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ACC <br />yAj�6YT-01 Digitally <br />CERTIFICATE OF LIABILITY I ((,���1 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFEPrk NO <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND ORR E� <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONT T <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 <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an on <br />this certificate does not confer riohts to the certificate holder in lieu of such endorsementfsl- <br />PRODUCER iwci <br />Griswold & Griswold Insurance Agency, Inc. aiNr o, EXL, (310) 377-7172 <br />2785 Pacific Coast Highway Ste 308 E-MAIL <br />Torrance, CA 90505 ADDREss. fnfo@griswoldim <br />INSURED <br />Shakespeare By the Sea <br />777 Centre Street <br />San Pedro, CA 90731 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER - <br />THIS <br />aMMS1 <br />or be endorsed. <br />A statement on <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 />LTRA. <br />TYPE OF INSURANCE <br />ADDDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />31212022 <br />POLICY EXP <br />3{ifdi B23'. <br />LIMITS <br />X <br />COMMERCUILGENERAL LIABILITY <br />CLAIMS -MADE F�7 OCCUR <br />�( <br />01�0030--'6�72 <br />EACH OCCURRENCE <br />1,000,000 <br />DAMAGE TO RENTED <br />1,000,000 <br />MEO EXP (Any oneperson) <br />5,000 <br />PERSONAL BADVINJURY <br />1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />X POLICY jn LOC <br />OTHER: <br />GENERAL AGGREGATE <br />2,U0Bj000 <br />PRODUCTS - COMP/OP AGO <br />2,000,000 <br />SEXUAL MISCONDU <br />$ 100,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUUTTOED p <br />AUTOS ONLY AUrOS ON Y <br />COMBINED SINGLE LIMIT <br />(Ea accidentl <br />BODILY INJURY Per person) <br />BODILY INJURY Per accident <br />Pa0F`.E ltlent AMAGE <br />UMBRELLA LMS <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />AGGREGATE <br />OED RETENTION$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />ppF�FICERIMEM99EERR EXCLUDED? <br />(rnanda[ory In NH) <br />Ryes, tlascribe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />I PER OTH- <br />E.L. EACH ACCIDENT <br />E.L. DISEASE- EA EMPLOYE <br />li <br />E.L. DISEASE- POLICY LIMIT <br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD Let, Additional Remarks Schedule, may be attached if more space is required) <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California, 92701; its officers, employees, agents and volunteers are named as additional insureds. <br />The City of Santa Ana Risk Management <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 �RE�EP <br />REPRESENTATIVE <br />4IIZ <br />ACORD 25 (2016103) ©1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />Ride fet W IYgQI101t D(\dd W l <br />REVIEWED & APPRw®BY' <br />I, IL A*� Auv44 <br />��' Risk Management Specialist <br />