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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 PRODUCER: <br />CA License 90757776 <br />on next page) <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 San Ramon, CA 94583 <br />PH: 925 609 6547 FX: 925 609 6550 9Decialeyent0h ubinternational.com <br />EVENT HOLDER - Named Insured: (if multiple, continued on <br />EVENT INFORMATION <br />next page) <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 earthy that the policies of insurance listed below have been issued to the insured named above for the event date(s) indicated above. Notwithstanding any requirement, term or <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 terms, <br />exclusions and conditions of such policies. <br />INSURERA: <br />COLONY INSURANCE COMPANY <br />INSR 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 &Advertising Injury <br />$1,000,000 <br />Products/Completed Operations <br />$2,000,000 <br />Commercial <br />Aggregate <br />Damage to Premises Rented to You <br />$1,000,000 <br />A <br />General Liability <br />103 GL 0021111 <br />1/1/2025 <br />1/1/2026 <br />Medical Payments <br />$6,000 <br />Liquor Liability Each Occurrence <br />(Aggregate Included in General <br />nla <br />Liability Aggregate) <br />COVERAGE TERMS: <br />Occurrence Form (CG 0001) <br />The coverage afforded by this insurance is primary and non-contributing with any <br />Host Liquor Liability Included. <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 <br />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 />—AdditionalInsureds,nextpage— APPROVED <br />By Lulsa NaJera at 12:04 pm, Jan 21, 2025 <br />