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ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) <br /> 06/30/2025 <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(ies)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 CONTACT Event Helper Customer Service <br /> Gaslamp Insurance Services CONN. Ext: (530)477-6521 a/c,No <br /> DBA Event Helper Insurance Services E-MAIL info theeventhel er.com <br /> P ADDRESS: @ P <br /> - PO Box 1549 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Grass Valley CA 95945 INSURER A: Evanston Insurance Company 35378 <br /> INSURED INSURER B: <br /> Twist and Shout INSURER C: <br /> c/o Amy&David Nehrig INSURER D: <br /> 7567 Quiet Cove Circle INSURER E: <br /> Huntington Beach CA 92648 INSURERF: <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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICYNUMBER MM/DDNYYY MM/DDNYYY <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> DAMAGE <br /> CLAIMS-MADE � OCCUR PREM SESO(EaE ccurrrrence) $ 100,000 <br /> Host Liquor Liability MED EXP(Any one person) $ 5,000 <br /> A Retail Liquor Liability Y Y 3DS5476-M4930989 06/07/2025 06/07/2026 PERSONAL&ADV INJURY $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: 12:01 AM 12:01 AM GENERALAGGREGATE $ 5,000,000 <br /> X POLICY❑ PRO- <br /> ❑ <br /> JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> OTHER: Deductible $ 1,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLA LAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? ❑ N/A <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/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> Certificate holder listed below is named as additional insured per attached MEGL 2217 01 19.Attendance: 1875, Event Type:Vendor at Event.Waiver of <br /> Subrogation applies per attached CG 24 04 12 19. Primary/Non-Contributory wording applies per attached CG 20 01 04 13. <br /> Tu Tran D19'tallys'9ned by <br /> Tu Tran Nguyen <br /> Nguyen iD531 902-0700? <br /> APPROVED <br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 3:38 pm,Aug 12,J2025 <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Attention: Library Services, Dylan Dario ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza, M-42 <br /> Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE <br /> CA 92701 <br /> .te'f, <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />