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SPECIALTY CERTIFICATE OF LIABILITY INSURANCE DATE <br /> (MMIC1DlYYY1'I <br /> 1%s:a I,:C: A,,,N C r 08/28/2024 <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS <br /> 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 <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER p <br /> Specialty Insurance Agency C Inta e l e3 r ss� ee n e <br /> Performers of the U.S. PI cne: 715' 6-8908 FA3t'715-246-8908 <br /> 3432 Denmark Ave#231 I e Err All: <br /> Eagan,MN 55123 <br /> It SI A G NAIC# <br /> INSURED PERFORMERS OF THE U.S.AND ITS PARTICIPATING MEMBERS: NSURE �i6 �n u a. $ <br /> Terry Conci Q <br /> dba Franklin Haynes Marion t INS _ • <br /> 1234 Muirfield Road INSURER <br /> Riverside,CA 92506 <br /> cevedo <br /> INSURE • • <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY <br /> REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE <br /> INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE <br /> LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ADDL SUBR POLICY EFFECTIVE POLICY EXPIRATION <br /> TYPE OF INSURANCE INSD WVD POLICY NUMBER DATE IMMIDDIM DATE tMM/DD/YY) LIMITS <br /> X OMMERCIAL GENERAL EACH OCCURRENCE $ 1,000,000 <br /> LIABILITY <br /> DAMAGE TO RENTED $300,00© <br /> CLAIMS MADE X�CCUR PREMISES(Ea occurrence) <br /> MED EXP{Any one person) $5 000 <br /> A GEN'L AGGREGATE LIMIT X X 2CN0180-7334 09/08/2024 09/08/2025 12:01 am <br /> APPLIES PER: PERSONAL 8 ADV INJURY $ 1,000,000 <br /> [HPOLICY PROJECT GENERAL AGGREGATE s2,000.000 <br /> LOC PRODUCTS-COMP/OP <br /> AGG $2,000,000 <br /> A PERFORMER ASSISTANTISI EACH OCCURRENCE $ <br /> AGGREGATE $ <br /> A BUSINESS PERSONAL <br /> PROPERTY-INLAND MARINE AGGREGATE $ <br /> SEXUAL ABUSE AND EACH OCCURRENCE S 1,000,000 <br /> A MOLESTATION 2CN0180-7334 09f08/2024 0910812025 12:01 am <br /> OGGUR AGGREGATE $2 000 000 <br /> A DATA BREACH AND CY6ER AGGREGATE $ <br /> LIABILITY COVERAGE <br /> A EQUIPMENT LEASED OR <br /> RENTED <br /> AGGREGATE $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> PERFORMER IS A NAMED INSURED AS A MEMBER OF PERFORMERS OF THE U,S.: <br /> Terry Conci dba Franklin Haynes Marionettes <br /> Additional Insured:The City of Santa Ana, Risk Management,it's officers,employees,agents,representatives,and volunteers as additional inured.Coverage is <br /> primary and not-contributory with respect to insurance or self-insurance maintained by the City. Waiver of Subrogation applies to general liability.Thirty(30)day <br /> prior written notice of cancellation required. <br /> Sexual abuse or molestation coverage is not excluded by endorsement,$1,000,0001$2,000,000 coverage limits apply to educational institutions only;otherwise <br /> $100,000 each occurrencel$300,000 aggregate limits apply to sexual abuse or molestation coverage. <br /> Email:jhoang@santa-ana.org Attn:Julie Hoang Event Dates:08/28/2024-04/30/2025 <br /> Insured for:Puppeteer <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana Risk Management Division SHOULD ANY OF THE ABOVE DESCR BED POLIC ES BE CANCELL D <br /> 20 Civic Center Plaza,4th floor BEFORE THE EXPIRATIOI <br /> COVERAGE WILL ENUEA, <br /> Santa Ana,CA 92702 CERTIFICATE HOLDERN, Risk MuftTnadDW[an <br /> SHALL IMPOSE NO OBLII REmEWED&APPROVED BY: <br /> INSURER,ITS AGENTS Ol <br /> AUTHORIZED REPRESENT <br /> �-�� Risk Management Specialist <br />