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ACC ->R .fie CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM DD"Y YI <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(les) must be endorsed. It SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require aro endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsomen s . <br />PRODUCER <br />Coarac Brendan Moore <br />Business & Health Insurance Services, Inc. <br />_ <br />PHONE 714-677.6700 __.____ FAX 714-677-p047 <br />SO: (AIC. Nal: <br />_ <br />` 'u brendan@bhlsi.Com <br />1206 E Yorba Linda BlvdIN3UNEi2 <br />j8)AFFORDINe COVERAGE NAICC <br />Al <br />Placentia CA 92870 <br />......... ..._...__ <br />INSURER A: Nationwide Mutual Insurance Company <br />INSURED <br />INSURER B: <br />Luis Nave <br />-- <br />INSURERC: <br />dba, DJ Bebe Entertainment <br />_ <br />INSURER D: <br />616 E Berkeley St <br />INWMR E: <br />Same Ana CA 92707 <br />INSURER F: <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 />OERTIFICATE 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 />JIM NSRBUBB <br />TYPE OF INSURANCE <br />INESD <br />POLICYNUMBER <br />PGUCYEXP p <br />UMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE MADE OCCURPREMISES <br />X <br />6BRPGOOD00067390900 <br />06/9812015 <br />00/1812016 <br />EACH OCCURRENCE $ 1,Oa0,ODO <br />Ee aaurc u nca — $ 300,000 -- <br />REXP(An Maporaan $ 5,000 <br />,ME <br />PERSONALa ADVINJUW $ <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ JECT [] LOC <br />OTHER: <br />GENERAL AGGREGATE $ 5,000,000 <br />PRODUCTS-COMP/OP AGO it 1,000,000 <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />ALLOWNEO SCHEDULED <br />AUTOS AUI <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />COMBINED I51 G 6MIT $ <br />a001LY INJURY (Per perbonJ <br />a00lLY INJURY Per aoadenq $ <br />PROPERTY DAMAG $ <br />Pwooddent <br />$ <br />UMBRELLA Ii <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DED RETENTIONS <br />s <br />WORKERS COMPENSATION <br />AND EMPLOYERB'LIABILRY YIN <br />MY PROPRIETORIPARTNEWEXECUTiVE <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In AS <br />Ir es, dsscrlbe under <br />O 8 RIPTIONOFOPERATION9below <br />NIA <br />PER 07 - <br />T UTE <br />--- <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE, EA EMPLOYE $ ' <br />E.L. DISEASE -POLICY LIMIT <br />DESCRIPTION OF OPERATIONS) LOCATIONS /VEHICLES (ACORtl 1D7, Additlanef Remarks Schedule, fI re n,'IJ adl <br />�l a - <br />Silvia Cuevas <br />PRCSAIAdmin. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana Senior Center <br />20 Civic Center Plaza RIO Boz 1986 M-16 AUTHORMW REPRESENTATIVE <br />Santa Ana CA 92702 1 <br />Brendan Moore <br />reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />