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PHONE 925 609 6500 FAX <br />EMAIL <br />NAIC # <br />INSURER A:39993 <br />INSR <br />LTR <br />INSURED MEMBER <br />ENDORSEMENT <br />NUMBER <br />A EACH OCCURRENCE $2,000,000 <br />X $1,000,000 <br />X MED EXP (Any one person)$5,000 <br />PERSONAL & ADV INJURY $2,000,000 <br />GENERAL AGGREGATE $4,000,000 <br />PRODUCTS-COMP/OP AGG $4,000,000 <br />N/A <br />SPECIAL EVENT LIABILITY GROUP INSURANCE TRUST <br />CERTIFICATE OF INSURANCE ENDORSEMENT <br />DATE <br />10/25/2022 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE ENDORSEMENT DOES NOT CONSTITUTE A CONTRACT <br />BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />PRODUCER:CONTACT NAME: JOY CUMMINGS <br />HUB International Insurance Services Inc.925 609 6550 <br />P.O. Box 4047 specialevent@hubinternational.com <br />Concord, CA 94524-4047 INSURER(S) AFFORDING COVERAGE <br />CA License #0757776 Colony Insurance Company <br />NAMED INSURED: <br />Guardwara Gurmat Parkash <br />1001 W Center Street <br />Manteca, CA 95337 <br /> <br />COVERAGES <br />This is to certify that the policies of insurance listed below have been issued to the insured named above for the event date(s) indicated below. Notwithstanding any requirement, term or <br />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 <br />terms, exclusions and conditions of such policies. <br />TYPE OF INSURANCE COVERAGE EFFECTIVE / <br />EXPIRATION DATE LIMITS <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY 22112 11/13/2022 DAMAGE TO RENTED PREMISES <br />(Ea occurrence) <br />CLAIMS-MADE OCCURRENCE <br />LIQUOR LIABILITY PER <br />OCCURRENCE (AGGREGATE <br />INCLUDED IN GENERAL LIABILITY <br />AGGREGATE) <br />MASTER POLICY #103 GL 0021111 - EFFECTIVE DATE 1/1/2021; EXPIRATION 1/1/2022 <br />DESCRIPTION OF OPERATIONS / LOCATIONS <br />San Joaquin County, 44 North San Joaquin Street, Stockton, CA 95202 <br />is/are included as an additional insured(s) per attached endorsement T5409-0118. Policy is Primary and Non-contributing per attached endorsement T1095-0108; Waiver of <br />Subrogation applies per attached endorsement CG 24 04 05 09. <br />Event Type:Parade <br />Event date(s):11/13/2022 <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />San Joaquin County, 44 North San Joaquin Street, Stockton, CA 95202 AUTHORIZED REPRESENTATIVE