Laserfiche WebLink
SPECIAL EVENT LIABILITY GROUP INSURANCE TRUST DATE <br />CERTIFICATE OF INSURANCE ENDORSEMENT 8114l2024 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI5 CERTIFICATE DOES NOT AMEND, <br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE ENDORSEMENT DOES NOT CONSTITUTE A CONTRACT <br />BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />PRODUCER: <br />CONTACT NAME: JOY CUMMINGS <br />HUB International Insurance Services Inc. <br />PHONE 9256096500 <br />FAX 9256096550 <br />3000 Executive Parkway, Suite 300 <br />EMAIL soecialevent((Dhubintefnatlonal.Com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC If <br />San Ramon, CA 94583 <br />INSURER A: <br />Colony Insurance Company <br />39993 <br />CA License #0757776 <br />NAMED INSURED: <br />Chicano Heritage: Educational Celebration of <br />Culture at the Library Vendors (8) <br />perthe attached list <br />20 Civic Center Plaza, Santa Ana, CA 92701 <br />COVERAGES <br />This is to certify that the policies of insurance listed below have been issued to the insured named above for the event dale(s) indicated below. Notwithstanding any requirement, tern Q <br />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 <br />terms, exclusions and conditions of such policies. <br />INSR <br />INSURED MEMBER <br />COVERAGE EFFECTIVE/ <br />TYPE OF INSURANCE <br />ENDORSEMENT <br />LIMITS <br />LTR <br />NUMBER <br />EXPIRATION DATE <br />A <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />41528 <br />08/29/2024 <br />DAMAGE TO RENTED PREMISES <br />$1,0D0,000 <br />(ee aow,reoee) <br />CLAIMS -MADE ❑X OCCURRENCE <br />MED W(My one Pea^n) <br />$5,000 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />GENERALAGGREGATE <br />$2,000,000 <br />PRODUCTS-COMPIOPAGG <br />$2,000,000 <br />LIQUOR LIAMUTY PER <br />OCCURRENCE(AGGREGATE <br />INCLUDED IN GENERAL UAaILITY <br />n/a <br />AGGREGATE) <br />MASTER POLICY #103 GL 0021111 - EFFECTIVE DATE 11112024; EXPIRATION 1/1/2025 <br />DESCRIPTION OF OPERATIONS I LOCATIONS <br />City of Santa Ana, its officers, officials, employees and volunteers, 20 Civic Center Plaza, Santa Ana, CA 92701 <br />isram included as an additional insured(s) per attached endorsement T5409-0118. Policy is Primary and Non-contributing per attached endorsement T1095A108; Waiver of <br />Subrogation applies per attached endorsement CG 24 04 05 09. <br />Event Type: Vendors (8) <br />Event date(s): 8/29/2024 <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE <br />BEFORE THE EXPIRATION DATE RWLMawgonadDivisian <br />ACCORDANCE WITH THE POLICY RBAEwED&AAPROv®BP <br />City of Santa Ana <br />Attention: Ella Sepulveda <br />n <br />AUTHORIZED REPRESENTATIVE A+.�c4 Aav44 <br />20 Civic Center Plaza M-75 <br />®1 <br />Risk Ma nagemem Specialist <br />Santa Ana, CA 92701. <br />