TWIST AND SHOUT EVENTS, INC. (2)

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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 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 Will_Maddux NAME: East Main Street Insurance Services, Inc. PHONE 530) 477-6521 AN.): Will Maddux E-MAIL ADDRESS: inl rC,th v PO Box 1298A INS Eq O D 1 O E 1 AICk Grass Valley �.. 5 INSURER A: EV lSt Insuranc Company 35E INSURED INSURER B Twist and Shout Go Amy & David Nehdg 7567 Quiet Cove Circle COVERAGES _RIEVP`1 NI M11MRFJ2-_. _ THIS IS TO CERTIFY THAT THE P ICIE LIS BE A I T T D A A OV 7 E Y ERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF NY CONTRACT CUME 7 ITH R T H THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOr.OEr BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY H/ VF SEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL J02 sUBR WVD POLICY NUMBER POLICY SEE MN/DOMY POUCYEXP MM/DD/YYYY LIMITS COMMERCIALGENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR PREMI_ffAMAGSES (Ea PREMISESS(Eaoccunence) $ 100,000 MED EXP (Any one person) $ 5,000 Host Liquor Liability Retail Liquor Liability PERSONAL &ADV INJURY $ 1,000,000 A Y Y 3DS5475-M3382345 06/07/2024 06/07/2025 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L 12:01 AM 12:01 AM X POLICY JECT PRO- ❑ LOC pRODUCTS-COMP/OPAGG $ 2,000,000 Deductible $ 1,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHFOULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per acddart $ UMBRELLA LIAO OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION EMPLOYERS' LIABILITY Y/N I PER IOTT STATUTE ER E.L. EACH ACCIDENT $ ANYPROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED9 ❑ N/A E.L. DISEASE FA EMPLOYEE $ (Mandatory in NH) If yes, descdbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required) Certificate holder listed below is named as additional insured per attached MEGL 2217 01 19. Attendance: 2000, Event Type: Vendor at Event. Waiver of Subrogation applies per attached CG 24 04 12 19. Primary/Non-Contributory wording applies per attached CG 20 01 04 13. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRC �. Risk MvugenedDlwtlm City of Santa Ana AUTHORIZED REPRESENTATIVE , max., REmEwEOS'APPROJ®BY: 20 Civic Center Plaza ' " ii+.&:e "44 Santa Ana CA 92701 ' ` Risk Management Spetlzaat ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD