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Digitally signed <br />Tracy by Tracy Jacobs <br />Date: <br />5 2023.07.10 <br />CERTIFICATE OF LIABILITY INSURANCE ti6128/20L3 15:23:22-07r001 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 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: R the certificate holder Is an ADDITIONAL INSURED, the polky(les) must be endorsed. It SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain Policies may require an endorsement. A statement on this certificate don not confer rights to the <br />certificate holder In lieu of such endomement(s). <br />eRourceR 00NTxCT <br />Insurance Canopy Program Support <br />Insurance Canopy PHoxE . 844-520-6993 Fn 801-763-1374 <br />PO Box 34833 m.. nfo@msurancecampy.com <br />North Chesterfield VA 2323a Me11 P44)AFFaaDNecOtLMOE WR,P <br />MSUREA A: Great American EAS Insurance Company 26932 <br />MSeRm B: <br />Artist Royalty and Music Services - Term Legacy MSURes c� <br />PO Box 814 .SURER o <br />Lake Arrowhead CA 92352 uuUIIME <br />MSURERF <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 PERIM <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 />sw115. TYPEV XNBRAMCE <br />L <br />MRraXllER" <br />UXSa <br />eBBMLL4ViltY <br />EVplxanvEnce S 1, WOOO <br />x GO6ABNCAL oOEPAL IIN]IUiv <br />Y <br />Y <br />DANFOFTORENTED - 300,000 <br />BE6L eanml 5 <br />cwM6NMnE ^IoccuR <br />ExP Wlrw YIdV 5,000 <br />A <br />_MEp .5 <br />PLE919362-CEP118042 0812712023 08129/2023 �psp 4Aq,N pSIMNY S 1,000,000 <br />GIR%Rx. GORLGTE S 2,000,000 <br />GpNLAGGPEWTEIAYrAPRlESPER: <br />PRowrc:Ta-cOLnAP AGG s 2.000,000 <br />x wuLY PA°' —Lac <br />uaMAL Sai s <br />AulowaeLMrNW <br />1— <br />I <br />.L!1 U s <br />1M'AUTp <br />BOOIIY VYURY 5 <br />ALLOWED �aGE0111E0 <br />NITOS AUIaB <br />eppEYNMnIW Mwn15 <br />HIREDAU708 xUrce <br />( AMLq S <br />5 <br />e1XPHlAMN _M,M <br />FACJICCCYma310E 5 <br />BIW�IIM <br />ApaaEaA1E 5 <br />DFD RETEMroH <br />$ <br />NORI®MCpIl6rMTNXi <br />EX <br />AIDAiLOY9b' W WIY <br />wn,PRaPRRT01W4(INEgIExCCUTNE <br />G4FRMF.LIEY ExCLUL®s YIN <br />❑ <br />NIA <br />TmrvLa - <br />r EL FACXACCNENT 9 <br />- <br />ryvMwwyln Mq <br />EL pIBFAg-FAEWLYEE 5 <br />n QE.= <br />EL pI6P.VE-FOIFCYl1WT t <br />7F <br />OHDITTRN CEORtal101RI101J11NX16l VPMCLFD IAava ACM0101.AMewW IIewMSSYXaM.XRen NIX an. <br />Certificate holder had been added as additlonal Insured regarding the above mentioned Policy per attached <br />Additional Insured- Designated Person or Organization (CG 20 26 Ed. 0413) <br />A waiver of subrogation applies <br />SHOULD ANY OF THE ABOVE DESCRIBED POUOIEO BE CANCELLED BEFORE <br />City of Santa Me <br />Risk Management Division <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH ME POLICY PROVISIONS. <br />20 Civic Center Plata <br />Aun ORRIED RESENTATxE <br />Santa Ma, CA 92702 <br />W IVWO U14 AUU u CUHYUHAnuN. AI ngnls re5erveO. <br />ACORD 28 I20114101) The ACORD name and logo are registered marks of ACORD <br />IMM Tmlan <br />RiAM.%wrrteAllWies <br />Re EwEC 6/IP%NOVm BY: <br />d T ..y JACNA <br />`� Hak Management Annryst <br />