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AC�RI CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />3/10/2025 <br />THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION ONLY AND CONFERSNO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENDOR ALTER THE COVERAGE AFFORDEDBY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCEDOES NOT CONSTITUTE A CONTRACT BETWEENTHE ISSUING INSURER(S),AUTHORIZED <br />REPRESENTATIVEOR PRODUCER,AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSUREDprovisions or be endorsed. <br />If SUBROGATIONIS 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 endorsement(s). <br />PRODUCER <br />CONTACT B.W. Baker Insurance Inc. <br />NAME: <br />PHONE0. Exn. 310 457-5092 FAX No 310 457-6225 <br />B.W. Baker Insurance Inc. <br />E-MAIL cori@bwbaker.com <br />ADDRESS: <br />Lic# OB49439 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />29169 Heatherchff #208 <br />INSURER A: National Liability& Fire Insurance Company <br />Malibu CA 90265 <br />INSURED <br />INSURER 6 <br />INSURER C <br />Ultimate Entertainment LLC <br />INSURERD: <br />12104 Park St <br />INSURER E: <br />Cerritos, CA 90703 <br />INSURER F: <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 CONTRACTOR 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 />INSR <br />ADDL <br />SUBR <br />POLICYEFF <br />POLICYEXP <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />POLICYNUMBER <br />MM/DD/YYYY <br />MM/DD/YYYY <br />LIMITS <br />COMMERCIAL GENERALLIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />CLAIMS -MADE OCCUR <br />PREMISES Ea occurrence <br />$ <br />MED EXP(Anyone person) <br />$ <br />PERSONALBADV INJURY <br />$ <br />GEN'LAGGREGATELIMITAPPLIESPER: <br />GENERALAGGREGATE <br />$ <br />PRO ❑ <br />❑ <br />POLICY JECT LOG <br />PRODUCTS - COMP/OPAGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLELIMIT <br />Ea accident <br />$ 1000,000 <br />BODILYINJURY(Per person) <br />$ <br />ANYAUTO <br />A <br />OWNED \/ SCHEDULED <br />AUTOS ONLY /\ AUTOS <br />NO <br />73APR426098 <br />5/9/2024 <br />5/9/2025 <br />BODILYINJURY(Peraccidenl) <br />$ <br />PROPERTYDAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOSONLY <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESSLIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS'LIABILITY Y/N <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />E.L. EACH ACCIDENT <br />$ <br />(Mendatoryin NH) <br />E.L.DISEASE-EAEMPLOYEE <br />$ <br />If yes, describe under <br />DESCRIPTIONOF OPERATIONSbelow <br />E.L.DISEASE-POLICYLIMIT <br />$ <br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101,Addilional RemarksSchedule,maybe attached if more spaceis required) <br />proof of insurance only <br />event name: <br />Dia de los ninos / Dia de los libros <br />26 CivicCenter Plaza Santa Ana, CA92701 <br />r:FRTIFIr'ATFwf1u f1FR rANrFI I ATIf1N <br />SHOULD ANYOF THE ABOVEDESCRIBED POLICIES BE CANCELLED BEFORE <br />Cityof Santa Ana <br />THE EXPIRATION DATETHEREOF, NOTICE WILL BE DELIVERED IN <br />Attention: Michelle Loera <br />ACCORDANCEWITH THE POLICY PROVISIONS. <br />26 Civic Center Plaza <br />Santa Ana, CA 92701 <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />