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A� o® CERTIFICATE OF LIABILITY INSURANCE oAl2/17/2021 l 12/17/2021 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 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). PRODUCER KEIR JONES STATE FARM StateFarm 5150 E COLORADO ST LONG BEACH CA 90814 •. CONTACT NAME: MELISSA WRIGHT PNONE 562-433-5573 ac Ne:962-433-5574 NESs: MELISSAQKEIRJONES.COM INSURERS AFFORDING COVERAGE NAICe INSURER A State Farm General Insurance Company 25151 INSURED THE FRIDA CINEMA 305 E 4TH ST STE 100 SANTA ANA CA 92701 INSURER B: 25178 INSURERC: NSURER D INGURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMRER- 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. I TR TYPE OF INSURANCE ADOL SUBR POUCYNUMBER POLICY EFF flaiwoorryyyi POLICY UP mavnn LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR Y Y 92-E6-S488.3 12/08/2021 12/08/2022 EACH OCCURRENCE $ 2,000,000 T RENTED -UAWAMISESEs PREacwnence $ 300,000 MED UP area erson) $ 10,000 PERSONAL S ADV INJURY $ 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY JEST LOC GENERAL AGGREGATE $ 4,000,000 GEN'L X PRODUCTS -COMPIOPAGG $ OTHER: Personal Property $ 20.000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMB Ea acddenl $ BODILY INJURY (Par person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per ecdtlenl $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE ParecddenI $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LABCLAIMS-MADE DED I I RETENTION$ $ WORKERS COMPENSATION IPER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NIA E.L. DISEASE -EA EMPLOYE $ (Mandatory In NH) eyes, describe under DE SCRIPTION OF OPERATIONSIW. E.L. DISEASE -POLICY LIMIT $ NON -FOR -PROFIT ORGANIZATION LIABILITY POLICY INCLUDING EMPLOYMENT PRACTICES LIABILITY COVERAGE DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional sentence Schedule, may be attached N more space is required) City of Santa Ana Is named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understanding. Such insurance as afforded by this policy shall be primary, and any Insurance carried by the City shall be excess and non-contributory. If we cancel this policy, we will give written notice as least 10 days before the effective date of cancellation if we Cancel for nonpayment of premium or 30 days before effective date of Cancellation if we cancel for any other reason. CERTIFICATE CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA 4TH FLR SANTA ANA CA 92701 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 © 1988-2014 ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD v'g�on'xfa c R EWED pBovEGBY: 7*"p JACA ® Rbk Management Analyst