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V 11161 <br /> CERTIFICATE OF PROPERTY INSURANCE DATE CERTIFICATE <br /> 116I2025 <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 /> PRODUCER CONTACT <br /> SHELLEE A.MCLAUGHLIN AGENCY NArnE: <br /> 2171 Las Pashas Ct,Ste J IsaNE tI 925-9Ii0-1604 n1c Ne):925 960-1902 <br /> _--- <br /> Livermore CA 94551 ADDRIESS:smefaughlln cdfarmersge,tf.carn <br /> _. _ <br /> PRODUCER <br /> CUSTOMER ID: <br /> INSURER(S)AFFORDING COVERAGE NA€C# <br /> INSURED INSURER A:Hiscox insurance Company Inc. 10200 <br /> GTE AGENCY, LLC.RBA Global Talent Entertainment <br /> 3780 Kilroy Airport Way,Ste 200 INSURER a <br /> Long Beach CA 90806 INSURER C: <br /> INSURER a. <br /> €NSURER E, <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> LOCATION OF PREMISES I DESCRIPTION OF PROPERTY�A�ttach ACORD 101 Additional Remarks Schedule.If more space is required) <br /> 3780 Kilroy Airport Way,Ste 200,Long Beach,CA 96806 <br /> _....__. — .... ............ -- - .......... ..................... - <br /> THIS B 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 PA)D CLAIMS. <br /> INSR € POLICY EFFECTIVE I POLICY EXPIRATION COVERED PROPERTY 1 LIMITSLTR TYPE OF INSURANCE f POLICY NUM13ER [DATE(MMIDDIYYYY) DATE(MMlDD7YYYY) i <br /> �I PROPERTY E BUILDING 1$10,000 <br /> CAUSES OF LC]59_ _?DEDUCTIBLES PERSONAL PROPERTY <br /> ans€c I HUILD€NG P104.143.095 11113/2025 11/1312026 BUSINESS INCOME <br /> BROAD F J E)(TRA EXPENSE $ <br /> A CONTENTS <br /> ✓ SPECIAL ;$1,000 RENTALVALUE <br /> ...F.ARTWGFS.3kKE_- - t I BLANKET BUILDING $ <br /> -1 s ...... ....._. <br /> WIND I BLANKET PENS PROP _$ <br /> ,. .................E .__t i i ... ........... ..... ....... ..... <br /> FLOOD BLANKET BLDG&PP <br /> i <br /> I$ <br /> INLAND MARINE` j TYPE OF POLICY s <br /> CAUSES OF LOSS <br /> NAMED PEWLS `POLICY NUMBER II$ __--_.- <br /> i $ <br /> CRIME �-5 <br /> i <br /> TYPE OF POLICY I t I$ <br /> LiBOILER&MACHINERY I $ <br /> EQUIPMENT BREAKDOWN <br /> is <br /> SPECIAL CONDITIONS I OTHER COVERAGES(ACORO 101,Additional Remarks Schedule,may 6a attached If morn spaco is roqu€rod) <br /> The City of Santa Ana, its officers,officials,employees,and volunteers are to be covered as Additional Insureds on the CGL policy wi <br /> respect to liability arising out of work or operations performed by or on behalf of the Permittee including materials, parts,or <br /> equipment furnished in connection with such work or operations. <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana Parks, Recreation,and Community <br /> Services SHOULD ANY OF THE ABEIYE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 20 Civic Center Plaza THE EXPIRATION DA H REOF,NOTICE PILL 8E DELIVERED IN <br /> Santa Ana, CA 92701 ACCORDANCE WI E oL Y PROVISIONS <br /> A A ' <br /> AUTHORIZED Rq.RE AT E <br /> O 2 ACO UR ORATI N All rights reserved. <br /> ACORD 24(2016103) The ACORD name and logo are registered marks of ACORD <br /> Pr•nrir.r•ari..cinn Cnrmc Rnar Wah nnitura'a sv M,FnrmcRnee e_m.7 Imr.rac.I..a k7,rhl€ch€nn Ann_)nA_9077 <br />