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AC R e CERTIFICATE OF LIABILITY INSURANCE DA 7/07/2022 <br />mr9nzozz <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <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 policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms 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 such endomement(s). <br />PRODUCER NAME: <br />coM."' Jim MrAnany <br />Nielsen McAnany Insurance Services, Inc. PHONE (805) 379-6805 q1C, No: (805) 204-4501 <br />A C No E# <br />4165 E. Thousand Oaks Blvd ADDRESS: <br />Suite 325 INSURER $ AFFORDING COVERAGE NAIC d <br />Westlake Village CA 91362 INSURERA: California Auto Insurance 38342 <br />INSURED INSURER B : <br />ELITE SPECIAL EVENTS, INC. INSURER C : <br />404 N Sparks St INSURER D: <br />NSURERE: <br />Burbank CA 91506-0969 INSURER F: <br />rl �n7�5naaRR ee\nclnu Yr11JQCQ• <br />bUvCRMVCJ <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 />L� <br />TYPE OF INSURANCE <br />UWL <br />Ivan <br />POLICYNUMBER <br />CY EFF <br />MMIDO <br />OLICY ExP <br />MMIDD <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />s <br />CLAIMSMAOE OCCUR <br />PREMIS� <br />$ <br />MED EXP (Any oneperson)S <br />PERSONAL$AOV INJURY <br />S <br />GEN'LAGGREGATE LIMITAPPUES PER: <br />GENERALAGGREGATE <br />$ <br />PRODUCTS-COMPIOPAGG <br />S <br />POLICY El ECT El me <br />8 <br />OTHER: <br />COMBINED SINGLE LIMIT <br />Ea aa,dTt <br />S 1,000,000 <br />AUTOMOBILE LIABILITY <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />BODILY INJURY(Peracciden0 <br />S <br />A <br />OWNED <br />AUTOSU�D <br />Y <br />BA040000023533 <br />08/31/2021 <br />08/31/2022 <br />AUTOS ONLY <br />HIRED NON -OWNED <br />PROPERTY DAMAGE <br />n[ <br />S <br />AUTOSONLV AUTOS ONLY <br />A <br />EMPIN <br />EMPIN <br />$ <br />UMBRELLAUAB <br />OCCUR <br />EACH OCCURRENCE <br />s <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DEp I I RETENTION $ <br />PER <br />$ <br />WORKERS COMPENSATION <br />UTE ERH <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNERIEXECUTIVE �'�( <br />EL EACH ACCIDENT <br />$ <br />E.L DSEASE-EA EMPLOYEE <br />$ <br />OFFICERIMEMBER EXCLUDED? Lf <br />(Mandatory in NH) <br />NIA <br />E.L DISEASE -POLIGV LIMIT <br />$ <br />If yes, desc lbe antler <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The City, its officers, officials, employees, and volunteers are to be covered as additional insureds per attached MCA85100617-CA. <br />Concert Series in the park: <br />08/04/2022 - Windsor Park <br />08/11/2022 - Portola Park <br />08/18/2022 -Jerome Park <br />08/25/2022 - Thornton Park <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 />City of Santa Ana <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />P.O. Box 1988 <br />Santa Ana CA 92701 J. MCAnany a� _ _«E,` RlekMwgelndlXdat°n <br />RweAw& APPROVED Sr. <br />m 1988-2016 ACOF $I, , 'i A+, :c Aiwgta <br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD �� Risk Management speomist <br />