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SOCC-91 r <br />A�oao CERTIFICATE OF LIABILITY INSURANCES"�`-"°°"Y" <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 WANED, 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 />PPODUCER <br />CONTACT <br />RIPS Bollinngger Sports & Leisure <br />PO Box 1322 <br />PHONE FA• <br />1A'C, NR. E,:1 IAA. Net <br />Morristown. NJ 07M <br />E-MAIL <br />DavidCampanelb <br />MS VAER(Sl AFFORDING COVERAGE <br />NAICS <br />NSUREP A 'Markel Insurance Company <br />8970 <br />NSUPED <br />INSURER e <br />B�.Lk�i— rA ESO. 3-nA'Yalnlrq <br />±SiLA Ndit LAX• PW—d Part <br />At 9nSf3 <br />NSUPER D <br />INSURER E <br />NSUPER F <br />rnVFAAl:FC rrcTscrr aTC EIIIBAOCO- <br />7r.15 IS TO CERTIFY THAT TIHE POLICIES OF INSURANCE LI^TEL' BELOW HAVE BEEN iS ED TO THE INSURED PMIED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANCING ANY REOLAREMENT, TERM OR CONITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO Wl4CH TH S <br />CERTIFICATE MAY BE 1S.iUm OR MAY PERTAIN. THE IWSURFNCE AFFORDED BY THE POLICIES DESCRIBED HERE;N IS SUBJECT TO ALL THE TERMS. <br />EXCLUSION AND CONDITIONS OF "-UCH POLICIES UMTS SHOWN MAY HATE BEEN REDUCED BY PAID CIAING <br />NSR <br />TYPE OF INSURANCE <br />AIM <br />SUSFPOLICY <br />NUMBER <br />POU Y EFF <br />POLICY EAP <br />Lri Ti <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />C�A?JC:�4ti=_ O vccLR <br />X <br />BSB±AHBs'Bua <br />11105/2024 <br />1110512025 <br />EA.:.�r.�:UFRCN.:E <br />1,000,000 <br />f <br />REN <br />Dq 17STr_--D <br />1 100,000 <br />A <br />X <br />Incl Participants <br />SIMILL:f2MILL <br />111051202411/0512025 <br />=•n- _ <br />o <br />s 5,000 <br />X <br />Sexual AbuselMol <br />=1=- r,.•�s�:•N;-^. <br />s 1,000,000 <br />=vL A3GRE _!'� =Lo= =e= <br />=Er.f.•L ♦a3PcaATE <br />1 3,000,000 <br />1 <br />_THER <br />AUTOMOBILE <br />LIABILm <br />-1:.. <br />An AUTO <br />e_.0 _. •. _ _ <br />ALT03 ONLY •U'�C <br />- __ <br />r-'.RED <br />AL:OO ONLY AU '_C ONLI <br />) <br />UYB RELLA LUIB <br />OCCLR <br />c=LCF=•.-- <br />1-r. v,E-1— <br />- - - <br />S <br />E•CESS LIAR:LA,rfC.1.lACE <br />CEO =-=, T'-..I- <br />I <br />WORKERS COMPENSATION- <br />ANOEYPLOYERS'LIABILn'f <br />1W FP.CRq-CvcAP.T.EP.'EYE:vT'.E ❑ <br />ICEc.r1ELEER EXCLUDE=_ <br />Y A <br />_ EA:•+1•-ICE- <br />�• <br />f <br />- - C=-E.EA E_.•_,:•E <br />f <br />IManaatwy In NN) <br />r,r ar_mce waer <br />_ <br />:EtiE•P^J_Gr :N� <br />S <br />LE- _.e,;=*•n,I _ = r_EP.•- Win: [e.• <br />-- - <br />A <br />Accident Insurance <br />�_AHo±s±:a-r. <br />11:05'202i <br />I1!05i2025 <br />Med Max <br />25.000 <br />Full E�rcess <br />Ded. <br />500 <br />DESCRIPTION OF OPERATIC"! LOCATIONS :VEHICLES (ACORD 101. Ad.dl al RnnM6R SanWNM mo DR ASIaaPN B mo1R I P ut i n,,"d) <br />Certificate holder is included as an additional insured. Coverage is <br />provided under these policies only for sponsoredlsupervised activities of <br />the named insured for which a premium has been paid. <br />CFRTIFICATF "m nFR reures I ETlnU <br />COSANTA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Cityof Santa Ana Parks. <br />THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN <br />and Community <br />ACCORDANCE'WITH THE POLICY PROVISIONSRecreation <br />Services Agency <br />AUTHCR'SEO REPP.ESEN-A <br />1825 W Civic Center Dr <br />Santa Ana, CA 92703 <br />ACORD 25 (2016103) D 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />APPROVED <br />By Tu Tran Nguyen at 3:31 pm, Mar 12, 2025 <br />Digitally signed <br />Tu Tran by Tu Tran <br />Nguyen <br />Nguyen ° 25:03.,2 <br />15:31:36-07'00' <br />