Laserfiche WebLink
---a1 BRASS -1 OP ID: NB <br />,d►41%.1 CERTIFICATE OF LIABILITY INSURANCE OATE,M91201Y1'Y) <br />08/29/2018 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />PRODUCER NAME: y Norma E. Brown <br />Paul Muench Company HONe - —FAX- <br />2107 N. Broadway Suite 205 Alc No E,4):714-689-0055 lac No): 714-68! <br />Santa Ana, CA 92706 E-MAIL <br />Robert T Walker ADDRESS: norma@paulmuench.com <br />NAIC p <br />INSURERA: Philadelphia Indemnity Ins Co <br />INSURED Brain Storm Studios INSURER B: <br />Darren Jones N" 003 <br />5430 Trabuco Rd., Ste 150 INSURER C: <br />Irvine, CA 92629 INSURER D: <br />INSURER E, <br />INSURER F: <br />CnV1=RAr-0GR r F:RTIRIn ATF NI Illi RFVICIPIN I'll IMRFR- <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 <br />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 ADDL SUER <br />LTR TYPE OF INSURANCE POLICY NUMBER <br />POLICY EFF POLICY EXP <br />MM/DDIYYYY MM/DD/YYYY LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 2,000,006 <br />A X COMMERCIAL GENERAL LIABILITY Y PHPK1551604 <br />09/01/2018 09/01/2019 DAMAGE TO RENTED 266,666 <br />PREMISES (Ea occurrence) $. _ <br />CLAIMS -MADE X OCCUR <br />MED EXP (Any one person) S 5,000 <br />PERSONAL S ADV INJURY $ 2,000,000 <br />GENERAL AGGREGATE $ 4,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGO $ 4,000,000 <br />X 11 POLICY PED LOC <br />IS <br />AUTOMOBILE LIABILITY <br />COMBINEDSINGLE LIMIT 1,006,060 <br />A ANY AUTO PHPKIS51604 <br />09/01/2018 09/0112019 BO DI LY IWILEY(Per person) $ <br />_ <br />ALL OWNED I SCHEDULED <br />BODILY INJURY (Per accident) $ <br />AUTOS AUTOS <br />X X NON -OWNED <br />PROPERTY DAMAGE $ <br />HIRED AUTOS AUTOS <br />_(PER ACCIDENT) <br />IS <br />UMBRELLA LIPS ,OCCUR <br />i EACH OCCURRENCE $ <br />EXCESS LIAR CLAIMS -MADE <br />AGGREGATE <br />. <br />OED RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />WC STATU- I OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />TORYLIMIIS;. ER <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />E.L. EACH ACCIDENT S <br />OFFICERIMEMBER EXCLUDED? ❑ NIA <br />-- — _-- - <br />(MandatorylnNH) <br />E.L. DISEASE-EAEMPLOYEE S <br />II yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT S <br />A PROFESSIONAL LIABI PHPK1551604 <br />09/01/2018 09/01/2019 P/L 1,000,000 <br />A SEXUAL ABUSE PHPKIS51604 <br />09/01/2018 09/01/2019 S/A 1,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, <br />if more space is required) <br />e <br />W�t� <br />THE CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA, M23 <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESEENNT/T`%1,4.d,w.AATTWE J <br />\A—e w- K. <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />