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ACORO� CERTIFICATE OF LIABILITY INSURANCE <br />FDATE (MMIDDIYYYY) <br />08/18/2021 <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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Neighborhood Insurance Agency <br />600 S Grand ave Ste 101 <br />SANTA ANA, CA 92705 <br />CONTACT <br />Martin R. Felix <br />PHONE FAX <br />,C No Ext: (714)285-9990 A/c No: (714)384-7473 <br />E-MAIL <br />ADDRESS: marten@n1aCOVerage.COm <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />License #: OC38846 <br />INSURERA: Hlscox <br />10200 <br />INSURED BEBO ENTERTAINMENT <br />INSURER B: <br />DBA BEBO ENTERTAINMENT <br />INSURERC: <br />INSURER D: <br />613 E BERKELEY ST <br />INSURER E <br />SANTA ANA, CA 92707-2301 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 00017529-98778 REVISION NUMBER: 1 <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 BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />UDC-4930316-CGL-21 <br />08/13/2021 <br />08/13/2022 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE 1XI OCCUR <br />DAMAGE RENTED <br />PREM SESOEa occu Bnce <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 1,000 <br />PERSONAL BADV INJURY <br />$ 1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L <br />X <br />POLICY JECT LOC <br />PRODUCTS - COMP/OP AGG <br />$ 1,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />L <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />DJ MUSIC BUSINESS <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <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 />AUTHORIZED, REPRESENTATIVE <br />Risk Mwagmert[Division <br />idEVIEWED&APPRO�Vm BY: <br />/ <br />>"f� >/"IGQ1/A4 <br />© 1988-2015 ACORD CORP, Risk Management Specialist <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD v <br />Printed by MRF on August 18, 2021 at 03:03PM <br />