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A�Qhtd CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYY) <br />3/21/2018 <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. If SUBROGATION IS WAIVED, subject 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 holder in lieu of such endorsements . <br />PRODUCER <br />A J INSURANCE <br />1000 Macarthur Blvd #66 <br />Santa Ana, CA 92707 N-2018-058 <br />OF57419 <br />CONTACT <br />NAME. <br />PHONE (714) 673-5549I FAx <br />AIC No: <br />E-MAIL a insurance com <br />DDREss. 7 <br />INSURERS AFFORDING COVERAGE <br />NAICW <br />INSURERA; MESA UNDERWRITERS SPECIALTY INS. <br />36838 <br />INSURED GALAXY PARTY RENTALS <br />ZAVALA, ROBERTO AND EUGENIO PEREZ <br />11787 CARDINAL CIR <br />GARDEN GROVE, CA 92843 <br />INSURERS: <br />INsuRE <br />INSURERD: <br />INSURER E: <br />INSURER F: <br />r.n\/FRAnF.Q CFRTICICATC KII WIRF[A <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 TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS. <br />INBR <br />LTA <br />TYPE OF INSURANCE <br />SR <br />viva <br />OLICVNU B <br />POLICY EFF <br />M D V <br />POLICY ENE <br />MMIDDIYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1 000 000 <br />X COMMERCIAL GENERAL LIABILITY <br />CI -AIMS -MADE O OCCUR <br />S Ea occurrence) <br />$ 100,000 <br />MED EXP An one arson <br />$ 5,000 <br />A <br />X DED: $500 <br />MP0004014000837 <br />09/26/1709/25/18 <br />PERSONAL & ADV INJURY <br />$ 1,000,0001 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE <br />LIMITAPPLIES <br />PER: <br />PRODUCTS - COMPIOPAGG <br />$ 2,000,000 <br />X OLCV <br />PRO- <br />L <br />$ <br />OMOBILE LIABILITY <br />COMBINED SINGLE MIT <br />(Eaaccident <br />BODILY INJURY (Per person) <br />$ <br />ANVAUTO <br />ALLOWNED SCHEDULED <br />AUTOS AUTOS <br />H <br />BODILY INJURY (Par <br />(a I <br />$ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />Per aord t <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />IS <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />QED I I RETENTION <br />WORKERS COMPENSATION <br />ANDEMPLOVERS'LIABILITV YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE O <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />WCSTATU- I X OTH- <br />TORY I WITS PR <br />EL EACH ACCIDENT <br />.NT <br />$ <br />EL DISEASE- EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If lyqS tlescribe under <br />DESCRI PTION OF OPERA ION bal <br />E. L. DISEASE -POLICY LIMIT <br />CONTENTS: <br />A <br />PROPERTY <br />MP0004014000837 <br />09/26/1709/26/18 <br />$250,0000 <br />DED: $1,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remelts Schedule, if more space is required) <br />PARTY RENTAL STORE: <br />City of Santa Ana, its officers, agents and employees are named as additional i`n,96ni. <br />{� 4'4� <br />SHOULD ANY OF THE ABOVE DESCRIBED �ELCED BEFORE <br />City of Santa Ana Public Library THE EXPIRATION DATE THEREOF OTICE W(lt4L DELIVERED IN <br />26 Civic Center Plaza ACCORDANCE WITH THE POLICY. VISIONS. <br />Santa Ana, CA 92701 4 <br />AUTHORIZED REPRE <br />U 1 - 1 All rights reserved. <br />ACORD25 (2010105) The ACORD name and logo are registered marks of ACORD <br />