THE FRIDA CINEMA (4) - Laserfiche WebLink

Home Browse Search

Francine R. Villareal Dj1e1ygnetl1b,H.."-RV111-1 o rtm 202103.1617 25 54 -07'M A� ®® CERTIFICATE OF LIABILITY INSURANCE O03/04/2021ATE Y) 03104/2021 _-- THIS -CERTIFICATE -IS ISSUED -AS A -MATTER -OF -INFORMATIONS ONLY -AND CONFERSNORIGHTS 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 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 KEIR JONES STATE FARM StateFarm 5150 E COLORADO ST LONG BEACH CA 90814 CONTACT MELISSA WRIGHT NAME: PHONE IN Ext, 562-433-5573 ac No:562-433-5574 ADDRESS: MELISSA@KEIRJONES.COM INSURERS AFFORDING COVERAGE NAIC# INSURER A:SIate Farm General Insurance Company 25151 INSURED THE FRIDA CINEMA INSURER B: 25178 305 E 4TH ST STE 100 INSURER C: SANTA ANA CA 92701 INSURER D: INSURER E: 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. INSR LTR TYPE OF INSURANCE ADDLSUBR INSO me POLICY NUMBER 92-E6-S4883 POLICY EFF (MMIDDWnL 12/08/2020 POLICY EXP flMMuDDNYYY)LIMITS 12108/2021 EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR yl Y DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL S ADV INJURY $ 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY PRO- ECT OC GENERAL AGGREGATE $ 4,000,000 GEN'L X PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ee accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Par accitlenl ( ) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Peraccldent $ Is UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑NIA STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below NON -FOR -PROFIT ORGANIZATION LIABILITY POLICY INCLUDING EMPLOYMENT PRACTICES LIABILITY COVERAGE DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Santa Ana is named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understanding. Such insurance as afforded by this policy shall be primary, and any insurance carried by the City shall be excess and non-contributory. If we cancel this policy, we will give written notice as least 10 days before the effective date of cancellation if we cancel for nonpayment of premium or 30 days before effective date of cancellation if we cancel for any other reason. CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA 4TH FLR SANTA ANA CA 92701 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD per- Rlsk MMlrg'amraltDMsicm REVIEWED &APPROVED BY: Risk Management Analyst