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A � <br /> ifl <br /> SPECIALTY' CERTIFICATE OF LIABILITY INSURANCE (MMD�/YYYY) <br /> lNiUAANCII Ac€rr(;r 05114/2025 <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policyfies)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS <br /> 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 <br /> certificate holder in lieu of such endorsementis). <br /> PRODUCER <br /> Specialty Insurance Agency Contact Name. Heather Weiss Zenzen <br /> Performers of the U.S. Phone: 715-246-8908 FAX: 715-246-8908 <br /> 3432 Denmark Ave#231 Email: certs@specialtyinsuranceagency.com <br /> Eagan,MN 55123 <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED PERFORMERS OF THE U.S.AND ITS PARTICIPATING MEMBERS: INSURER A: Evanston Insurance Company 35378 <br /> Michael Luis Enriquez INSURER B: <br /> dba Michael Enriquez of SoCal Drum Party <br /> 858 Kinbrae Avenue INSURER C: <br /> Hacienda Heights,CA 91745 <br /> INSURER O: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY <br /> REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE <br /> INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE <br /> LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> lrrso WVD DATE(MM/DD/YY) DATE(MM/DD/YY) <br /> DX COMMERCIAL GENERAL EACH OCCURRENCE $1,000,000 <br /> LIABILnY <br /> NTED — <br /> CLAIMS MADE X� CCUR DAMAGE(Ea ac urrenc) <br /> PREMISES $300,000 <br /> MED EXP(Any one person) $5,000 <br /> A APPLIES PER:AGGREGATELIMIT X X 2CN0180-47120 0111012025 01110/202612:01am <br /> A PERSONAL&ADV INJURY $1,000,000 <br /> HLOC <br /> POLICY®PROJECT GENERAL AGGREGATE $2,000,000 <br /> PRODUCTS-COMP/oP <br /> AGG $2,000,000 <br /> A PERFORMER ASSISTANT(S) EACH OCCURRENCE $ <br /> AGGREGATE <br /> A BUSINESS PERSONAL AGGREGATE $ <br /> PROPERTY-INLAND MARINE <br /> SEXUAL ABUSE AND EACH OCCURRENCE $ 1�000,000 <br /> A MOLESTATION 2CN0180-47120 01/10/2025 01/10/2026 12:01 am <br /> X OCCUR AGGREGATE $2 000 000 <br /> A DATA BREACH AND CYBER AGGREGATE $ <br /> LIABILITY COVERAGE <br /> A EQUIPMENT LEASED OR RENTED AGGREGATE $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES A EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> PERFORMER IS A NAMED INSURED AS A MEMBER OF PERFORMERS OF THE U.S.: <br /> Michael Luis Enriquez dba Michael Enriquez of SoCal Drum Party <br /> Additional Insured:The City of Santa Ana, Risk Management,it's City Council,officers,employees,agents, representatives,and volunteers as additional inured, <br /> Coverage is primary and not-contributory with respect to insurance or self-insurance maintained by the City. Waiver of Subrogation applies to general liability. <br /> Thirty(30)day prior written notice of cancellation required. <br /> Sexual abuse or molestation coverage is not excluded by endorsement.$1,000,000I$2,000,000 coverage limits apply to educational institutions only;otherwise <br /> $100,000 each occurrence/$300,000 aggregate limits apply to sexual abuse or molestation coverage. <br /> Email:jhoang@santa-ana.org Attn:Julie Hoang Ongoing For Policy Period <br /> Insured for:Musician <br /> Digitally signed <br /> TU Tran byTuTran <br /> Nguyen <br /> NgUyErl11sb1s-0�ooc <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> Attention: Parks,Recreation,and Community Services Agency BEFORE THE EXPIRATION DATE THEREOF,THE INSURER AFFORDING <br /> COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE <br /> 20 CIVIC Center Plaza M-23 CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO <br /> Santa Ana,CA 92702 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> INSURER,ITS AGENTS OR REPRESENTATIVES, <br /> AUTHORIZED REPRESENTATIVE A <br />