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AC RO " CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYV) <br /> 04/17/2025 <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 Dave Warren <br /> NAME: <br /> Nielsen McAnany Insurance Services,Inc. PHONE <br /> Ext: (805)379-8801 qAc,No: (805)204-4501 <br /> 4165 E.Thousand Oaks Blvd E-MAIL <br /> ADDRESS: <br /> Suite 325 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Westlake Village CA 91362 INSURERA: California Auto Insurance 38342 <br /> INSURED <br /> INSURER B <br /> ELITE SPECIAL EVENTS,INC. INSURER C: <br /> 11551 Weatherby Rd INSURER D <br /> INSURER E: <br /> Los Alamitos CA 90720-3846 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CL2482810466 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE 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 AUULSUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY) (MMIDDNYYYI LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S <br /> CLAIMS-MADE OCCUR D <br /> PREMISES Ea occurrence 5 <br /> MED EXP(Any one person) S <br /> PERSONAL&ADV INJURY S <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S <br /> JECT POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OP AGO S <br /> OTHER: S <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) S <br /> A OWNED v SCHEDULED BA040000023533 08/31/2024 08/3112025 BODILY INJURY(Per accident) S <br /> AUTOS ONLY /� AUTOS <br /> X HIRED �/ NON-OWNED PROPERTY DAMAGE S <br /> AUTOS ONLY /� AUTOS ONLY Per accident <br /> 5 <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE S <br /> EXCESS LIAR HCLAIMS-MADE AGGREGATE S <br /> DIED I I RETENTION S S <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N I STATUTE I ER <br /> ANY PROPRIETOPJPARTNER/EXECUTIVE El <br /> EXCLUDED? N/A E.L.EACH ACCIDENT S <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S <br /> DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> City of Santa Ana,its Council,officers,officials,employees,agents,and volunteers are additional insured per attached <br /> MCA85100817-CA. <br /> APPROVED <br /> By TO Tran Nguyen at 12:11 pm,May 01,2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana Attention:Parks,Recreation,and Community ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Services Agency <br /> 20 Civic Center Plaza M-23 AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92701 J. McAnany <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />