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DATE <br />CERTIFICATE OF LIABILITY INSURANCE <br />6/14/2024 <br />THISCERTIFICATEISISSUEDASAMATTEROFINFORMATIONONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEHOLDER.THISCERTIFICATEDOESNOT <br />AMEND,EXTENDORALTERTHECOVERAGEAFFORDEDBYTHEPOLICIESBELOW.THISCERTIFICATEOFINSURANCEENDORSEMENTDOESNOTCONSTITUTEA <br />CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 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. If SUBROGATION IS WAIVED, <br />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 <br /> <br />lieu of such endorsement(s). <br />PRODUCER: <br />925 609 6550 <br />PHONE 925 609 6500 FAX <br />HUB International Insurance Services Inc. <br />EMAIL specialevent@hubinternational.com <br /> 3000 Executive Parkway, Suite 300 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br /> San Ramon, CA 94583 <br />Colony Insurance Company <br />CA License #0757776 INSURER A:39993 <br />NAMED INSURED: <br />Jonathan Alexander <br />2 Wharton Ct., Irvine, CA 92617 <br />COVERAGES <br />Thisistocertifythatthepoliciesofinsurancelistedbelowhavebeenissuedtotheinsurednamedabovefortheeventdate(s)indicatedbelow.Notwithstandinganyrequirement,termor <br />conditionofanycontractorotherdocumentwithrespecttowhichthiscertificatemaybeissuedormaypertain,theinsuranceaffordedbythepoliciesdescribedhereinissubjecttoallthe <br />terms, exclusions and conditions of such policies. <br />INSURED MEMBER <br />COVERAGE EFFECTIVE / <br />INSR <br />TYPE OF INSURANCELIMITS <br />ENDORSEMENT <br />EXPIRATION DATE <br />LTR <br />NUMBER <br />EACH OCCURRENCE <br />6/22/2024-6/23/2024 <br />GENERAL LIABILITY <br />24010797$1,000,000 <br />A <br />DAMAGE TO RENTED PREMISES <br />COMMERCIAL GENERAL LIABILITY <br />X <br />$1,000,000 <br />(Ea occurrence) <br />MED EXP (Any one person) <br />CLAIMS-MADEOCCURRENCE <br />X$5,000 <br />PERSONAL & ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS-COMP/OP AGG <br />$2,000,000 <br />LIQUOR LIABILITY PER <br />OCCURRENCE (AGGREGATE <br />n/a <br />INCLUDED IN GENERAL <br />LIABILITY AGGREGATE) <br />MASTER POLICY #103 GL 0212472-01 - EFFECTIVE DATE 1/1/2024; EXPIRATION 1/1/2025 12:01 A.M. Standard Time at your Mailing Address. <br />DESCRIPTION OF OPERATIONS / LOCATIONS <br />The certificate holder is included as Additional Insured as per endorsement T5409-0118. <br />This insurance is Primary and Non-Contributing as per endorsement CG2001-1219. <br />The insurance company waives rights of recovery as per endorsement CG2404-1219. <br />The Insured Member Endorsement cannot be cancelled by the insurance company as per endorsement T1523-0111. <br />Event Type:Story Telling, Lecture, or Reading <br />Event date(s):6/22/2024-6/23/2024 <br />CERTIFICATE HOLDERCANCELLATION <br />SHOULDANYOFTHEABOVEDESCRIBEDPOLICIESBECANCELLED <br />BEFORETHEEXPIRATIONDATETHEREOF,NOTICEWILLBEDELIVEREDIN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />City of Santa Ana, its officers, officials, employees and volunteers, 20 Civic Center Plaza, Santa Ana, <br />CA 92701 <br /> <br />