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. DATE(MMfDDrYYYY) <br /> A►0 RI> CERTIFICATE OF LIABILITY INSURANCE 111612025 <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(les)trust 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 endorsement(s). <br /> PRODUCER SHELLEE A.MCLAUGHLIN AGENCY NCO <br /> AAMEcT Shellee McLaughlin <br /> 2177 Las Positas Ct,Ste J PHONE 925-960-1SO4 ? FAX 925-960-1902 <br /> Livermore CA 94551 ..Ro-9x1): —.--- _. in_rc luo_--.._ ... <br /> EMAIL smclau hlin armersa ent.com <br /> ,ADORE&5;.. -_ -- .- - <br /> .._ <br /> INSURER($)AFFORDING COVERAGE NAtC It <br /> INSURER Insurance Company '10200 <br /> INSURED GTE AGENCY,LLC,DBA Global Talent Entertainment INSURERS <br /> 3780 Kilroy Airport Way,Ste 200 <br /> Long Beach CA 90806 INSURER C <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> MSR I ADDLISUSR POLICY EFF POLICY EXP i <br /> LTR TYPE OF INSURANCE I POLICY NUMBER f MMiDD YYY I MMIDt3)YYYY i LIMITS <br /> COMMERCIAL GENERAL LIABILITY ✓ I ✓ i I EACH OCCURRENCE 151,000,000 <br /> DAMAGE TO RENTED <br /> CLAMS-MADE ✓ OCCUR P104.td3.095?1i11$l2025 11l1312026 I PREMISE$(Fa occurrence) $100,000 <br /> A ✓ CGL Is on BOP Form I I MEO EXP(Any one person) S 10,00Q <br /> ? PERSONAL&ADV INJURY S 1,000,000 <br /> GEN'LAGGREGAi't LIMIT APPLIES PLR,, GENERAL AGG€tEGXYE 2,otEa,oOII <br /> PCILICY❑ JR O � LUC I PRODUCTS-COWN013 AGG I s 2,00Q,OI)0 <br /> OTHER, COh16INED SINGLE,.LIMIT <br /> c $ <br /> AUTOMOBILE LIABILITY _{Ea acdent) <br /> ANY AUTO ! BODILY INJURY(Per Nrson) S <br /> OWNED SCHEDULED BODILY tNJUFZY{per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED € i PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY ' iPer accident) €{ <br /> UMBRELLA LIAR OCCUR i EACH OCCURRENCE E S <br /> EXCESS LIA& CLAIMS-MADE ! AGGREGATE � "b <br /> 3 I. <br /> DED RI Ttr:NT€ON$ !5 <br /> WORKERS COMPENSATION I '� PER C)TH- <br /> AND EMPLOYERS'LIABILITY I STATUTE ER <br /> YIN <br /> i ANYPROPR)ETORrPARTNERIEXECUTIVE E.L.EACH ACCIDENTj 5 <br /> 'OF ICFRIMENISEREXGLUDEO7 �INIA. <br /> (Mandatory In NH) )E.L.O€•SEASE-EA CMPL4Y $ <br /> !If es,t3escri6a under I -POLICY LIMIT 5 <br /> i DItS RlPTION OF OPERATIONS hatow E.L.DISEASE <br /> F-1 € <br /> E � I <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schadute,may be attached it more space is required) <br /> The City of Santa Ana,its officers,officials,employees,and volunteers are to be covered as Additional Insureds on the CGL policy with <br /> respect to liability arising out of work or operations performed by or on behalf of the Permittee including materials,parts,or equipment <br /> furnished in connection with such work or operations. <br /> Digitally signed <br /> Tu Tran by Tu Tran <br /> Nguyen <br /> Nguyen114fi50-08'00 APPROVED <br /> �By Tu Tran Nguyen at 11:46 am,Nov 12,2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana Parks, Recreation,and Community Services <br /> 20 Civic Center Plaza SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Santa Ana,CA 927D1 THE EXPIRATION DATE ERE NOTICE ILL BE DELIVERED IN <br /> ACCORDANCE WITH THE P LE Y PR VESIONS. <br /> AUTHORIZED REPR"NAT <br /> v <br /> Cl -2015 ACORD COR ORA It]N. I r hts reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br /> Produced using Forms Boss Web softwaro.www.FormsBoss.com;?Impressive Publishing 800.208.1977 <br />