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DATE(MMIDDIYYYY) <br /> ACfJRH CERTIFICATE OF LIABILITY INSURANCE 11/2012025 <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 pollcy(les)must 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 NAME CONCT Jim McAnany <br /> Nielsen McAnany Insurance Services,Inc. PHONE IC. Et: (805)379-8805 AIC NOV (806)204-4501 <br /> 6718 Sasparilla Drive ADDRESS: jime@nmacins.00m <br /> INSURER(S)AFFORDING COVERAGE NAIL A <br /> Simi Valley CA 93063 INSURERA: California Auto Insurance 38342 <br /> INSURED INSURER B: <br /> ELITE SPECIAL EVENTS INC INSURER C: <br /> 11278 Los Alamitos Blvd INSURER D: <br /> PMB 101 INSURER E: <br /> Los Alamitos CA 90720-3958 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CL2582111076 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 /> LTR TYPE OF INSURANCE ( POLICY NUMBER MMIDD MMID LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO HENTIzU <br /> S <br /> CLAIMS-MADE1:1 OCCUR PREMISES occurrence $ <br /> MED EXP(Any one person) s <br /> PERSONAL BADVINJURY s <br /> GENI.AGGREGATE LIMITAPPLIESPER: GENERAL AGGREGATE $ <br /> POLICYā¯‘PRO- <br /> JECT LOC PRODUCTS-COMP/OPAGG S <br /> OTHER: s <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000.000 <br /> Es accident <br /> ANYAUTO BODILY INJURY(Per Person) $ <br /> A OWNED SCHEDULED BA040000023533 08/31/2025 08131/2026 BODILY INJURY(Per ace dent) S <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> S <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE s <br /> EXCESS LIAB HCLAtMS-MADE AGGREGATE s <br /> DED RETENTION S S <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS'LIABILITY Y/N PER <br /> ATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E L EACH ACCIDENT s <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addlttonal Remarks Schedule,maybe attached If mom apace is required) <br /> Digitally signed <br /> The City of Santa Ana,its officers,employees,and volunteers are additional insured as covered by this policy. TU Tra n by Tu Tian <br /> Nguyen <br /> Nguyen 6zoo°-08ao' <br /> APPROVED <br /> By Tu Tran Nguyen at 4:19 pm,Nov 24,2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza <br /> AU7,W <br /> iVE <br /> Santa Ana CA 92702 <br /> B 1988-2015 ACORD CORPORATION.'All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo 191stered marks of ACORD <br />