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Aco Q� � CERTIFICATE OF LIABILITY INSURANCE DgrE(MMroDiYYYY) <br /> 1.� 09/04/2025 <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 CONTACTNAME: Automatic Data Processing Insurance Agency, Inc. <br /> Automatic Data Processing Insurance Agency, Inc. H0NN Ext: 1-800-524-7024 IF No <br /> E-MAIL <br /> ADDRESS: <br /> 1 Adp Boulevard INSURERS)AFFORDING COVERAGE NAIC# <br /> Roseland NJ 07068 INSURER A: Federal Insurance Company 20281 <br /> INSURED Cosmos Fvent Rentals LLC <br /> INSURER B <br /> INSURER C: <br /> 1773 W Lincoln Avesta S INSURER D: <br /> INSURER E <br /> Anaheim CA 92801 INSURERF: <br /> COVERAGES CERTIFICATE NUMBER: 4528246 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 TERMST <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADDL SUBR POLICY EFF POLICY EXP <br /> TYPE OF INSURANCE <br /> LTR INSD WVD POLICY NUMBER MMdDDIYYYY) (MMIDi3fYYYYI LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE ❑ PREMOCCUR DAMAGE T R <br /> FNT <br /> PREMISES Ea occurrence $ <br /> MED EXP(Any one person) $ <br /> PERSONAL BADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY❑ PRO LOC <br /> JECT PRODUCTS-COMPIOPAGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMHINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) 5 <br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) 5 <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Peraccidenk <br /> 5 <br /> UMBRELLA LAB OCCUR EACH OCCURRENCE S <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE S <br /> DIED I I RETENTIONS <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANY PROPRIETORIPARTNEWEXECUTIVE E.L.EACH ACCIDENT S 1,000,000 <br /> A OFFICERIMEMBEREXCLUDED? NIA Y 7181-25-32 06/21/2025 00/21/2026 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE 5 1,000.000 <br /> If yes,describe under 1'oOQ'ooa <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AGORD 101,.Additional Remarks Schedule,may be attached if more space is required) Tu Tra n Digita y signe y <br /> This certificate has a blanket Waiver of Subrogation for the following state(s):GA Tu rran Ng yen <br /> Nguyen °a3gosz0oao5 <br /> APPROVED <br /> By Tu Tran Nguyen of 10:38 am,Sep 05, 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 /> Cfty of Santa Ana,Attn:City of Santa Ana-City Wide ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza <br /> AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92701 <br /> O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />