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Digitally signed <br />OAT7/1312DIYYYY <br />'�� b® Ace <br />CERTIFICATE OF LIABILITY INSUKW C:E edlo 07/13/2022 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS YREett'04WAit HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE CO'iERAGID:A9Rt$20HIID(9Y THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsements . <br />PRODUCER <br />CONTACT KEN HARRINGTON <br />NAME: <br />KEN HARRINGTON INSURANCE AGENCY, INC <br />PHONEMC 714-255-0300 uc Ne: 714-255-0301 <br />ADDRESS kharrington@farmersagent.com <br />INSURER(S) AFFORDING COVERAGE <br />NAICR <br />INSURERA: <br />INSURED <br />INSURERS: NORTHFIELD INSURANCE CO. <br />27987 <br />MERRITT STUDIO, LLC. <br />INSURERC: <br />INSURERD: <br />1140 CERRITOS DR. <br />FULLERTON CA 92835 <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICYNUMBER <br />POLICY EFF <br />iMMIDRDTM <br />POLICY EXP <br />(MMIDONYYYILIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE Fx_ OCCUR <br />X <br />WS493373 <br />12/06/2021 <br />12/06/2022 <br />EACHOCCURRENCE <br />g 1,000,000 <br />DAMAGE TO RENTED <br />PREMISESEa occurmnce <br />$ 100,000 <br />X1 <br />GEN'LAGGREGATE <br />MEO EXP(Anyone person) <br />$ 5,000 <br />PERSONALSADVINJURY <br />$ <br />LIMIT APPLIES PER: <br />POLICY E JECT LOG <br />OTHER: <br />GENERALAGGREGATE <br />S 2,000,006 <br />PRODUCTS-COMP/OP ADD <br />$ 1.000,000 <br />$ <br />AUTOMOBILELIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTO' <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />COMBINED SINGLE LIMIT <br />Ee occident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY Pen[ <br />(Per accident) <br />$ <br />PROPERTYDAMAGE <br />Per accident <br />$ <br />$ <br />UMBRELLALIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIM' -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNERIEXECUTIVE ❑NIA <br />OFFICERIMEMBEREXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />I $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />CERTIFICATE HOLDER LISTED AS ADDITIONAL INSURED <br />PRIMARY AND NON CONTRIBUTORY WORDING ENDORSEMENT INCLUDED - CG 20 10 04 13 <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <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 REPRES <br />E <br />NT <br />AT <br />IV <br />E <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />RWeMatnganattDhisim <br />REVIEWED&APPRCYEDBY: <br />A� Arµrte <br />Ruk Management Spenalut <br />