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ACOR& CERTIFICATE OF LIABILITY INSURANCE <br />111 <br />PATE(MMIDDNYYY) <br />1 11/07/2024 <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 endorsements . <br />PRODUCER <br />CONTACT NAME: Monica ValeriO <br />Nancy Rangel Insurance 8 Financial Services <br />6032 Warner Ave <br />PHonE (714) 378-1580 a/C .1 (714) 378-1583 <br />npuna service@nancyrangel.com <br />INSURERSAFFORDING COVERAGE <br />NAICIf <br />INSURER A: HISCOX INSURANCE COMPANY INC <br />10200 <br />Huntington Beach CA 92647 <br />INSURED <br />INSURER B : biBerk, a barkshire Hathaway Company <br />524210 <br />INSURER C : <br />Santa Ana Community Artist Coalition <br />INSURER D : <br />Alicia Rojas <br />INSURER E : <br />1205 W Saint Gertrude PI <br />INSURER F : <br />Santa Ana CA 92707-3132 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />ILTR <br />TYPE OF INSURANCE <br />Man ADDL <br />WVD SUBR <br />POLICY NUMBER <br />MM/UOY� <br />MM/DDfYYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE LJ OCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGES( RENTED <br />PREMISES Ea occurrence) <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL B ADV INJURY <br />$ <br />A <br />Y <br />P101.174.712.2 <br />01/23/2024 <br />01/23/2025 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY L]JEC El LOC <br />GENERALAGGREGATE <br />$ 2,000,000 <br />PRODUCTS-COMP/OPAGG <br />$ 2,000,000 <br />Crime Coverage <br />$ 250,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMB <br />Ea accident <br />$ <br />BODILY I NJURY(Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY accitlent) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident) <br />$ <br />UMBRELLA LIAR <br />H <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />ANUEMPLOYERS'LIABILITY Y/N <br />ANY PROPRIETOWPARTNERIEXECUnVE ❑ <br />OFFICERIMEMBER EXCLUDED? <br />N/A <br />PER OTH- <br />STATUTE OR <br />E.L. EACH ACCIDENT <br />$ <br />E. L. DISEASEEAEMPLOYE <br />$ <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />each occurrence <br />1,000,000 <br />B <br />Professional Liability <br />Y <br />NgPL02921868 <br />01/23/2024 <br />01/23/2025 <br />aggregate <br />2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Additional Insured: City of Santa Ana, agents, officers, employees, and volunteers <br />APPROVED <br />By Cynthia Mora at 8:30 am, Dec 04, 2024 <br />City of Santa Ana <br />Attention: Suzl Fudanic, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />20 Civic Center Plaza M-22 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Monica Valeno <br />Santa Ana CA 92701 <br />2)1QRR-9n'IRArnRnrnPPnRATinh1 AIIAi hfr_.­. A <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />