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Last modified
3/26/2024 11:43:48 AM
Creation date
3/1/2022 4:01:05 PM
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Contracts
Company Name
NAVA, LUIS dba BEBO ENTERTAINMENT
Contract #
N-2022-045
Agency
Library
Expiration Date
12/20/2022
Insurance Exp Date
8/13/2023
Destruction Year
2027
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TOY I P I e Ys O„ Digitally signed by Tor: Pierson <br />1 1 1 1 Date: 2022.03.0115:55:29 <br />-08'00' <br />ACOR" CERTIFICATE OF LIABILITY INSURANCE <br />L.� <br />DATE (MMIDD/YYYY) <br />1 01 /26/2022 <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 />CONTACT Martin R. Felix <br />PHONE FAX <br />A/C No Ext : (714)285-9990 A/C No : (714)384-7473 <br />E-MAIL <br />ADDRESS: martin@r11aCOV@rage.COm <br />SANTA ANA, CA 92705 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />License #: OC38846 <br />INSURERA: HiSCOX <br />INSURED <br />BEBO ENTERTAINMENT <br />INSURER B <br />DBA BEBO ENTERTAINMENT <br />INSURERC: <br />613 E BERKELEY ST <br />INSURER D <br />SANTA ANA, CA 92707-2301 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 00017529-126933 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 CONTRACTOR 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 />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <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 J OCCUR <br />TO RENTE <br />PREM AGE SES (E. occurrD.r ce)$ <br />100,000 <br />MED EXP (Any one person) <br />$ 1,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />POLICY D PRO- <br />JECT LOC <br />X <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <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 />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />ECLAIMS-MADE <br />AGGREGATE <br />$ <br />EXCESS LAB <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />N / A <br />E.L. EACH ACCIDENT <br />$ <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, maybe attached if more space is required) <br />DJ MUSIC BUSINESS <br />CANCELLATION NOTICE WILL BE SENT TO CERTIFICATE HOLDER PRIOR TO CANCELLATON OF POLICY <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, NOTI('o `Am 1 oo not ni000n IKI <br />ACCORDANCE WITH THE POLICY PROVI <br />�;, as REvi & APPROVED Br. <br />. <br />AUTHORIZED REPRESENTATIVE --- <br />iqw <br />✓V J <br />Ri,k Management Cl eri-1 Aide <br />ACORD 25 (2016/03) <br />@ 1988-2015 ACORD CL)KVUKw I wlv. Au ngnl<s reserves. <br />The ACORD name and logo are registered marks of ACORD Printed by MRF on 01/26/2022 at 02:48PM <br />
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