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A`ORD® CERTIFICATE OF LIABILITY INSURANCE
<br />DATsi1s/zozam)
<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
<br />Evergreen Park, IL-McNellis Insurance -Hub International Midwest
<br />West
<br />9401 S Pulaski Road Suite 301
<br />23-24Master
<br />Evergreen Park IL 60805
<br />CONTACT
<br />NAME: Ton Cara
<br />PHONE Exit. 708-425-5400 FAX No:7o8-425-54so
<br />E-MAIL
<br />AODREss: ton .care hubinternational.com
<br />SURERS�II ned
<br />N
<br />cVT
<br />o �_. Sodt t ry
<br />3s926
<br />INSURED VE
<br />Ravenswood Studio, Inc. & Luci Creative, LLC
<br />6900 N. Central Park Ave
<br />I R B: a
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<br />a ra 18;
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<br />INSURERc: Selective Insurance Company of America
<br />12572
<br />INSURERD: Admiral Insurance Company
<br />24856
<br />Lincolnwood IL 60712
<br />INSURER E :
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 783883751 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 />ILTR
<br />TYPEOFINSURANCE
<br />ADDL
<br />SUER
<br />POLICY NUMBER
<br />POLICY EFF
<br />MWDD
<br />POLICY EXP
<br />MM/DO
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />S 1910479
<br />8/10/2024
<br />8/10/2025
<br />EACH OCCURRENCE
<br />$1,000,000
<br />CI -MADE � OCCUR
<br />PREMISES Ea ocrEO
<br />PREMISES Ea occurrence
<br />$500,000
<br />MED EXP (Any one person)
<br />$15,000
<br />PERSONAL &ADV INJURY
<br />$1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />$3,000,000
<br />PRI LOC
<br />POLICY JE
<br />PRODUCTS - COMP/OPAGG
<br />$3,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />S 1910479
<br />8/10/2024
<br />8/10/2025
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />OWNED SCHAUTOS EDULED
<br />AUTOS ONLY
<br />BODILY INJURY (Per accitlent)
<br />$
<br />X
<br />HIRED X NON'WNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accident)
<br />$
<br />A
<br />X
<br />UMBRELLA LWB
<br />OCCUR
<br />S 1910479
<br />8/10/2024
<br />8/10/2025
<br />EACHOCCURRENCE
<br />$5,000,000
<br />[I
<br />AGGREGATE
<br />$5,000,000
<br />EXCESS LIAB
<br />CIAIMS-MADE
<br />DEO X RETENTION$ n
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />83WEAT5ZWE
<br />8/10/2024
<br />8/10/2025
<br />X I STATUTE EORH
<br />E.L. EACH ACCIDENT
<br />$1,000,000
<br />OFFl EMMEMB REXCLU ED?ANYPROPRIETOWPARTNEWEXECUTIVE ❑
<br />NIA
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$1,000,000
<br />C
<br />Leased/Rent Equipment
<br />S 1910479
<br />8/10/2024
<br />0/10/2025
<br />Limit:$100,000
<br />Deductible:$500
<br />D
<br />Prof Liability
<br />E0000020115-13
<br />6/25/2024
<br />6/25/2025
<br />Occurrence
<br />Aggregate
<br />2,000,000
<br />3,000,000
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/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 an additional insured on a primary and non-contributory basis with respect to the
<br />General Liability policy when required by Written contract or agreement subject to terms, conditions, and exclusions.
<br />CERTIFICATE
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702
<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 PRC
<br />=a.„gyp
<br />Risk MaruganvltDiWmon
<br />REVIEWED&APPROVED BY:
<br />A-jz' AC4,44
<br />®
<br />Risk Management Spedalist
<br />00
<br />are
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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