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SPECIAL EVENT LIABILITY GROUP INSURANCE TRUST DATE <br /> CERTIFICATE OF INSURANCE ENDORSEMENT 3/21/2025 <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: SPECIAL EVENT INSURANCE DEPARTMENT CONTACT INFORMATION: <br /> HUB International Insurance Services Inc. PHONE 925 609 6547 FAX 925 609 6550 <br /> 3000 Executive Parkway,Suite 300 EMAIL specialeventla'�.hubinternational.com <br /> San Ramon,CA 94583 INSURER(S)AFFORDING COVERAGE NAIC# <br /> CA License#0757776 INSURER A: Colony Insurance Company 39993 <br /> NAMED INSURED: <br /> City of Santa Ana <br /> 122 N. Newhope Street <br /> Santa Ana,CA 92703 <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 date(s)indicated below. Notwithstanding any requirement,term 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 INSURED MEMBER COVERAGE EFFECTIVE I <br /> LTR TYPE OF INSURANCE ENDORSEMENT EXPIRATION DATE LIMITS <br /> NUMBER <br /> A GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY 50965 04/26/2025 DAMAGE TO RENTED PREMISES <br /> (Ea occwrence) $1.000,000 <br /> CLAIMS-MADE ❑X OCCURRENCE MED EXP(Any one person) $5,000 <br /> PERSONAL B AOV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> PRODUCTS-COMPIOPAGG $2,000,000 <br /> LIQUOR LIABILITY PER <br /> OCCURRENCE(AGGREGATE <br /> INCLUDED IN GENERAL n/a <br /> LIABILITY AGGREGATE) <br /> MASTER POLICY#103 GL 0021111 -EFFECTIVE DATE 1/1/2025; EXPIRATION 1/112026 <br /> DESCRIPTION OF OPERATIONS If LOCATIONS <br /> City of Santa Ana,its officers,officials,employees and volunteers,20 Civic Center Plaza,Santa Ana,CA 92701 <br /> islare included as an additional insured(s)per attached endorsement T5409-0118.Policy is Primary and Non-contributing per attached endorsement T109"108;Waiver of <br /> Subrogation applies per attached endorsementCG 24 04 05 09. <br /> Event Type: Celebration <br /> Event date(s): 4/26/2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> City of Santa Ana <br /> Attention: Ella Sepulveda AUTHORIZED REPRESENTATIVE <br /> 20 Civic Center Plaza M-75 <br /> Santa Ana,CA 92701. <br />