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BRAISTU-01 RENAS
<br /> '4`oizo CERTIFICATE OF LIABILITY INSURANCE DATEYYYY)
<br /> 4/212022/2025
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsements .
<br /> PRODUCER License#OM10410 CONTACT
<br /> NAME:
<br /> Armstrong/Robitaille/Riegle Business and Insurance Solutions HONNo,EXt:(949)381-7700 n1c,No):(949 861-9429
<br /> 18575 Jamboree Rd,Ste 500 )
<br /> Irvine,CA 92612-2545 E-MAIL
<br /> ADDRE , � es arrinfo al com
<br /> grou p•
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURER A:Philadelphia Indemnity Ins Co 18058
<br /> INSURED INSURER B
<br /> Brainstorm Studios,LLC INSURER C
<br /> 42 Waterworks Way INSURER D
<br /> Irvine,CA 92618
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPITR LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE X OCCUR PHPK2579553 9/1/2024 911/2025 DAMAGE TO RENTED 100,000
<br /> X X PREMISES E $
<br /> VIED EXP(Any oneperson) 51000
<br /> PERSONAL&ADV INJURY 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 3,000,000
<br /> X POLICY PE� LOG PRODUCTS-COMP/OP AGG 3,000,000
<br /> OTHER:
<br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
<br /> a accident)P
<br /> ANY AUTO PHPK2579553 9/1/2024 9/1/2025 BODILY INJURY Per erson $
<br /> OWNED SCHEDULED
<br /> AUTOS ONLY AUTOS BODILY INJURY Per accident $
<br /> HIRED X NON-OWNED PROPERTY AMAGE
<br /> AUTOS ONLY AUTOS ONLY Per acciden
<br /> tt $
<br /> A X UMBRELLA LIAB M
<br /> OCCUR EACH OCCURRENCE $ 2,000,000
<br /> EXCESS LIAB CLAIMS-MADE PHUB873718 9/1/2024 9/1/2025 gGGREGATE 2,000,000
<br /> DED I X I RETENTION$ 10,000
<br /> WORKERS COMPENSATION PER OTH-
<br /> AND EMPLOYERS'LIABILITY YIN STATUTE E
<br /> ANY PROPRI ETC R/PARTNERIEXECUTIVE ❑ E.L.EACH ACCIDENT
<br /> OFFICERIMEMBER EXCLUDED? N I A
<br /> (Mandatory in NH)
<br /> E.L.DISEASE-EA EMPLOYE
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT
<br /> A Abuse&Molestation PHPK2579553 9/112024 9/1/2025 Each Conduct 1,000,000
<br /> A Abuse&Molestation PHPK2579553 911/2024 9/1/2025 Aggregate 2,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> The City of Santa Ana,its officers,officials,employees,and volunteers are to be covered as additional insureds on the CGL policy with respect to liability
<br /> arising out of work or operations performed by or on behalf of the Permittee including materials,parts,or equipment furnished in connection with such work
<br /> or operations.Primary&Non-Contributory coverage and a Waiver of Subrogation applies to the General Liability policy per the attached forms.
<br /> Tu Tran TuTran Digitally signed APPROVED
<br /> Tu Tr Nguyenn
<br /> Nguyen Date:2025.04.14 By Tu Tran Nguyen at 8:32 am,Apr 14,2025
<br /> 08:3259-07'00'
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> Attn: Parks,Recreation,
<br /> and Community Services Agency
<br /> 20 Civic Center Plaza,CA 92701,M-23 AUTHORIZED REPRESENTATIVE
<br /> Santa Ana,CA 92701 \\J
<br /> ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> The ACORD name and logo are registered marks of ACORD
<br />
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