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CERTIFICATE OF INSURANCE ENDORSEMENT <br />SPECIAL EVENT LIABILITY GROUP INSURANCE TRUST, A RISK PURCHASING GROUP <br />Certificate # <br />50766 <br />FACILITY OWNER - Additional Insured: (if multiple, continued <br />on next page) <br />PRODUCER: <br />CA License #0757776 <br />HUB International Insurance Services Inc. <br />City of Santa Ana, its officers, officials, employees and volunteers, 20 3000 Executive Parkway, Suite 300 <br />Civic Center Plaza, Santa Ana, CA 92701 <br />San Ramon, CA 94583 <br />PH: 925 609 6547 FX: 925 609 6550 sDecialeventiiohubintemationalcom <br />EVENT HOLDER - Named Insured: (if multiple, continued on <br />next page) <br />EVENT INFORMATION <br />Tet (Lunar New Year) Festival Vendors (5) <br />TYPE OF EVENT: <br />Vendors (5) <br />per the attached list <br />EVENT DATE(S): <br />1/25/2025 <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />EVENT LOCATION(S): <br />Centennial Park - 3000 W Edinger Ave. Santa Ana, CA 92704 <br />This is to certify that the policies of insurance listed below have been issued to the insured named above for the event date(s) indicated above. Notmthstanding any requirement, term or <br />condition of any contract or other document wth respect to Which this cedificate 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. <br />INSURER A: <br />COLONY INSURANCE COMPANY <br />I NSR LTR <br />Type of Insurance <br />Policy Number <br />Effective <br />Expiration <br />Policy Limits <br />Each Occurrence <br />$1,000,000 <br />General Aggregate <br />$2,000,000 <br />Personal 8 Advertising Injury <br />$1,000,000 <br />A <br />Commercial <br />General Liability103 <br />GL 0021111 <br />1/1/2025 <br />1l1/2026 <br />ProductslCompleted Operations <br />Aggregate <br />$2,000,000 <br />a <br />Damage to Premises Rented to You <br />$1,000,000 <br />Medical Payments <br />$5,000 <br />Liquor Liability Each Occurrence <br />(Aggregate included in General <br />n/a <br />Liability Aggregate) <br />COVERAGE TERMS: <br />Occurrence Form (CG 0001) <br />Host Liquor Liability Included. <br />The coverage afforded by this insurance is primary and non-contributing with any <br />insurance held by the "Additional Insured" as Named Insured, when the "Additional <br />Insured" is shown on this Certificate of Insurance Endorsement as "Additional Insured" <br />Full Liquor Liability Included when a <br />or WHEN REQUIRED BY WRITTEN CONTRACT. <br />separate premium has been charged. <br />COVERAGE EXCLUSIONS: (REFER TO POLICY FOR COMPLETE LISTING OF EXCLUSIONS) <br />-- Communicable Diseases <br />Specific Events are excluded from coverage. Please see second page for list of excluded events. <br />--Sexual Abuse & Molestation <br />-- Terrorism <br />On behalf of the Risk Purchasing Group and each Member, the Trustee has declined coverage for the Terrorism Risk <br />Insurance Act (TRIA). <br />— Additional Insureds, next page - APPROVED <br />By Luisa Najera at 12:04 pm, Jan 21, 2025 <br />