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SPECIAL EVENT LIABILITY GROUP INSURANCE TRUST <br />DATE <br />CERTIFICATE OF INSURANCE ENDORSEMENT <br />10/17/2023 <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: <br />CONTACT NAME: JOY CUMMINGS <br />HUB International Insurance Services Inc. <br />PHONE 9256096500 <br />FAX 9256096550 <br />P.O. Box 4047 <br />EMAIL specialevent(d).hubinternational.com <br />Concord, CA 94524-4047 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />CA License#0757776 <br />INSURER A: <br />Colony Insurance Company <br />39993 <br />NAMED INSURED: <br />Mark and Kandee Aiton DBA <br />On Your Mark Events <br />P.O. Box 1199 <br />Arnold, CA 95223 <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. Notvdthstanding any requirement, term o <br />condition of any contract or other document vdth 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />INSURED MEMBER <br />ENDORSEMENT <br />NUMBER <br />COVERAGE EFFECTIVE / <br />EXPIRATION DATE <br />LIMITS <br />A <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />31474 <br />6/11, 7/4, 11/5, 12/2/2023 <br />DAMAGE TO RENTED PREMISES <br />(Ea occurrence) <br />$1,000,000 <br />CLAIMS -MADE OCCURRENCE <br />MED ESP (Any one person) <br />$5,000 <br />PERSONAL & ADV INJURY <br />$1,000,000 <br />GENERALAGGREGATE <br />$2,000,000 <br />PRODUCTS -COMP/OPAGG <br />$2,000,000 <br />LIQUOR LIABILITY PER <br />OCCURRENCE (AGGREGATE <br />INCLUDED IN GENERAL LIABILITY <br />N/A <br />AGGREGATE) <br />MASTER POLICY #103 GL 0021111 - EFFECTIVE DATE 11112023; EXPIRATION 1/1/2024 <br />DESCRIPTION OF OPERATIONS / LOCATIONS <br />San Joaquin County <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: Runs <br />Event date(s): 6/11, 7/4,11/5, 12/2/2023 <br />CERTIFICATE HOLDER <br />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 />AUTHORIZED REPRESENTATIVE <br />San Joaquin County <br />�J/n/ <br />