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CERTIFICATE OF LIABILITY INSURANCE <br />08/19/2024 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br />AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(! s) must have ADDITONAL INSURED provisions or be <br />endorsed. If SUBRQQP�ATION IS WAIVED, subjecito the terms and conditions f the RdaMeyocertaingplicies y require an endorsement. A <br />statement on this /tificate does not confer rights to the certificate holder in 'et of UA !neaslzrifDl�\ / [` 1 /Y Ilir% r <br />Hub Internation <br />3000 Executive <br />San Ramon State: CA 94583 <br />License Number: 0757776 <br />Jose Alejandro Ma o DBA Mariachi�anta <br />See Full Named I r ScC <br />1625 W McFad Ave nC rn' 92 <br />COVERAGES <br />E-MAIL ilci ub r <br />IN. U ( AF <br />INSU' _:RA: 'olony Insurance <br />F: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE 97o INSURED MEMEBER ENDORSEMENT LISTED BELOW HAVE BEEN ISSUED <br />TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR <br />CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND <br />CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />INSURED <br />MEMBER ENDT <br />COVERAGE <br />EFFECTIVE/ <br />LIMITS <br />NUMBER <br />EXPIRATION DATE <br />A <br />❑J COMMERCIAL GENERAL LIABILITY <br />24011694 <br />08/28/2024/ <br />EACH OCCURENCE <br />$1,000,000 <br />❑ ❑CLAIMS -MADE ❑J OCCUR <br />08/29/2024 <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />$1.000,000 <br />❑ <br />MED EXP (Anyone person) <br />$5,000 <br />❑ <br />PERSONAL B ADV <br />INJURY <br />$1,000,000 <br />GENERAL AGGREGATE APPLIES <br />O SEPERATELY TO THE NAMED INSURED <br />AS PER ATTACHED ENDORSEMENT <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS-COMP/OP <br />$2,000,000 <br />T1523-0111 <br />AGG <br />LIQUOR LIABILITY PER <br />N/A <br />OCCURENCE <br />(AGGREGATE INCLUDED <br />IN GENERAL LIABILITY <br />AGGREGATE) <br />MASTER POLICY NUMBER: 103 CL 0212472 01 EFFECTIVE DATE: 2024-01-01 EXPIRATION DATE: 2025-01- 12:01 A.M. standard Time at your Mailing <br />01 Addreee <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / (ACORD 101, Additional Remarks Schedule, may be attached if more space is <br />required) <br />The certificate holder is included as Additional Insured as per endorsement T5409-0118. <br />This insurance is Primary and Non -Contributing as per endorsement CG 2001 1219. <br />The insurance company waives rights of recovery as per endorsement CG 2404 1219. <br />The Insured Member Endorsement cannot be cancelled by the insurance company as per endorsement T1523-0111. <br />Named Insureds as per Full Named Insured Schedule. <br />Event Type: Vendor/Caterer/Exhibitor <br />Event Locations: 424 W 3rd St. Santa Ana California 92701 <br />See Full Location Schedule <br />CERTIFICATE HOLDER <br />CANCELLATION <br />City of Santa Ana, its City Council, its officers, officials, employees, <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE <br />agents, and volunteers <br />CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE <br />WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY <br />20 Civic Center Plaza <br />PROVISIONS. <br />Santa Ana California 92701 <br />9 <br />��s."1 <br />q F I, � <br />RhkMuuganattD[viainn <br />f?FnEWED6APa8av®Bv: <br />Aqu "44 <br />R6k Management Speciaint <br />