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AC"" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDfYYYY) 0 411 712 0 2 5 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 CONTACT Liberty United Insurance Services, Inc PHONE Sam Muradyan FAX 704 S Victory Blvd, Suite 204 AfC No E t: 8187618888 Arc No:8882656889 Burbank, CA 91502 E-MAIL E-MAIL ADDRESS: Sam@libertyunitedinsurance.com License#: OF89841 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Certain Underwriters at Lloyd's of London 15792 INSURED INSURER B: Certain Underwriters at Lloyd's of London Elite Special Events, Inc INSURER C: 11278 Los Alamitos Boulevard #101 INSURERD: Los Alamitos, CA 90720 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 00001977-270182 REVISION NUMBER: 460 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR IN SD WVD POLICY NUMBER MMIDDIYYYY$ (MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y ZISMB149903 05/07/2024 05/07/2025 EACH OCCURRENCE 5 1 000000 DAMAGE X CLAIMS-MADE OCCUR PREM SETL occu RENTED S 300,000 MED EXP(Any one person) S PERSONAL&AOV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 PRO- X POLICY F1 ECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER. S AUTOMOBILE LIABILITY C Ea acOMBINED SINGLE LIMITcident S ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE 5 AUTOS ONLY AUTOS ONLY Per accident 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 EXCESS LIAB HCLAIMS-MADE AGGREGATE 5 DIED I I RETENTION 5 S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY T,I N STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICEMMEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 B Accident/Medical ZISMB1499 03 05/07/2024 06/07/2025 $10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) City of Santa Ana, its City Council,officers, officials, employees,agents,and volunteers are listed as additional insureds Digitally signed Tu Tran byTuTr— Nguyen Nguyen1zt2002o�da,- APPROVED By Tu Tran Nguyen at 12:11 pm,May 01,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Parks,Recreation,and Community Services Agency 20 Civic Center Plaza Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE (SMS ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD Printed by SMS on 04117/2025 at 01:21 PM