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DATE (MMIDD/YYYY) <br />ACORN® CERTIFICATE OF LIABILITY INSURANCE <br />04/14/2025 <br />—THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION OY AND CONFERS NO RIGHTS UPO 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 pollcy(les) must have ADDITIONAL INSURED provisions or be <br />endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A <br />statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA <br />5 Concourse Parkway <br />Suite 2150 <br />CONTACT <br />NAME: <br />PHONE FAX <br />X. N AExt : (888) 202-3007 A/c No): <br />ADDRESS: contact@hisoox.com <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />Atlanta GA, 30328 <br />INSURER A: Hiscox Insurance Company Inc <br />10200 <br />INSURED <br />INSURERS: <br />GTE AGENCY, LLC. DBA Global Talent Entertainment <br />3780 Kilroy Airport Way, Ste 200 <br />Long Beach, CA 90806 <br />INSURER C : <br />INsuRER a <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 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 />INI R <br />TYPE OF INSURANCE <br />ADPL <br />jmwa <br />SUER <br />POLICY NUMBER <br />MM DD EFF <br />POLICY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1 000,000 <br />CLAIMS -MADE � OCCUR <br />PREMISES occurrence)EaE <br />$ 100,000 <br />X <br />MED EXP (Any one arson) <br />$ 10,000 <br />CGL is on BOP Form <br />A <br />Y <br />Y <br />P104.143.095.1 <br />11/13/2024 <br />11/13/2025 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEMLAGGREGATE LIMIT APPLIES PER.' <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS -COMP(OP AGG <br />$ 2,000,000 <br />X POLICY a PRO-JECT ❑ LOC <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />BODILY INJURY (Per accident) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />Peraccident) OPERTDAMAGE <br />$ <br />$ <br />UMBRELLAUAB <br />OCCUR <br />EACHOCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LLAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y I N <br />ANYPROPRIEEI'OWPARTNERIEXECUTIVE <br />I 3TATU[TE ERH <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE -EA EMPLOYEE <br />S <br />OFFICER/MEMBER F-XCLUOEU7 ❑ <br />(MandatorylnNH) <br />NIA <br />EL. DISEASE -POLICY LIMIT <br />$ <br />Ir yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more apace is required) <br />The City of Santa Ana, Its officers, officials, employees, and volunteers are to be covered as Additional Insureds on the CGL policy with respect to liability arising <br />out of work or operations performed by or on behalf of the Permittee including materials, parts, or equipment furnished in connection with such work or operation <br />S. <br />Digitall"Ig-d <br />Tu Tran N9"e'a" APPROVED <br />Nguyen °uogZ, <br />12:34:10-07'00By Tu Tran Nguyen at 12:33 pm, Apr 23, 2025 <br />City of Santa Ana Parks, Recreation, and Community Services <br />Plaza <br />20 Civic Center Plaza <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Santa Ana, 92701 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />C�� I <br />(0 19St5-2U15 AGVKU GUKI-UKA I IUN. All rtgnts reservea. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />