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�® DATE(MM/DDIYYYY) A CO CERTIFICATE OF LIABILITY INSURANCE 06/05/2024 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(ies)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 CONTACT NAME:Liberty United Insure e Services, Inc PHONE Sai. rady. 704 S Victory Blvd, - 2 ® IA/C,No,Ext) 81 'ti i a . �y S i / r of a 889 Burbank, CA 91502 :. E-MAILDSS: Sam@lib unitedinsur�fflce.com License#: OF89841 /':-_ NNSSURERRSS %1.FORDING COVERAGE i 'AIC If INSURER A: L? _!�1�Jl�.,w�',�; !�l.�G mcllioa• • INSURED INSURER B• Elite Special Events, Inc 1 :•URERr : } • /� Q 11278 Los Alamitos II leva #1 uR ®a lei 2024.06.28 Los Alamitos, CA 91 4. v e .:.•71liti. w 0 1 1 COVERAGES CERTIFICATE NUMBER: 00001977.27r t82 ®�•4�€V16 NUL • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAI: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 I SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE NSD WVD POLICY NUMBER LIMITS (MMfDDlYYYY)_(MM/DDIYYYY) A X COMMERCIAL GENERAL LIABILITY Y Y ZISMB1499 03 05/07/2024 05/07/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE RENTED X CLAIMS-MADE OCCUR PREMISESO(Ea occurrence) $ 300,000 MED EXP(Any one person) S PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- X POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) S UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y f N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below _ _ E.L.DISEASE-POLICY LIMIT $ A Accident/Medical ZISMB1499 03 05/07/2024 05/07/2025 $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of Santa Ana, its officers,officials, employees,and volunteers are listed as additional insureds CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRI\ / City of Santa Ana THE EXPIRATION DATE THEREOF,NO RtslcAfr:naagLlnattDtvis[tm - Risk Management Division ACCORDANCE WITH THE POLICY PRC e43'' �'"e`e 0 11� ��\r REVIEWED E. APPRt7Vm BY: 20 Civic Center Plaza ;l / /� -JJ AUTHORIZED REPRESENTATIVE f'T'f f'tatia4 - Santa Ana, CA 92702 V1 , �' Risk Management Specialist I {VVVI ( t.....,,, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by SMS on 06/05/2024 at 05:59PM