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AC RO " CERTIFICATE OF LIABILITY INSURANCE r <br /> ATE(MM/DD/YYYY) <br /> 4/25/2025 <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 /> IMA, Inc. PHONE 626 799-7000 nr�c No: 626 583-2117 <br /> 3475 E. Foothill Blvd., Suite 100 E-MAIL <br /> Pasadena, CA 91107 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> www.boltonco.com OH64724 INSURER A: AXIS Insurance Company 37273 <br /> INSURED INSURER B: <br /> Cook Event Services, LLC <br /> DBA Baker Party Rentals INSURERC: <br /> 11520 Warner Ave INSURER D: <br /> Fountain Valley CA 92708 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 85009124 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 ADDL SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS <br /> A �/ COMMERCIAL GENERAL LIABILITY �/ �/ Al BACA00404370103 5/1/2025 5/1/2026 EACH OCCURRENCE $1000000 <br /> DAMAGE TO RENT <br /> CLAIMS-MADE 7 OCCUR PREMISES(Ea occu D nce) $100,000 <br /> MED EXP(Any one person) $5 000 <br /> PERSONAL&ADV INJURY $1 000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> ✓ POLICY PEQ LOC PRODUCTS-COMPIOPAGG $2000,000 <br /> OTHER: $ <br /> A AUTOMOBILE LIABILITY AlBACA00404370103 5/1/2025 5/1/2026 COMBINED SINGLE LIMIT $ <br /> ✓ ✓ Ea accident 1,000,000 <br /> ✓ ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> L I — $ <br /> A UMBRELLA LIAB �/ OCCUR A5BACA00404370303 5/1/2025 5/1/2026 EACH OCCURRENCE $1000000 <br /> ✓ EXCESS LIAB CLAIMS-MADE <br /> AGGREGATE $1.000..000 <br /> DED I I RETENTIONS $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANYPROPRIETORIPARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N I A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Equipment Floater Al BACA00404370103 5/1/2025 5/1/2026 Limit:$3,680,000 <br /> A Equipment Floater Al BACA00404370103 5/1/2025 5/1/2026 Deductible:$5,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> GL&Auto Additional Insured apply per ARAX30010812&CA20481013 attached,only if required by written contract/agreement. TU Tra n °�T�al�'NguY nb <br /> GL Primary and Non-Contributory Wording applies per CG20011219 attached. Date:2025.05.02 <br /> GL&Auto Waivers of Subrogation apply per CG24531219&CA04431120 attached. Ng Uyen 09:3a:04-07'00' <br /> Additional Insured(s):City of Santa Ana,its City Council, its officers,officials,employees,agents,and volunteers. <br /> RE:Operations of the named insued. <br /> APPROVED <br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 9:36 am,May 02,2025 <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Parks, Recreation and Community Services ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza <br /> Santa Ana CA 92701 <br /> AUTHORIZED REPRESENTATIVE <br /> Ron Wanglin <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br /> 85009124 1 25-26 Master Certificate I Ben Wayne 14/25/2025 4:31:5e PM (PDT) I Page 1 of 7 <br />