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SPECIAL EVENT LIABILITY GROUP INSURANCE TRUST <br />DATE <br />CERTIFICATE OF INSURANCE ENDORSEMENT <br />111412025 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE ENDORSEMENT DOES NOT CONSTITUTE A CONTRACT <br />BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />PRODUCER: <br />SPECIAL EVENT INSURANCE DEPARTMENT CONTACT INFORMATION: <br />HUB International Insurance Services Inc. <br />PHONE 9256096547 <br />FAX 9256096550 <br />3000 Executive Parkway, Suite 300 <br />EMAIL soecialevent(d).hubinternational.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />San Ramon, CA 94583 <br />INSURER A: <br />Colony Insurance Company <br />39993 <br />CA License #0757776 <br />NAMED INSURED: <br />Tet (Lunar New Year) Festival Vendors (5) <br />per the attached list <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />COVERAGES <br />This is to certify that the policies of insurance fisted below have been issued to the insured named above for the event call indicated below. Notwithstanding any requirement, tens o <br />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 <br />tens, exclusions and conditions of such policies. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />INSURED MEMBER <br />ENDORSEMENT <br />NUMBER <br />COVERAGE EFFECTIVE 1 <br />EXPIRATION DATE <br />LIMITS <br />A <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />50766 <br />01/25/2025 <br />GRIMACE TO RENTED PREMISES <br />IS ....... I <br />$1,000,000 <br />CLAIMS -MADE ❑% OCCURRENCE <br />MED EXP(My one pe2m) <br />$5,000 <br />PERSONAL A ADV INJURY <br />$1,000,000 <br />GENERALAGGREGATE <br />$2,000.000 <br />PRODUCTS-COMPIOPAGG <br />$2,000,000 <br />LIQUOR LIABILITY PER <br />OCCURRENCE(AGGREGATE <br />INCLUDED IN GENERAL UmIUw <br />Na <br />AGGREGATE) <br />MASTER POLICY #103 GL 0021111 - EFFECTIVE DATE 1/1/2025; EXPIRATION 1/1/2026 <br />DESCRIPTION OF OPERATIONS I LOCATIONS <br />City of Santa Ana, its officers, officials, employees and volunteers, 20 Civic Center Plaza, Santa Ana, CA 92701 <br />is/are included as an additional insureds) per attached endorsement T5409-0116. Policy Is Primary and Non-contributing per attached endorsement TI095-0108; Waiver of <br />Subrogation applies per attached endorsement CG 2404 06 09. <br />Event Type: Vendors (5) <br />Event details): 1/25/2025 <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana <br />AUTHORIZED REPRESENTATIVE <br />Attention: Ella Sepulveda <br />20 Civic Center Plaza M-75 <br />Santa Ana, CA 92701. <br />%] _ <br />