BRAINSTORM STEM EDUCATION - Laserfiche WebLink

Home Browse Search

ACC)MY CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 04/02/2025 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 have ADDITIONAL INSURED provisions or 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 NAME: CONTACT Automatic Data Processing Insurance Agency, Inc. Automatic Data Processing Insurance Agency, Inc. (PA 1CNNo Ext : 1-800-524-7024 FAlC No): E-MAIL ADDRESS: 1 Adp Boulevard INSURERS AFFORDING COVERAGE NAIC # Roseland NJ 07068 INSURER A : Hartford Casualty Insurance Company 29424 INSURED Brainstorm Studios LLC INSURER B : INSURER C : INSURER D : 42 Waterworks Way INSURER E Irvine CA 926183107 INSURER F COVERAGES CERTIFICATE NUMBER: 4227834 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 LTR TYPE OF INSURANCE NSD UBR SWVD POLICY NUMBER POLICY EFF MMI DfYYYY POLICY EXP MM/ DIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Ea occurrence $ CLAIMS -MADE 1-1 OCCUR MED EXP (Any one person) $ PERSONAL & ADV I NJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PECTRO ❑ LOC J PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE IMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? FY] (Mandatory In NH) N / A Y 76WEGAF9J4C 03/26/2025 03/26/2026 P R TH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ 1,000,D00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) This certificate has a blanket Waiver of Subrogation for the following state(s) :CA City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers. �APPROVED By Tu Tran Nguyen at 8:32 am, Apr 14, 20 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana, Attn: Parks, Recreation, and Community THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Services Agency ACCORDANCE WITH THE POLICY PROVISIONS, 20 Civic Center Plaza M-23 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 1 f1(a- `�it—)`,-w © 1988-2015 ACORD CORPORATION. All rights reserved J25 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD