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Samantha ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 5/10/2022 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 PRODUCER, 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 endorsement(s). PRODUCER Bolton Insurance Services LLC 3475 E. Foothill Blvd., Suite 100 Pasadena, CA 91107 CONTANAME: CT PHONE 626799-7000 1 FAX No: 626 583-2117 E-MAIL ADDRESS' INSURERS AFFORDING COVERAGE NAIC# INSURER A: Firemen's Fund Insurance Company 21873 www.boltonco.com 6004772 INSURED Inc.CWF, DBA: DBA: Al Party Rentals INSURER B: Benchmark Insurance Company 41394 INSURERC: American Automobile Insurance Company 21849 INSURER D: 251 E. Front Street Covina CA 91723 INSURERS: NSURERF: COVFRAGFR CFRTIFICATF NIIMRFR- 901911Rn DFVICInm MIIMCFIi• THIS 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 rypE OFINSURANCE ADDLSUBR POLICY NUMBER POLICY EFF HyM1DDAYYY1 POLICY EXP IMMIODfYYYY)LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ✓ OCCUR �/ �/ UST006799220 2/l/2022 2/1/2023 EACH OCCURRENCE $1000000 DAMAGET BREWED PREMISES Ea occurrence $100 000 MED EXP (Myone arson $1 O 000 PERSONAL&ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 POLICY [7]jEa �✓ LOC PRODUCTS-COMP/OPAGG $2000000 $ OTHER: C AUTOMOBILE LIABILITY SCV0121192201 2/1/2022 2/1/2023 EOMBII tlEeDtSINGLE LIMIT oc $1000000 BODILY INJURY (Per person) $ ANY AUTO OWNED ASCHEDULED AUTOS ONLY UTOS BODILY INJURY (Par accident) $ ✓ PROPERTYDAMAGE Per accident) $ HIRED NON -OWNED AUTOS ONLY ✓ AUTOS ONLY A UMBRELIALIAB OCCUR UST004376221 2/1/2022 2/1/2023 EACH OCCURRENCE $5000000 ✓ AGGREGATE $5 000 000 EXCESS LIAB CLAIMS -MADE DED ✓ RETENTION$ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBEREXCWDEDI Y NIA CST5022585 11/1/2021 11/1/2022 PER OTH- STAT E E E.L. EACH ACCIDENT $1000000 E.L. DISEASE -EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1 00O 000 A Equipment Floater UST006806220 2Mf2022 2/1/2023 Limit 5,500,000 Deductible $10,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, maybe attached if more space is required) GL Additional Insured applies per ENTGLO180119 attached, only if required by written contract/agreement. GL Primary & Non -Contributory Wording applies per ENTGLO180119 attached. GL Waiver of Subrogation applies per CG24041219 attached. GL Cancellation Clause applies per IL00171198 attached. Additional Insured(s): The City of Santa Ana, it's officers, officials, employees, agents, and representatives. SHOULD ANY OF THE ABOVE DESCRIBED PollMtltMtalgRlmlOhAim C' of Santa Ana THE EXPIRATION DATE THEREOF, NOW 4-.: -. ReABvm6Mermvtnar: P. Box 1988 ACCORDANCE WITH THE POLICY PROVISION 5 20 Civic Center Plaza Santa Ana CA 92702-1988 Oak Managmrtm Sup rvam AUTHORIZED REPRESENTATIVE John Guthrie ©1988-2015 ACORD CORPORATION. All rights reserved ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 68163180 1 CWFINM-01 1 22-23 Maa[er Ceiti£icate I Meliesa Magana 1 5/10/2022 11:01:58 AN (PDT) I Page 1 of 6