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a <br /> DATE <br /> SPICIALTYCERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYY) <br /> 04/01/2025 <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS <br /> WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER <br /> Specialty Insurance Agency Contact Name: Heather Weiss Zenzen <br /> Vendors of the U.S. Phone: 715-246-8908 FAX: 715-246-8908 <br /> 3432 Denmark Ave#231 Email: certs@specialtyinsuranceagency.com <br /> Eagan,MN 55123 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED VENDORS OF THE U.S.AND ITS PARTICIPATING MEMEBERS: INSURER A: Evanston Insurance Company 35378 <br /> TRU-ONE Productions <br /> c/o Robert Trujillo INSURER B: <br /> 7853 Poinsettia Drive INSURER C: <br /> Buena Park,CA 90620 <br /> INSURER D: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY <br /> REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE <br /> INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE <br /> LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> INSD WVD DATE(MM/DD/YY) DATE(MM/DD/YY) <br /> X COMMERCIAL GENERAL EACH OCCURRENCE $1,000,000 <br /> LIABILITY DAMAGE TO RENTED $300'000 <br /> CLAIMS MADE X CCUR <br /> PREMISES(Ea occurrence) <br /> MED EXP(Any one person) $5,000 <br /> A GEN'LAGGREGATELIMIT X X 2CN0182-1175 09/01/2024 09/01/2025 12:01 am APPLIES PER: PERSONAL&ADV INJURY $1 000 000 <br /> GENERAL AGGREGATE $2 000 000 <br /> X POLICY PROJECT PRODUCTS-COMP/OP <br /> LOG AGG $2,000,000 <br /> A BUSINESS PERSONAL AGGREGATE $ <br /> PROPERTY-INLAND MARINE <br /> SEXUAL ABUSE AND EACH OCCURRENCE $ <br /> A MOLESTATION <br /> OCCUR AGGREGATE $ <br /> A DATA BREACH AND CYBER AGGREGATE $ <br /> LIABILITY COVERAGE <br /> A EQUIPMENT LEASED OR AGGREGATE $ <br /> RENTED <br /> UMBRELLA LIAB EACH OCCURRENCE $ <br /> EXCESS LIAB <br /> OCCUR pCLAIMS-MADE <br /> AGGREGATE $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> VENDOR IS A NAMED INSURED AS A MEMBER OF VENDORS OF THE U.S.: <br /> TRU-ONE Productions c/o Robert Trujillo <br /> Additional Insured:City of Santa Ana, its officers,employees,agents and representatives are named as additional insured's with regard to liability and defense <br /> of suits arising from the operations and uses performed by or on behalf of the named insured.Such insurance shall be Primary and Non-Contributory to any <br /> insurance available to the additional insured's. Waiver of Subrogation applies to general liability.Cancellation is as stated in the Policy. <br /> Email: msepulveda@santa-ana.org,LArroyo@santa-ana.org,mloera@santa-ana.org,ddario@santa-ana.org Event Dates:04/26/2025-04/26/2025 Includes <br /> Setup And Teardown <br /> Insured for sales of: Racing games. Permanent storefront exclusion applies. Coverage territory does NOT extend to NYC and the five boroughs. <br /> TU Tran TDu9T�anNguyen by I <br /> APPROVED <br /> Date:2025...03 <br /> Ng uyen 15 07 00- By Tu Tran Nguyen at 3:06 pm,Apr 03, 2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> BEFORE THE EXPIRATION DATE THEREOF,THE INSURER AFFORDING <br /> Attention: Library Services COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE <br /> 26 Civic Center Plaza CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO <br /> Santa Ana,CA 92701 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> INSURER,ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE -u^ 1 <br /> y�I JI 2 <br />