .....__.. -_._.. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <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 />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD P <br />a,,e �^^.mt PJrk ManagemedDMMmL <br />j/��, REVIEWED fi APPROVEDBY: <br />RUk Management SpedNist <br />