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<br /> SPECIALTY CERTIFICATE OF LIABILITY INSURANCE DATE
<br /> {MMJDD/YYYIr)
<br /> INSURANCE AGENCY 04/04/2026
<br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(l 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 4231 Email: certs@specialtyinsuranceagency.cam
<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 /> REOUIREMENT 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 Sven POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
<br /> INSD wvD DATE(MM/DDNY) DATE(MM/DDNY)
<br /> X COMMERCIAL GENERAL EACH OCCURRENCE $1,000,000
<br /> LIABILITY DAMAGE TO RENTS❑
<br /> CLAIMS MADEFT�CCUR PREMISES(Ea occurrence) $300,000
<br /> GENT AGGREGATE LIMIT MED EXP(Any one person) $5,000
<br /> A APPLIES PER: X X 2CN0183-13838 03/26/2026 03/26/202712:0lam PERSONAL&ADV INJURY $1,000,000
<br /> X POLIGY❑PRQJECT GENERAL AGGREGATE $2,000,000
<br /> PRODUCTS-COMP/OP
<br /> LOG 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 2CN0183-13838 03/26/2026 03/26120271201am
<br /> EJOCCUR AGGREGATE $2,000,000
<br /> A DATA BREACH AND CYBEA 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 Rlbuffo 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.$1,000,0001$2,000,000 coverage limits apply to educational institutions only;otherwise
<br /> $100,000 each occurrance/$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 /> SerVIC2S Agency COVERAGE WILL ENDEAVOR TO MAIL 3D 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 4 "V
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