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SOUNDSKILZ, INC.
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Last modified
7/10/2024 8:55:15 AM
Creation date
4/4/2024 8:35:22 AM
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Contracts
Company Name
SOUNDSKILZ, INC.
Contract #
N-2024-125
Agency
Parks, Recreation, & Community Services
Expiration Date
3/20/2025
Insurance Exp Date
10/14/2024
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�1® <br />`'� CERTIFICATE OF LIABILITY INSURANCE DAo3%Dz'2o"4YY) <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 be endorsed. If SUBROGATION IS WAIVED, subject <br />to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights <br />o the Carl icat holder in lieu of such endr rse t <br />n I la ���t\1� a Group <br />13 N tee. STE 109 # 109 Angie Aceve <br />SCOTTSD AZ 85260-3666 �1/ �/1 /.fit <br />Date. 2024.0Jts <br />NAME: <br />PHONE_ANo Ext : (602) 992-1570 FAX No): (602) 992-6327 <br />ADDRESS: mgranado@eggroup.com <br />INSURER(S) AFFORDING COVERAGE <br />NAICN <br />INSURERA: Great American Insurance Company <br />16691 <br />INS P SA E 10 JV' ERSASSOCI ON I <br />ITS PARTICIPATING MEMBFRF. <br />URERB: <br />INSURERC: <br />Sound Skilz, Inc. <br />INSURERD: <br />PO BOX 891720 <br />TEMECULA, CA 92589 <br />INSURERE: <br />NSURERF: <br />COVERAGES CERTIFICATE NUMBER: GAS127905 REVISION NUMBER: <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 <br />DOCUMENT WITH RESPECT TO WHICH <br />THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID <br />CLAIMS. <br />INSF <br />LTR <br />rypE OF INSURANCE <br />ADDL <br />INSR <br />SUER <br />WVD <br />pOLICYNUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDA'YYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES Eaoaurarc <br />$3D0000 <br />MED UP (Any one person) <br />$10,000 <br />CLAIMS -MADE FX] OCCUR <br />A <br />X HOST LIQUOR LIABILITY INCLUDED <br />X <br />X <br />PAC 4725034 <br />11/10/2023 <br />12:00 AM <br />11/10/2024 <br />12:01 AM <br />PERBONAL&AOV INJURY <br />g1,LO0,000 <br />GENERALAGGREGATE <br />$2,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPACP AGG <br />$2.000000 <br />X POLICY JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea aceiQ-0 <br />$1,000,000 <br />BODILY INJURY (Perpe,son) <br />ANY AMD <br />AH <br />AUTOSGAINED SCHEDULED <br />Auros AUTO. <br />'X <br />PAC 4725034 <br />12/11/2023 <br />12:00 AM <br />11/10/2024 <br />12:01 AM <br />BODILY INJURY (Per <br />accident <br />HIREDAUTO X NONOWNED <br />AMOS <br />PROPERTY DAMAGE <br />Per acciEenl <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB <br />CLAIM&MADE <br />AGGREGATE <br />OED I I RETENTION S <br />A <br />Professional Liability <br />X <br />X <br />PAC 4725034 <br />11/10/2023 <br />12:00 AM <br />11/10/2024 <br />12:01 AM <br />EACH OCCURRENCE <br />AGGREGATE LIMIT <br />$1000.000 <br />51,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Covered Activities: Production Vendor <br />The Certificate Holder is added as an additional insured but only with respect to liability arising out of the named insured during the policy period. Primary & <br />Non -Contributory coverage applies. Waiver of Subrogation applies. Event date: 06/22/2024 <br />Scheduled Activities Exclusion Applies -Please Refer to Named Insured Member Certificate of Coverage <br />CERTIFICATE HOLDER <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />TION <br />SHOULD ANY OF THE ABOVE Dr"""' <br />BEFORE THE EXPIRATION DATE THI <br />ACCORDANCE WITH THE POLICY PR <br />AUTHORIZED REPRESENTATIVE <br />AUzw Futiavwi,aA <br />„a,� <br />�'f: <br />Y� <br />WdtMvuganadD(WIDn <br />REVIEWED 6 APPROVED BMEW APPROVED <br />Risk Management SpeciAht <br />ACORD 25 (2016/03) @ 1988-2016 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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