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ACOR& CERTIFICATE OF LIABILITY INSURANCE <br />111 <br />DATE(MMIDDIYYYY) <br />1 <br />10/25/2024 <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 />IMA, Inc. <br />3475 E. Foothill Blvd., Suite 100 <br />Pasadena, CA 91107 <br />CONTACT <br />NAME:PHONE <br />FA% <br />626799-7000 ac Ne: 626 583-2117 <br />A RIESS, <br />INSURERJSi AFFORDING COVERAGE <br />NAIC i! <br />INSURER A: Fireman's Fund Insurance Company <br />21873 <br />www.boltonco.com OH64724 <br />INSURED <br />Inc. <br />DBA: Al Party Rentals <br />DBA: <br />INSURERB: Benchmark Insurance Company <br />41394 <br />INSURER c: American Automobile Insurance Company <br />21849 <br />INSURER D: <br />251 E. Front Street <br />Covina CA 91723 <br />NSURER E: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 82500828 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 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 />OF INSURANCE <br />ADDLTYPE <br />JM <br />we SUER <br />POLICYNUMBER <br />MM/D�PYSEE <br />YY <br />MMIDOY/ YYY <br />LIMITS <br />A <br />COMMERCIALGENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />✓ <br />✓ <br />UST006799240 <br />2/1/2024 <br />2/1/2025 <br />EACH OCCURRENCE <br />$1000000 <br />DAMAGE TO RERT_5T__ <br />PREMISES Ea occurrence <br />$100 000 <br />MED EXP (Any one person) <br />$1 O GOO <br />PERSONAL &ADV INJURY <br />$1 00O 000 <br />BEVL AGGREGATE LI MIT APPLIES PER:. <br />GENERALAGGREGATE <br />$2,000,000 <br />✓ POLICY ❑PRO- ECT LOG <br />PRODUCTS - COMP/OP AGG <br />$2000000 <br />$ <br />OTHER: <br />C <br />AUTOMOBILE <br />LIABILITY <br />SCV0121192401 <br />2/1/2024 <br />2/1/2025 <br />ea acc tlentSINGLE LIMIT <br />$1 000 000 <br />BODILY INJURY (Par person) <br />$ <br />✓ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />✓ <br />HIRED NON -OWNED <br />AUTOS ONLY ✓ AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />It <br />A <br />UMBRELLq LIAR <br />�/ <br />OCCUR <br />UST004376241 <br />2/1/2024 <br />2/1/2025 <br />EACH OCCURRENCE <br />$6000000 <br />AGGREGATE <br />$ 5 000 000 <br />✓ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED I ✓ I RETENTION$10,000 <br />$ <br />I <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />OFFCERIMEMBERE%CLUpwp ECUTIVE FYI <br />NIA <br />99WC0000334400 <br />11/1/2024 <br />11/1/2025 <br />✓ STATUTE °aH <br />E.EACH ACCIDENT <br />S1,000,000 <br />E.L. DISEASE - EA EMPLOYE <br />$1,000,000 <br />(Mandatory In NHl <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$1000000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />Re: A-2022-050 <br />GL Waiver of Subrogation applies per CG24041219 attached. Excess follows form and extends to underlying Auto and General liability. <br />Additional Insured(s): The City of Santa Ana, its officers, employees, agents, and representatives <br />GL Additional Insured applies per ENTGLO180119 attached, only if required by written contract/agreement. <br />APPROVED <br />By Cynthia Mora at 9:31 am, Dec 19, 2024 <br />CERTIFICATE HOLDER <br />CANCELLATION <br />City Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />of <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />PO Box 1988 M-16 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />Ron Wanglin <br />©1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />82500828 1 CWPINCA-01 1 24-25 Master Certificate 24-25 WC I Sara Powell 1 10/25/2024 4:11:12 PM (POT) I Page 1 of 5 <br />