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acoRO® CERTIFICATE OF LIABILITY INSURANCE �i DATE (M2/2017 08/12/2017 THIS CERTIFICATE IS 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must 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 Robert V. Nuccio R.V. Nuccio & Associates Insurance Brokers, Inc. 10148 Riverside Drive Toluca Lake, CA 91602 (AIC, NPHONE (800) 364-2433 n/c Nol: (818) 980-1595_ pODRIESS: support@rvnuccio.com INSURERS AFFORDING COVERAGE NAIC N INSURERA: Fireman's Fund Insurance Company 21873 9/19/2017 INSURED _ INSURER B, DAMAG D PREMISES Ea occurrence Everlasting Event _ INSURER C: $ 5,000 _ INSURER D: $ 1,000,000 216 S. Citrus St #323 INSURERE: West Covina, CA 91791 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED 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. INSR LTR TYPE OF INSURANCE ADDL SUBR VO POLICY NUMBER POLICY EFF IWDDIYYYY POLICY EXP MMIDOIYYYY LIMITS A GENERAL LIABILITY � ✓' COMMERCIAL GENERAL LIABILITY 'CLAIMS -MADE ❑✓ OCCUR ✓ XPK80968969 PEVD062171 9/19/2016 9/19/2017 EACH OCCURRENCE $ 1,000,000 DAMAG D PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 _ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG $ 2,000,000 1 POLICY 1 PRO- JECT F-1 RO LOC _ $ A AUTOMOBILE LIABILITY XPK80968969 9/19/2016 9/19/2017 COMBINED SINGLE LIMIT Re scold en).__ 1,000,000 BODILY INJURY (Per person) _ $ ✓ ANY AUTO AOSCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS ✓ AUTOS PEVD062171 BODILY INJURY (Per accident) $ PROPERTYAGE Per accitlentidort) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS-MADEnn�� `1 DED RETENTION$ ¢,t 0,$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETMEMBERIPARTNERIEXECUTIVE❑I OFFICEREXCLUDED9 (MandatoryinNH) If yes, de scribe under NIA n-`\ej VV rtyj . 111,,,999 IO / GG �AL !Vl QJ�'`," TONY LIM , WC STATUOER E.L. EACH ACCIDENT $(� — E.L. DISEASE -EA EMPLOYEE ------- $ DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ G (�`" DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Additional Insured: Additional Insured: The City of Santa Ana, it's officers, employees, agents and representatives are named as additional insured. Description: DJ services for the City of Santa Ana Youth Talent Show on August 12, 2017. Start Date: 8/12/2017 End Date: 8/13/2017 Start Time: 12:00pm End Time: 12:00am CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE Robert V. Nuccio @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD