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SPECIAL EVENT LIABILITY GROUP INSURANCE TRUST DATE <br />CERTIFICATE OF INSURANCE ENDORSEMENT 9/6/2024 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 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 />CONTACTNAME: JOYCUMMINGS <br />HUB International Insurance Services Inc. <br />PHONE 9256096500 <br />FAX 9256096550 <br />3000 Executive Parkway, Suite 300 <br />EMAIL soecialevent(o)hubinternational com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />San Ramon, CA 94583 <br />INSURER A: <br />Colony Insurance Company <br />39993 <br />CA License #0757776 <br />NAMEDINSURED: <br />City of Santa Ana <br />20 Civic Center Plaza <br />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 carets) indicated below Notwithstanding any requirement, tens o <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 />LTR <br />TYPE OF INSURANCE <br />INSURED MEMBER <br />ENDORSEMENT <br />NUMBER <br />COVERAGE EFFECTIVE/ <br />EXPIRATION DATE <br />LIMITS <br />A <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1.000.000 <br />X COMMERCIAL GENERAL LIABILITY <br />41700 <br />9114 & 9/15/2024 <br />DAMAGE TO RENTED PREMISES <br />(Ea o—nenne) <br />$1,000,000 <br />CLAIMS -MADE ❑X OCCURRENCE <br />MED ESP (My one Person) <br />$5,000 <br />PERSONAL& AOV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />PROOUCr&COMPIOPAGG <br />$2.000,000 <br />LIQUOR LIABILITY PER <br />OCCURRENCE (AGGREGATE <br />INCLUDED IN GENERAL LIABILITY <br />$1.000,000 <br />AGGREGATE) <br />MASTER POLICY #103 GL 0021111 - EFFECTIVE DATE 111/2024; EXPIRATION 1/1/2025 <br />DESCRIPTION OF OPERATIONS / LOCATIONS <br />City of Santa Ana, its officers, officials, employees and volunteers, 20 Civic Center Plaza, Santa Ana, CA 92701 <br />is/are included as an additional Insured(s) per attached endorsement T5409-0116. Policy Is Primary and Non-contributing per attached endorsement T1095-0108; Waiver of <br />Subrogation applies per attached endorsement CG 24 04 05 09. <br />Event Type: Festival <br />Event date(s): 9/14 & 9/15/2024 <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED I <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana <br />AUTHORIZED REPRESENTATIVE <br />Attention: Ella Sepulveda <br />20 Civic Center Plaza M-75 <br />Santa Ana, CA 92701. <br />l% _ <br />