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ACORD 03115/202412024® CERTIFICATE OF LIABILITY INSURANCE DATElYYYY) <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 <br /> Marsh USA LLC NAME: <br /> 1717 Arch Street PHONE FAX <br /> (A/C.No.Ext): (A/C,No): <br /> Philadelphia,PA 19103-2797 EMAIL <br /> ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> CN102450667-Clip-GL-23-24 INSURER A: ACE American Insurance Company 22667 <br /> INSURED INSURER B: N/A N/A <br /> LA Clippers LLC <br /> 1212 S.Flower Street INSURER C: <br /> Los Angeles,CA 90015 INSURER D <br /> INSURER E <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CLE-007195835-03 REVISION NUMBER: 2 <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 /> IADDL SUER <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> fMMlDDIYYYY) (MMlDD/YYYY) <br /> A X COMMERCIAL GENERAL LIABILITY HDOG72966089 07/01/2023 07/01/2024 EACH OCCURRENCE S 2,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) S 2,000,000 <br /> MED EXP(Any one person) S Excluded <br /> PERSONAL&ADV INJURY S 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 <br /> X POLICY PRO- <br /> JECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 <br /> OTHER: S <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) S <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS PROPERTY NON-OWNED DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Per accident) <br /> S <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE S <br /> DED RETENTION S $ <br /> A WORKERS COMPENSATION RWCC70321415 07/01/2023 07/01/2024 MUTE EMPLOYERS'LIABILITY X STATUTE ER <br /> Y/N <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBEREXCLUDED? N N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 <br /> If yes,describe under 1,000,000 <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 /> RE:City of Santa Ana's"EGG-Cellent Adventure"Family Event Scheduled March 30,2024(9:OOAM to 1:00PM)-Location:Centennial Park,3000 W Edinger Ave.Santa Ana,CA 92704 <br /> City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteerss are included as additional insureds(except Workers'Compensation)where required by written contract and subject to <br /> policy terms&conditions.Sexual Abuse&Molestation coverage is not excluded under the General Liability coverage. <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana ,, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Santa Ana,CA 92701 Risk Management Division <br /> ` ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Revic wed <br /> .and Approved by::: <br /> AUTHORIZED REPRESENTATIVE <br /> mot ' '.'V Rill:\Drug. <br /> I <br /> zss - <br /> ©1988.2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />