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ACORO® <br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) <br /> 12/06/2023 <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: 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 endorsement(s). <br /> PRODUCER CONTACT Jim McAnany <br /> NAME: <br /> Nielsen McAnany Insurance Services,Inc. (arONn o,Extl: (805)379-8805 FAX (805)No): (805)204-4501 <br /> 4165 E.Thousand Oaks Blvd E-MAIL <br /> ADDRESS: <br /> Suite 325 INSURERIS)AFFORDING COVERAGE NAIC# <br /> Westlake Village CA 91362 INSURER A: California Auto Insurance 38342 <br /> INSURED INSURER B: <br /> ELITE SPECIAL EVENTS,INC. INSURER C: <br /> 11551 Weatherby Rd INSURER D: <br /> INSURER E: <br /> Los Alamitos CA 90720-3846 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CL2392209782 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 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 /> INSR AUUL SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WV❑ POLICY NUMBER (MM!DD/YYYY)_(MMIDDIYYYY) LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER' GENERALAGGREGATE $ <br /> POLICY PRO-JECT LOC PRODUCTS-COMP/OPAGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> A OWNED x SCHEDULED BA040000023533 08/31/2023 08/31/2024 BODILY INJURY(Per accident) $ <br /> N., AUTOS ONLY AUTOS <br /> HIRED N/ NON-OWNED PROPERTY DAMAGE $ <br /> 'INAUTOS ONLY _ AUTOS ONLY (Per accident) <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE S <br /> DED RETENTION$ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE N!A E.L.EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> The City of Santa Ana,its officers,employees,and volunteers are additional insured per attached MCA85100817-CA. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PROS\ <br /> �e Risk Management Division <br /> 20 Civic Center Plaza „ <br /> ,� <br /> AUTHORIZED REPRESENTATIVE REVIEWED&APPROVED BY: <br /> Santa Ana CA 92702 J. McAnany igaMMES Risk Management Specialist <br /> O 1988-2015 ACOF/ <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />