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JESSCOC-01 ALEXISMACDONALD
<br /> CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDlYWY)
<br /> 419/2025
<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 CONTACT
<br /> NAME:
<br /> NFP Property&Casualty Services,Inc. PHONE FAx
<br /> 2450 Tapo Street (A/C,No,Ext):(805)579-1900 (A!C No):(805)579-1916
<br /> Simi Valley,CA 93063 AbDRIESS:
<br /> INSUREI AFFORDING COVERAGE NAIC#
<br /> INSURER A:HISCOX Insurance Company Inc. 10200
<br /> INSURED INSURER B:
<br /> Jesse Cochran DBA:Advantage Event Solutions INSURER C:
<br /> 1020 E Vermont Ave INSURER D:
<br /> Anaheim,CA 92805
<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 /> INSR TYPE OF INSURANCE ADDINSD SUBR WVD POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR US UEN 2773350.24 7/17/2024 7/17/2025 DAMAGE TO RENTED 1,000,000
<br /> X X PI Ea occurrence $
<br /> MEDEXP(Any oneperson) $ 10,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEML AGGREGATE LIMIT APPLIES PER I GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY❑ PRO- ❑ LOC 2,000,000
<br /> JECT PRODUCTS-COMP/OPAGG $
<br /> OTHER: $
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
<br /> Ea accident $
<br /> X ANY AUTO X X US UAE 2784522.24 7/17/2024 7117/2025 BODILY INJURY Perperson) $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED NON-OWNED P�OPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY er accident $
<br /> X 'HAP MaxlACV! L
<br /> Cost of Repair *HAPD Ded $ 1,500
<br /> $1125A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000
<br /> X EXCESS LIAB CLAIMS-MADE US UEN 2773350.24 7/17/2024 7117/2025 AGGREGATE $ 3,000,000
<br /> DED RETENTION$ $
<br /> A WORKERS COMPENSATION PER C1
<br /> AND EMPLOYERS'LIABILITY YIN X TAT TE ER
<br /> ANY PROPRIETORIPARTNER/EXECUTIVE X HSW277152$24 7/17/2024 7/17/2025 1,000,000
<br /> OFFICERIMEMBER EXCLUDED? ❑ N 1 A E.L.EACH ACCIDENT $
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> A Equipment Floater/Co X X US UEN 2773350.24 7/17/2024 7/17/2025 RCISpIFrm/Ded:$2,500 250,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
<br /> RE:Per written contract with the named insured.
<br /> Certificate Holder is included as Additional Insured on the General Liability and Auto Liability per attached forms EGLE4316 CW and EAU E4418 CW(06/14)as
<br /> required by written contract or agreement but only as respects losses arising from the operations of the Named Insured per attached form.Blanket Waiver of
<br /> Subrogation attached applies to General Liability,Auto Liability,and Workers Compensation per attached forms ENT P4000 and WC 04 03 06.Auto 30 Day
<br /> NOC per attached form EAU E4418 CW(06/14).CIR attached.
<br /> Tu Tran Du9TtmnyNguyene APPROVED
<br /> Nguyen °3].132U�00'
<br /> By Tu Tran Nguyen at 4:36 pm,Apr 23,2025
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> y ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attention: Parks,Recreation,and Community Services
<br /> 20 Civic Center Plaza,M-23
<br /> Santa Ana 92701 AUTHORIZED REPRESENTATIVE
<br /> ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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