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ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> 04/02/2025 <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 endorsement(s). <br /> PRODUCER NAME:CONTACT Automatic Data Processing Insurance Agency,Inc. <br /> Automatic Data Processing Insurance Agency,Inc. (PA ICNNo Ext: 1-800-524-7024 FAic No): <br /> E-MAIL <br /> ADDRESS: <br /> 1 Adp Boulevard INSURERS AFFORDING COVERAGE NAIC# <br /> Roseland NJ 07068 INSURER A: Hartford Casualty Insurance Company 29424 <br /> INSURED Brainstorm Studios LLC INSURER B: <br /> INSURER C: <br /> 42 Waterworks Way INSURER D: <br /> INSURER E <br /> Irvine CA 926183107 INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 4227834 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 UBR <br /> LTR TYPE OF INSURANCE POLICY EFF POLICY EXP <br /> NSD SWVD POLICY NUMBER MM!D/YYYY MM/DIYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE 1-1 OCCUR PREMISES Ea occurrence $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COME31NED SINGLE-I-MIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident $ <br /> UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ <br /> EXCESS LAB CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION P <br /> YIN R TH- <br /> AND EMPLOYERS'LIABILITY STATUTE F ER <br /> ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> A OFFICERIMEMBER EXCLUDED? � N/A Y 76WEGAF9J4C 03/26/2025 03/26/2026 <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,D00 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) <br /> This certificate has a blanket Waiver of Subrogation for the following state(s):CA <br /> City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers. <br /> �APPROVED <br /> By Tu Tran Nguyen at 8:32 am,Apr 14,2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana,Attn:Parks,Recreation,and Community THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Services Agency ACCORDANCE WITH THE POLICY PROVISIONS, <br /> 20 Civic Center Plaza <br /> M-23 AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92701 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />