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ACC)RbF CERTIFICATE OF LIABILITY INSURANCE <br />#*� <br />DATE(MMIDD/ ) <br />1 07/07/2022 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />METRO COAST INSURANCE <br />2659 State St, # 1029 <br />Carlsbad, CA 92651 <br />CONTACT <br />NAME: <br />PHONE Ext) ,949-236-6399 nlc rve: 1-866-781-4141 <br />EMAIL JACOB JUSTINSURANCEAZ.COM <br />ADD Ss: <br />INSURE S AFFORDING COVERAGE <br />NAIC# <br />INSURER A: TRAVELERS <br />13579 <br />INSURED <br />The Frida Cinema <br />305 E 4th St, #100 <br />Santa Ana, CA 92701 <br />INSURER B <br />INSURERC: <br />INSURER D : <br />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 />ILTR <br />TYPE OF INSURANCE <br />ADDLSUSR <br />POLICYNUMBER <br />POLICY EFF <br />MWDDNYYY <br />POLICY EXP <br />MMIDD <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES Ea accunance <br />$ <br />MED EXP Any one parson <br />$ <br />CLAIMS -MADE ❑ OCCUR <br />PERSONAL BADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS -COMPIOPAGG <br />$. <br />POLICY <br />PRO- LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />BODILY INJURY (Par person) <br />$ <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />P BODILY INJURY (Par accident) <br />) <br />$ <br />NON -OWNED <br />HIREDAUTOS AUTOS(Peraccident) <br />PROPERTY DAMAGE <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEO I I RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROMEMBEREXCLUDR�EXECUTIVEYIN <br />REXCLUOED4 <br />OFFICERr, <br />NIA <br />UB-OR34080A-21-42-G <br />3/251202203/25/2023E.L. <br />X WC STATU- OTH- <br />1,000,000 <br />EACH ACCIDENT <br />$1000000 <br />E.L. DIEEASE-EA EMPLOYE <br />$1 OOO OOO <br />InN <br />NH) <br />If yes MD <br />0 yes, descdbe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Adach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />ACORD 25 (2010105) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE I <br />JACOB MIZYSAK, OWNER/BRO� <br />i3 REVIEwED6APPRovo7 BY: <br />©1988-2070 ACORD C ! Tucy J&4 <br />The ACORD name and logo are registered marks of ACORD', <br />�� Risk Management Analyst <br />