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ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDIYYYY) 1„i 04/08/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS 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 certificate holder in lieu of such endorsement(s). PRODUCER Simply Business CONTACT Simply Business NAME: 53 State Street PHONE FAX 19th Floor a/C No Ext: 844 654-7272 Arc No): E-MA L business.comi t t conacus sm I Boston, MA 02109 ADDRESS: � P Y INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Hiscox Insurance Company Inc 10200 INSURED Dance Music Initiative INSURER B: 21194 Jasmines Way INSURER C: Lake Forest, California 92630 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR 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 TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y HIUS4845970XB1 01/31/2025 01/31/2026 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR PREM SESOEa occu ence RE TED $100,�00 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X PRO- POLICY JECT LOC PRODUCTS-COMPIOPAGG S/T Gen.Agg. OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANYAUTO BODILY INJURY(Per person) SCHEDULED OWNED BODILY INJURY(Per accident) AUTOS ONLY HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DED I I RETENTION WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y 1 N STATUTE ER ANYPROPRIETORIPARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT OFFICER/MEMBEREXCLUDED7 N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT PROFESSIONAL LIABILITY EACH CLAIM AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) HIUS4845970XB1 -CGL E5581 CW(03/16)-PRIMARY AND NONCONTRIBUTORY-OTHER INSURANCE CONDITION The City of Santa Ana, its officers,officials,employees,and volunteers are included as an additional insured on the General Liability policy,on a primary and noncontributory basis,as per written contract.Waiver of subrogation applies per contract.Name of Event: Free DJ Lessons;Location:The Pizza Press, 117 4th St Unit 101,Santa Ana,CA 92701 CERTIFICATE HOLDER APPROVED CANCELLATION By Tu Tran Nguyen at 10:46 am,Apr 23,2025 City of Santa Ana, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attention: Executive Director, Community Development Agency, THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza M-25, Santa Ana, CA 92701 ACCORDANCE WITH THE POLICY PROVISIONS. amuMr,+y,a AUTHORIZED REPRESENTATIVE Tu Tran 1rT"T, i Nl,y Nguyen ei 10.6.06 OT00' ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD