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ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYI/Y) 1 161/ 08/03/2022 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. 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 endorsements . PRODUCER CONTACT Eddie Quiilares NAME: StateFaIM EDDIE QUILLARES PHONE 714-617-7150 FAX Np: 714-617-7158 415 INBROADWAY no ales: eddie@eddieginsurance.ccm INSURERS AFFORDING COVERAGE NAIC k ® SANTA ANA, CA 92701 INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED INSURER a : THE FRIDA CINEMA INSURER C: 305 E 4TH ST STE 100 INSURER D: SANTA ANA, CA 92701-4639 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 75-0450 REVISION NUMBER_ 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, ILTR TYPE OF INSURANCE ADDL SUER POLICYNUMBER POLICY EFF IMMIDDNYYYI POLICY EXP MJDO1frVYI LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ PREMI ETORENTED PREMISES E NTE anca $ MED EXP My one arson) $ PERSONAL S ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY El JEa LOC GENERAL AGGREGATE $ PRODUCTS -COMPIOP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ee acotlent $ BODILY INJURY (Pan person) $ 1,000,000 A ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 6525736-C21-75 03/21/2022 03/21/2023 BODILY INJURY (Par accident ) $ 1,000,000 HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE P acddent $ 1,000,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? NIA I PER OTH- STATU'r OR E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana its officers, agents, employees and volunteers are named as additional insured. Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation. CITY OF SANTA ANA RISK MANAGEMENT 20 CIVIC CENTER PLAZA, 4TH FLOOR SANTA ANA ACORD 25 (2016103) CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988-2015 ACORD CI The ACORD name and logo are registered marks of ACORD . RNLMmr�nmlDWlmt REVIEWED$ APPROVED BV: T� Jake Risk Management Analyst