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A� or CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 09/05/2018 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 TA T CON PHONE FAX Automatic Data Processing Insurance Agency, Inc. IAIc, Ne,_E.9;- ____ __ _ RUC, No): 1 Adp Boulevard n DRESS: Roseland, NJ 07068 1 INSIIRFRISIAFFORmNGCOVFRAAF NAICa INSURED BRAINSTORM STUDIOS LLC 31105 RANCHO VIEJO RD STE C8 San Juan Capistrano, CA 92675 INSURERA: Employers Compensation Insurance company 11512 INSURER B: INSURER C: _ INSURER D: INSURER E COVERAGES CERTIFICATE NUMBER: 975043 REVISION NUMBER: 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. INSR �AOOLSUe0. POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S _-- -DAMAGE TO RFNTED__ CLAIMS -MADE OCCUR PREMISES (Ea occurrence) _ S MED EXP (Any one person) 5 PERSONAL S ADV INJURY 5 GEN'L AGGREGATE LI MIT APPLIES PER GENERAL AGGREGATE $ RO PRO- POLICY JECTLOC PRODUCTS-COMPIOPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 _ (Ea accident) ANY AUTO BODILY INJURY (Per person) 8 - ALL OWNED SCHEDULED BODILY INJURY (Per accident) 5 AUTOS AUTOS _ - NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS __. AUTOS (Peraccitlent UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITYYIN STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE A � NIA N EIG208741804 03/20/2016 03/20/2019 E. L EACH ACCIDENT $ 1,000,000 - ---- - - OFFICERIMEMBER EXCLUDED? 1,000,000 (MantlateryinNH) EL DISEASE - EA EMPLOYEE $ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it mare space is required) 6101. "4,044e {� GueJaS�` LICK I IYIUA I t KULLICK L,AINL.tLLA I ILI N��v�\\�' w F' The City of Santa Ana 20 Civic Center Plaza M-23 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIEIPPOLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD