Laserfiche WebLink
Ill CERTIFICATE OF LIABILITY INSURANCE DATE <br /> /11202 YYYY) <br /> �„�+ Acct#: 2998307 $/1/2025 <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.If <br /> SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> USI Insurance Services,LLC NAME: <br /> FAX <br /> 2502 N Rocky Point Drive PHONE E , 844-290-4908 AIC No): <br /> E-MAIL certs locktonaffinit <br /> Tampa, FL 33607 ADDRESS: BBSl @ Y.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURER A: Ace American Insurance Company 22667 <br /> INSURED INSURER B: <br /> COOK EVENT SERVICES,LLC DBA:BAKER PARTY RENTALS <br /> 11520 WARNER AVENUE, INSURER c: <br /> FOUNTAIN VALLEY,CA 92708 <br /> INSURER D <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 ADDL SUBR POLICY EFF POLICY EXP <br /> LTR POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE OCCUR PREMISES Ea occurrence $ <br /> MED EXP(Any one person) S <br /> PERSONAL BADVINJURY S <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY D PRO- <br /> JECT LOC PRODUCTS-COMP/OP AGG $ <br /> OTHER: S <br /> AUTOMOBILE LIABILITY COMBINE"SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) S <br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> S <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB HCLAIMS-MADE AGGREGATE $ <br /> DED RETENTION S S <br /> WORKERS COMPENSATION X STATUTE ERH <br /> AND EMPLOYERS'LIABILITY Y I N <br /> A OFFICERIMEMBANY OER EXCLUDEID?ECUTIVE ❑ NIA X C58901957 5/1/2025 5/112026 E.L.EACH ACCIDENT $ 2,000,000 <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 <br /> If yes,descdbe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 2,000.000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Policy State=CA <br /> Waiver of Subragation in favor of certificate holder when required by written contract <br /> 30-Day Notice of Cancellation <br /> APPROVED <br /> By Tu Tran Nguyen of 9:37 am.May 02, 2025. <br /> CERTIFICATE HOLDER CAN <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City Of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br /> ATTN:Parks,Recreation,And Community Services,M-23 IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center PI <br /> Santa Ana,CA 92701 <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />