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A ® DATE(MM1DDfYYYY) <br /> Ill CERTIFICATE OF LIABILITY INSURANCE 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 CONTACT Paychex Insurance Agency,Inc. <br /> PAYCHEX INSURANCE AGENCY, INC. PHONENo, 877-266-6850AIC ar�"rc No <br /> 225 KENNETH DRIVE E-MAIL <br /> ROCHESTER,NY 14623ADDRESS: FlexCerts@paychex.com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> INSURERA:Technology Insurance Company 42376 <br /> INSURED INSURER B <br /> The Frida Cinema INSURER C <br /> 305 East 4th Street <br /> Ste 100 INSURER D <br /> Santa Ana,CA 92701 INSURER E <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS 1S 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 /> INSR TYPE OF INSURANCE ADDL SUER <br /> LTR POLICY NUMBER MMIDDIYYYY MMIDOfYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED <br /> PREMISES Ea occurrence $ <br /> VIED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GEN'LAGGREGATE LIMIT APPLIES PER: GENFRALAGGREGATE $ <br /> POLICY JEG PRDT ❑ LOC PRODUCTS-COMPIOP AGO $ <br /> OTHER, $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS _ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> $ <br /> UMBRELLA LAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LAB HCLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION X PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE I I FIR <br /> ANYPROPRIETORIPARTNERIEXECUTIVE E_L.EACH ACCIDENT $ 1,000,000 <br /> A OFFICERIMEMBERFXCLUDED? �Y NA Y TES4453968 07/25/2024 07/25/2025 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below I I I I I I E.L.DISEASE-POLICY LIMIT $ 1,000.000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES(ACORD 101,Additional Remarks Schedule,may be 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 /> By Tu Tran Nguyen at 3:10 pm,May 30,2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana <br /> ATTN: Executive Director,Community Development Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Center Plaza, M 25 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 20 Civic <br /> Santa Ana, 9 laz ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE ,/� 1 <br /> / / /i4vj Ye <br /> ©1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />