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MERRITT STUDIO, LLC
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Last modified
6/18/2024 12:32:01 PM
Creation date
4/21/2023 3:34:52 PM
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Contracts
Company Name
MERRITT STUDIO, LLC
Contract #
A-2023-049
Agency
Parks, Recreation, & Community Services
Council Approval Date
4/4/2023
Expiration Date
4/3/2026
Insurance Exp Date
12/6/2024
Destruction Year
2031
Notes
For Insurance Exp. Date see Notice of Compliance
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/ <br />A� " CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />11/21/2023 <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 />CONTACT KEN HARRINGTON <br />NAME: <br />KEN HARRINGTON INSURANCE AGENCY, INC <br />HE <br />NNo Ext: 714-255-0300 ac No: 714-255-0301 <br />E-MADDRESS: kharrington@farmersagent.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: NORTHFIELD INSURANCE CO. <br />INSURED <br />INSURERB: Mid Century Insurance <br />INSURERC: <br />MERRITT STUDIO, LLC. <br />INSURERD: <br />1140 CERRITOS DR. <br />INSURERE: <br />FULLERTON CA92835 <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 />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE � OCCUR <br />RENTED <br />PREM SESODAMAGE TE. occurrence) <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />X <br />PERSONAL & ADV INJURY <br />$ <br />A <br />X <br />WS493373 <br />12/06/2023 <br />12/06/2024 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ 2,000,000 <br />POLICY ❑ PRO- <br />JECT LOC <br />❑ <br />PRODUCTS - COMP/OP AGG <br />$ 1,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ 100,000 <br />ANY AUTO <br />B <br />ALL OWNED SCHEDULED <br />AUTOS X AUTOS <br />X <br />524457801 <br />12/06/2023 <br />12/06/2024 <br />BODILY INJURY (Per accident) <br />$ 300,000 <br />TY DAMAGE <br />P er accident) <br />$ 50,000 <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe 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 />CERTIFICATE HOLDER CANCELLATION <br />Risk M... gement Dwi,i t <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Revi da dAlp d1P <br />CITY OF SANTA ANA `��-� t ry�ii,ii <br />20 CIVIC CENTER PLAZA01, ,.. <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />SANTA ANA, CA 92701 <br />@ 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />
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