THE MINI EXPRESS (SUPER BIRTHDAY INC.)

Home Browse Search

AIICCU?"0 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) i1� 01/16/2026 THIS CERTIFICATE 1S 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 INSURERI 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 Anr Tumer NAME: Northern Kentucky Insurance PHONE (859)566-8550 FAX (859)586-$616 Afo No Ezt; AfC,No 5915 Centennial Circle E-MAIL amie@csins.com ADDRESS: INSURER($)AFFORDING COVERAGE NAIL p Florence KS 41042 INSURERA: Great Amerlcan Insurance Company 16691 INSURED INSURER B; Great American Assurance Company 26344 Super Birthday,Inc INSURER C: Great American Spirit Insurance Company 33723 1941 California Ave.#77591 INSURER D: INSURER E; Corona CA 92877 INSURER F COVERAGES CERTIFICATE NUMBER: 2025-2026 NEW REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME➢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. TR AUIJLbUbK TYPE OF INSURANCE INSD WVD POLICY NUMBER MM�DIYYYY MM!DtYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000.000 CLAIMS-MADE ® OCCUR PREMISES Ea occurrence) $ 5©©,000 MED EXP(Any one person) $ 10,000 A Y Y BOPF405251 12/01/2025 12/01/2026 PERSONAL SADV INJURY $ 2.000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4.000,000 POL9CY PRO-JECT LOG PRODUCTS-COMPIOPAGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BOD I LY INJURY(Per person) $ B OWNED SCHEDULED Y Y CAP2550691 12/01/2025 12/01/2026 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident F $ UMBRELLA OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGRFGATE $ DED I I RETENTION $ r $ WORKERS COMPENSATION X PER O7H- AND EMPLOYERS'LIABILITY YIN STATUTE ER C ANY PRO PRIETORIPARTNERJEXECUTIVE ❑ NIA Y WCF405079 12101/2025 12101/2D26 E,IEACHACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) I L.DISEASE-EA EMPLOYEE $ 1,D00,000 It yes,describe under 1,OOD,D00 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached it more space is required) City of Santa Ana,its City Council,its officers,officials, employees,agents,and volunteers are to be covered as additional insureds with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials,parts,equipment,and personnel furnished in connection with such work or operations. Event Name and Location:Die de Los Nlncs 1 Dia de Los Libros APPROVED By Tu Tran Nguyen at 2:33 pm,Feb 03,2026 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, Attn:Library Services Dept AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza,M-42 Santa Ana CA 92701 91988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD