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ACo" CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDDIYYYY) <br /> 04/22/2025 <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 CONTNAME: Paychex Insurance Agency, Inc. <br /> PAYCHEX INSURANCE AGENCY,INC. PHON o 877-266-6850 FA No <br /> 225 KENNETH DRIVE E-MAIL <br /> ROCHESTER,NY 14623 ADDREss: FlexCerts@paychex.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA:Technology Insurance Company 42376 <br /> INSURED <br /> INSURER B: <br /> The Frida Cinema <br /> INSURER C <br /> 305 East 4th Street <br /> Ste 100 INSURER D <br /> Santa Ana,CA 92701 1 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 /> IICY EXP <br /> L SR ADDLTYPE OF INSURANCE Jh=WVD SUER POLICY NUMBER MMIDDPOLICY/YYYY MM EFF LDDffYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED <br /> PREMISES Ea occurrence S <br /> MEO EXP(Any one person) S <br /> PERSONAL&ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S <br /> POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $ <br /> OTHER: S <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) S <br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY fp., <br /> accident <br /> $ <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR HCLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y f N STATUTE FIR <br /> A ANYPROPRIETORIPARTNER/EXECUTIVE E.L-EACH ACCIDENT S 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? �Y NA Y TES4453968 07/25/2024 07/25/2025 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000.000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 <br /> DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers. <br /> Waiver of Subrogation granted in favor of the certificate holder. <br /> APPROVED <br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 3:90 pm,May 30,2025 <br /> City of Santa Ana <br /> ATTN: Executive Director,Community Development Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 2C Civic Center Plaza,M-25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Santa Ana,CA 92701 <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE - <br /> @ 1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />