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Ir r DATE SPECIALTY CERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYY) INSURANCE AGENCY 08/28/2024 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 endorsement(s). PRODUCER ` , Specialty Insurance Agency C Inta t e l e�I r ss�I n e Y Performers of the U.S. I PI : ne: 715 6-8908 FW. 715-246-8908 3432 Denmark Ave #231 Err ill: tyi r e Eagan, MN 55123 It 3l RtRTAFWM G tOMMIT NAIC # INSURED PERFORMERS OF THE U.S. AND ITS PARTICIPATING MEMBERS: ZRIEr. in U a 8 Terry Conci INs,'�L� • • •1. dba Franklin Haynes MarioAcevedo t 1234 Muirfield Road INSURERC30% 9!nk!l 9!nk n!71 n rh I Riverside, CA 92506 — INSURE • • COVERAGES 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 CONTRACT OR 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS INSD VWD DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL EACH OCCURRENCE $ 1 000 000 COMMERCIAL LIABILITY CLAIMS MADE X�OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 MED EXP (Any one person) $ 5,000 A GEN'L AGGREGATE LIMIT X X 2CN0180-7334 09/08/2024 09/08/2025 12:01 am PERSONAL &ADV INJURY $ 1,000,000 APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X�POLICY PROJECT 171 PRODUCTS - COMP/OP $ 2,000,000 LOC AGG PERFORMER ASSISTANT(S) EACH OCCURRENCE $ A AGGREGATE $ A BUSINESS PERSONAL AGGREGATE $ PROPERTY - INLAND MARINE SEXUAL ABUSE AND EACH OCCURRENCE $ 1,000,000 A MOLESTATION 2CN0180-7334 09/08/2024 09/08/2025 12:01 am $ 2,000,000 X� OCCUR AGGREGATE A DATA BREACH AND CYBER AGGREGATE $ LIABILITY COVERAGE A EQUIPMENT LEASED OR AGGREGATE $ RENTED DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS PERFORMER IS A NAMED INSURED AS A MEMBER OF PERFORMERS OF THE U.S.: Terry Conci dba Franklin Haynes Marionettes Additional Insured: The City of Santa Ana, Risk Management, it's officers, employees, agents, representatives, and volunteers as additional inured. Coverage is primary and not -contributory with respect to insurance or self-insurance maintained by the City. Waiver of Subrogation applies to general liability. Thirty (30) day prior written notice of cancellation required. Sexual abuse or molestation coverage is not excluded by endorsement. $1,000,000/$2,000,000 coverage limits apply to educational institutions only; otherwise $100,000 each occurrence/$300,000 aggregate limits apply to sexual abuse or molestation coverage. Email: jhoang@santa-ana.org Attn: Julie Hoang Event Dates: 08/28/2024 - 04/30/2025 Insured for: Puppeteer GtK I IFIGAI L KULULK GANGELLATIUN City Of Santa Ana Risk Management Division SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 20 Civic Center Plaza, 4th floor Santa Ana, CA 92702 COVERAGE WILL LL EENNDEERA1 RiskMwwgemodDivision CERTIFICATE HOLDER N a "� :e SHALL IMPOSE NO OBLI( i a REVIEWED & APPROVED BY. INSURER, ITS AGENTS OI `I,A a; cJ A� A �I _ o 1. AUTHORIZED REPRESENT �', r I � �� Risk Management Specialist