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ACG a CERTIFICATE OF LIABILITY INSURANCE <br />L—�--�' <br />DATE 1181207YYYY) <br />OF INSURANCE <br />o7r16rzo15 <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. 11 SUBROGATION IS WAIVED, subjecH to <br />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 homer in lieu of such endorsement(s). <br />PRODUCER <br />NAME, T Brendan Moore <br />OBRPGDO0MS05300 <br />PHONE ,_71$-577.6700 a, 714577-01MT <br />Business & Health Insurance Services, Inc. <br />AIL95, 6reTMan�jbHioF.COm -_- <br />1206EYorbaLinda Blvd <br />"URERSH AFFORDING COVERAGE NMC1 <br />Placentia._ CA 92870 <br />A: Nationwide Insurance Company of Ame'� -- <br />INSURERrks <br />HSURED <br />INSURER s: <br />Lots Nave <br />INSUMC: _.... <br />DEA: DJ Bobo Entertainment <br />WSURER D; <br />815 E Berkeley St <br />INSURER E: — <br />Santa Ana CA 92707 <br />INSURER P:' <br />THIS 13 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 SEEN REDUCED BY PAID CLAIMS, <br />MEN LTRTYPE <br />OF INSURANCE <br />UM <br />BR <br />P06 YNUMaER <br />POLIC�kFF <br />p6 <br />P ICY <br />yl p <br />— -.__._T.... <br />LIMITS <br />A <br />MERCIALGENERAL LIABILITY <br />CMS.MAOE a OCCUR <br />XT:LAIi <br />X <br />OBRPGDO0MS05300 <br />08/1872018 <br />08!1842017 <br />EACH000URRENCE S 1,000,000 <br />WKSESEyGETO $ 3001000 <br />MEDEXP(A yan�NtN1 $ 5,000 <br />PERSONALAADVINJURY $_ <br />OEM AGGREGATE LNT APPLIES PER <br />POLICY ❑& 0LOC <br />OTHER <br />_ <br />OUNERALAOOREGATE S 5,004,000 <br />PT3tlWCT$-OOMPoOPAOG 1,000.040 <br />$ <br />AUTOMOBILE LIABILITY <br />RNAUTO <br />ALLOWNEDSCHEOULED <br />AUTOS <br />HIREDAUTOS AUTO D <br />H <br />I <br />t!� (� <br />T� �V `v� <br />) <br />OSI IM $ <br />a <br />SOT7ILV INXIRY (Per Parson) $ <br />BODLLY ma11RY(Perawaenq f�� —' <br />(Pv aaldtt110AMAGE S <br />i <br />UMBRELLA INe <br />EXCESSUAB <br />OCCUR <br />CLAw"ADE <br />-AUTOS <br />' <br />A AaX <br />EACH OCCURRENCE § <br />AGGREGATE $ <br />OED nmeHruN <br />5 <br />WORKERS COMPENSATION <br />ANOEMPLOYERVUABILITY YIN <br />ANYPROPRETOPAARTNER(E%ECUTNE <br />OFRCMW MBEREXCLUDEW � <br />�uMx <br />PnONCF TICNS Wm <br />H)A <br />Ye�t <br />r:Y� �" <br />C�tfr' �n <br />Sti <br />yr� <br />CJt,V <br />Cep <br />PE m` <br />_ TAT F,R_ <br />EL EACH ACCIDENT $ <br />_ <br />EL. DISEASE -EA EMPLOYE S <br />£L DISEASE -POLICY LINT $ <br />DESCRRRM M OPSRAnMSI LOCATmNS I VSHICLEB {AGGRO tet, AdUiSaeui Ramarb SebtM,ta, req W stgMad Hnsme sPau 4 raeuYWl <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRKTION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana r=. <br />DREPN20 Cklo Center PBaa OrMoam <br />Santa Ana CA 92701 <br />L <br />AGURO Z31ZO141111) The ACORD name and logo are registered marks of ACORD <br />reserved. <br />