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SHAKBYT-01 KLE DATIN D/YYYY) a12n212z/zoz2 ,acoRO` CERTIFICATE OF LIABILITY INSURANCE 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 policy(ies) must have ADDITIONAL INSURED provisions or 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 endorsements . PRODUCER CQMJACT Griswold & Griswold Insurance Agency, Inc. 2785 Pacific Coast Highway Ste 308 jnlc°,No, Eat: (310) 377-7172 FAIR No :(310) 377-3169 kb%l , info@griswoldinsurance.com Torrance, CA 90505 INSURERS AFFORDING COVERAGE NAIC A INSURER A:Guideone Specialty Mut Ins Co 14559 INSURED INSURER B:GUldeone Mut Ins Co 15032 INSURER C : Shakespeare By the Sea INSURER D : 777 Centre Street San Pedro, CA 90731 INSURER E INSURER F : COVERAGES CERTIFICATE NIIMRFR- RFVI--CInN NIIMRPR- 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 CONTRACTOR 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. INSRNMD R TYPE OF INSURANCE IID I POLICYNUMBER MDYEFF MD POLICY P 1DDiYy LIMITS A X COMMERCIAL GENERAL LIABILITY CI -AIMS -MADE X OCCUR X 01-0030.672 3/212022 3/212023 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES Ea o c n n 1,000,00 GEML X MED EXP (Any one arson 5,000 PERSONAL &ADV INJURY S 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ❑Yn LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGO 2100000 SEXUAL MISCONDU 100,o0o B AUTOMOBILE LIABILITY ANY AUTO AAUUTOS ONLY SCHEDULED AUTOS AUTOS ONLY X AUTOS ON V 01-0031-769 511/2022 51112023 COMBINED SINGLE LIMIT $ 1,000,000. BODILY INJURY Par arson $ BpODILV INJURY Par accident $ X Parr aLclde�iit AMAGE $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE OED RETENTION$ ANDEPLYRPENSATION MOES' LIABILITY YIN ANY PROPMETOR/PARTNEWEXECUTIVE ❑ Q�FICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PERT E I 1 ERH E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE I E.L. DISEASE - POLICY LIMB DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The City of Santa Ana, 20Civic Center Plaza, Santa Ana, California, 92701; its officers, employees, agents and volunteers are named as additional insureds. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Cityof Santa Ana Risk Management THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE R4kMRnrgmtmtED i Ew ly�.,Y REVIED6 APPROV®BYBY: ACORD 25 (2016/03) ©1988-2015 ACORD 1 ' 16 fe ACIV44 The ACORD name and logo are registered marks of ACORD Risk Management Specialist