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BRAISTU-01 LBOSSHART
<br />ACORD CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDIYYYY)
<br />9/2/2025
<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 License # OM10410
<br />CONTACT
<br />NAME:
<br />PHONE g49 381-7700 FAX 949 861-9429
<br />(A/C, No, Ext): ( ) (A/C, No):( )
<br />Armstrong/Robitaille/Riegle Business and Insurance Solutions
<br />18676 Jamboree Rd, Ste 600
<br />Irvine, CA 92612-2545
<br />E-MAILarrinfo@aleragroup.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURERA: Philadelphia Indemnity Ins Co
<br />18058
<br />INSURED
<br />INSURER B :
<br />INSURER C :
<br />BrainStorm Studios, LLC
<br />INSURER D :
<br />42 Waterworks Way
<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
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDD/YYYY
<br />POLICY EXP
<br />MMIDD/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE X OCCUR
<br />X
<br />X
<br />PHPK2579553-009
<br />9/1/2025
<br />9/1/2026
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />100 000
<br />$
<br />MED EXP (Any oneperson)
<br />$ 5,000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 3,000,000
<br />X
<br />POLICY JECT LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 3,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />1,000,000
<br />$
<br />X
<br />BODILY INJURY Perperson)
<br />$
<br />ANY AUTO
<br />PHPK2579553-009
<br />9/1/2025
<br />9/1/2026
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Per accident
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />A
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />PHUB873718-004
<br />9/1/2025
<br />9/1/2026
<br />AGGREGATE
<br />$ 2,000,000
<br />DED X RETENTION $ 10,000
<br />$
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />PER OTH-
<br />STATUTE ER
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />NIA
<br />E.L. EACH ACCIDENT
<br />$
<br />E.L. DISEASE- EA EMPLOYEE
<br />$
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$
<br />A
<br />Abuse & Molestation/
<br />PHPK2579553-009
<br />9/1/2025
<br />9/1/2026
<br />Each Conduct
<br />1,000,000
<br />A
<br />Abuse & Molestation
<br />PHPK2579553-009
<br />9/1/2025
<br />9/1/2026
<br />Aggregate
<br />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 />Cyber Liability
<br />At -Bay Specialty Insurance Company (NAIC #19607)
<br />Policy #AB665049001 Digitally signed
<br />Policy Period: 7/24/2025 to 9/1/2026 TU Tran by Tu Tran
<br />Nguyen
<br />Limit: $2,000,000 ea Incident / Aggregate N9 uyen Date: 2025.09.16
<br />Retention: $2,500 1 08:21:25-07'00'
<br />APPROVED
<br />SEE ATTACHED ACORD 101
<br />By Tu Tran Nguyen at 8:20 am, Sep 16, 20;
<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 />Y ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Attn: Parks, Recreation,
<br />and Community Services Agency
<br />20 Civic Center Plaza, CA 927019 M-23 AUTHORIZED REPRESENTATIVE
<br />Santa Ana, CA 92701
<br />�).
<br />?5
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<br />The ACORD name and logo are registered marks of ACORD
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