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AC" CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDfYYYY) 03/27/2025 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 CONTACT Keir Jones StatefarM Keir Jones PHONE 562-433-5573 FAX AIC No Ext: AIC Not: • 5150 E.Colorado Street EMAIL keir.jones.ug42@statefarm.com INSURER(S)AFFORDING COVERAGE NAIC# Long Beach CA 90814 INSURERA: State Farm General Insurance Company 25151 INSURED INSURER B THE FRIDA CINEMA INSURERC: 305 E 4TH ST STE 100 INSURER D: INSURER E: SANTA ANA CA 927014639 1 INSURER F: COVERAGES CERTIFICATE NUMBER: 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. SR ADD SUB POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDfYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 CLAIMS-MADE �X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence $ 300,000 MED EXP(Any one person) S 10,000 A Y Y 92-E6-S488-3 12/08/2024 12/08/2025 PERSONAL&ADV INJURY s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 4,000,000 JECT — POLICY PRO- /� LOG PRODUCTS-COMP/OP AGG $ 4,000.000 OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED AUTOS ONLY AUTOS ONLY per accident $ S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY I FIR $ ANY PRO PRIETORIPARTN ER/EX ECUTIVE Y/N OFFICERIMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-FA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT S ___J Oi,[Ay signed by DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) OaW:zozs.05.30 ADDITIONAL INSUREDIWAIVER OF SUBROGATION: Nguyen iSeOsz-m00' CITY OF SANTA ANA,ITS CITY COUNCIL,OFFICERS, OFFICIALS,EMPLOYEES,AGENTS AND VOLUTEERS 20 CIVIC CENTER PLZ FL 4TH SANTA ANA CA 92701 4058 APPROVED By Tu Tran Nguyen at 3:10 pm, May 30,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA PRCSA ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: PATRICIA MARTINEZ 20 CIVIC CENTER PLAZA,M23 AUTHORIZED REPRESENTATIVE SANTA ANA CA 92701 "' a This form was system-generated on 03/27/2025 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1001486 2005 155279 205 01-19-2023