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COI - Hilary Little / Little Theatre Productions - Expires 2022-11-20SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME: CONTACT (A/C, No): FAX E-MAIL ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) POLICY EFF POLICY NUMBERTYPE OF INSURANCELTR INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE $DAMAGE TO RENTED PREMISES COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 08/08/2022 Lidia Garcia Agency Lidia Garcia 50 W Main Ave #A Morgan Hill CA 95037 Lidia Garcia (408) 778-2761 ligar21@charter.net Hilary Little 7559 Stewart Dr Gilroy CA 95020 Evanston Insurance Company 35378 A Host Liquor Liability Retail Liquor Liability Y N 3DS5473-M2661590 1,000,000 100,000 5,000 1,000,000 2,000,000 2,000,000 Deductible 1,000 Certificate holder listed below is named as additional insured per attached MEGL 2217 01 19 for the following dates: 08/27/2022, 08/28/2022, 08/31/2022, 09/03/2022, 09/06/2022, 09/07/2022, 09/08/2022, 09/13/2022, 09/14/2022, 09/15/2022, 09/17/2022, 09/20/2022, 09/21/2022, 09/22/2022, 09/24/2022, 09/27/2022, 09/28/2022, 09/29/2022, 10/01/2022, 10/04/2022, 10/05/2022, 10/06/2022, 10/08/2022, 10/11/2022, 10/12/2022, 10/13/2022, 10/15/2022, 10/18/2022, 10/19/2022, 10/20/2022, 10/22/2022, 10/25/2022, 10/26/2022, 10/27/2022, 10/29/2022, 11/01/2022, 11/02/2022, 11/03/2022, 11/04/2022, 11/05/2022, 11/06/2022, 11/07/2022, 11/08/2022, 11/09/2022, 11/10/2022, 11/11/2022, 11/12/2022, 11/13/2022, 11/17/2022, 11/18/2022, 11/19/2022 & 11/20/2022. Attendance: 283, Event Type: Play - Theatre, Theater Event. Gilroy CA 95020 Lidia Garcia7351 Rosanna St City of Gilroy it's officers, officials, and employees (Ea occurrence) SEE BELOWSEE BELOW 12:01 AM 12:01 AM DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): A.Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule of this endorsement, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by the acts or omissions of any insured listed under Paragraph 1. or 2. of Section II – Who Is An Insured: 1.In the performance of your ongoing operations; or 2.In connection with your premises owned by or rented to you. However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. MEGL 2217 01 19 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 2 City of Gilroy it's officers, officials, and employees 7351 Rosanna St Gilroy, CA 95020 3DS5473-M2661590 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 B.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions remain unchanged. MEGL 2217 01 19 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 2 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0 DocuSign Envelope ID: 0A4DF3CB-6D59-4FBB-B434-3396D9EBC0F0