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DATE <br /> SPECIALTY CERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYY) <br /> INSURANCE AGENCY 04/04/2026 <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 endorsement(s). <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 /> Richard Ribuffo INSURER B: <br /> DBA Richard Ribuffo of Magic Makers Entertainment <br /> 352 South Center Street INSURER C: <br /> Orange,CA 92866 INSURER D: <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 RESPECT TO 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 SUBR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> INSD AVID DATE(MM/DD/YY) DATE(MM/DD/YY) <br /> X COMMERCIAL GENERAL EACH OCCURRENCE $1,000,000 <br /> LIABILITY DAMAGE TO RENTED $300'000 <br /> CLAIMS MADE X CCUR <br /> PREMISES(Ea occurrence) <br /> MED EXP(Any one person) $5,000 <br /> A GEML AGGREGATE LIMIT X X 2CN0183-13838 03/26/2026 03/26/2027 12:01 am PERSONAL&ADV INJURY <br /> APPLIES PER: $1,000,000 <br /> GENERAL AGGREGATE $2 000 000 <br /> X POLICY PROJECT PRODUCTS-COMP/OP <br /> LOG AGG $2,000,000 <br /> PERFORMER ASSISTANT(S) <br /> EACH OCCURRENCE $ <br /> A AGGREGATE $ <br /> A BUSINESS PERSONAL AGGREGATE $ <br /> PROPERTY-INLAND MARINE <br /> SEXUAL ABUSE AND EACH OCCURRENCE $1,000,000 <br /> A MOLESTATION 2CN0183-13838 03/26/2026 03/26/202712:01am <br /> EjOCCUR AGGREGATE $2 000 000 <br /> A DATA BREACH AND CYBER AGGREGATE $ <br /> LIABILITY COVERAGE <br /> A EQUIPMENT LEASED OR AGGREGATE $ <br /> RENTED <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> PERFORMER IS A NAMED INSURED AS A MEMBER OF PERFORMERS OF THE U.S.: <br /> Richard Ribuffo DBA Richard Ribuffo of Magic Makers Entertainment <br /> Additional Insured:City of Santa Ana, its City Council,officers,officials,employees,agents,and volunteers. Waiver of Subrogation applies to general liability. <br /> Sexual abuse or molestation coverage is not excluded by endorsement.$1,000,000/$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:juribe@santa-ana.org,VMunguia@santa-ana.org,Ipalomares@santa-ana.org Attn:Juan Magana Uribe Ongoing For Policy Period <br /> Insured for: Balloon Twister,Childrens Entertainer, Magician, Public Speaker, Rope Tricks Performer,Videographer. Note:Athletic audience participation <br /> exclusion applies. <br /> APPROVED <br /> By Tu Tran Nguyen at 9:40 am,Apr 09,2026 <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana,Attention: Parks, Recreation,and Community SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> BEFORE THE EXPIRATION DATE THEREOF,THE INSURER AFFORDING <br /> Services Agency COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE <br /> 20 Civic Center Plaza CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO <br /> M-23 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> Santa Ana,CA 92701 INSURER,ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE -u^ 1 <br /> y�l JI 2 <br />