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A��® CERTIFICATE OF LIABILITY INSURANCE DA02/112025n THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Insurance Canopy Program Support NAME: Insurance Canopy = .844-520-6993 qC Ne: 801-763-1374 PO Box 34833 E-MAIL info nfo@insurancecanopy.com Py'com North Chesterfield VA 23234 INSURER(5)AFFORDING COVERAGE NAIC2 INSURER A Great American E&S Insurance Company 268U INSURED INSURER 9: Jose Mascorro,DBA Mariachi Los Sanlaneros INSURER C: 1625 W Mcfadden Ave INSURER D: Santa Ana CA 92704 INSURERE: INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - �A ti Sul3R-- POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM,DDlYYYY MM/OD LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X C_O_MMERCWL GENERAL LIABILITY X Y DAMAGE TO RENTED 300,000 _ PREMISES tEa_occurte w2 _S CLAIMS-MADE X�OCCUR MED EXP(Any one persons S 5,000 A PLF148562-CEP186846 02/2812025 O3/02/2025_PERSONALIADVINJURY .5 1,000.000 _ GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP_AGG S 2,000,000 X POLICY 1 JECTPRO- LOU ANIMAL BAILEE S AUTOMOBILE LIABILITY BBIINdEDer)INGLE LIMIT i5 ANY AUTOLijaa BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS _AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE _5_.- _ AUTOS (Peracudent) S UMBRELLA I _OCCUR F EACH OCCURRENCE S EXCESS UAS CtAIMS-MAOE AGGREGATE S DED RETENTIONS S 1 WORXERS COMPENSATION I WC S7ATU. OTH. AND EMPLOYERS'LIABILITY Y r N _ TORY LIMITS ER ANY PROPRIETORIPARTNERIEXECUTIVE OFFICE/MEMBER EXCLUCED7 ❑ N/A EL EACH ACCIDENT S IMantlatory In NHI E.L DISEASE-EA EMPLOYEE S If yes,desrnbe under DESN OF CPERATIONS Del— E L DISEASE-POLICY LIMIT S DESCRIPUON OF OPERATIONS I LOCATIONS I VEHICLES(ANach ACORD 101,Additional Remarks Schedule.R more space Is requited) Certificate holder had been added as additional insured regarding the above mentioned policy per attached Additional Insured-Designated Person or Organization(CG 20 26 Ed.04 13) DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)The City of Santa Ana,its officers,officials,employees,and volunteers are included as Additional Insured on the above referenced policy where required by written contract.A Waiver of Subrogation applies in favor of the Certificate Holder.The Certificate Holder is included as an Additional Insured on the above referenced policy where required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE ' I 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) APPROVED By Tu Tran Nguyen at 2:31 pm,May 08,2025 Tu Tran Digitally signed by Tu Tran Nguyen Nguyen Date:2025.05.08 14,33:19-07'00'