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FRIDA CINEMA (THE)
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Last modified
2/28/2019 8:53:45 AM
Creation date
2/28/2019 8:46:10 AM
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Contracts
Company Name
FRIDA CINEMA (THE)
Contract #
N-2019-036
Agency
COMMUNITY DEVELOPMENT
Expiration Date
6/30/2019
Insurance Exp Date
1/1/1900
Destruction Year
2024
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A O® CERTIFICATE OF LIABILITY INSURANCE <br />O02/07/201 W) <br />02/07/2019 <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(les) 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 />KEIR JONES STATE FARM <br />S#ri$eFarm 5150 E COLORADO ST <br />LONG BEACH CA 90814 <br />CONTACT <br />NAME: MELISSA WRIGHT <br />PHONE5: 1;562-433-5573 ,� N0,562-433-5574 <br />nooeesMELISSA@KEIRJONES.COM <br />INSURER($) AFFORDING COVERAGE <br />NAIC# <br />INsuRERA;Stale Farm General Insurance Company <br />25151 <br />INSURED THE FRIDA CINEMA <br />305 E 4TH ST STE 100 <br />SANTA ANA CA 92701 <br />INSURER B: <br />25178 <br />INSURER C: <br />12/08/2017 <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 />INSR <br />LTR <br />TypE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDD/YYYY LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />92 -E6 -S488.3 <br />12/08/2017 <br />12/08/2018 EACH OCCURRENCE $ 2,000,000 <br />DAMAGETO RENT <br />CLAIMS -MADE � OCCUR <br />S(RENTED 300,000 <br />PREMISES neaCe $ <br />MED EXP (Any one person) $ 10,000 <br />PERSONAL& ADV INJURY $ 2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 4,000,000 <br />X ❑ PEQ [::] <br />POLICY LOC <br />PRODUCTS - COMP/OP AGG $ <br />OTHER: <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />ANYAUTO <br />BODILY INJURY (Per person) $ <br />AOSCHEDULED <br />BODILY INJURY $ <br />AUTOS AUTOS <br />(Per accid.ro <br />NON -OWNED <br />PROPERTY DAMAGE $ <br />HIRED AUTOS AUTOS <br />Per accident <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE $ <br />DED RETENT <br />I $ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE ER <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />E.L. EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />NIA <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYE $ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS bold. <br />E.L. DISEASE -POLICY LIMIT I $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />P — p <br />CERTIFICATE HOLDER CANCELLATION <br />@ 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />AGENTS & REPRESENTATIVES <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CIVIC CENTER PLAZA <br />AUTHORIZED REPRESENTATIVE <br />�!'GP.L'Gd2Gri W <br />SANTA ANA CA 92701 <br />@ 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014 <br />
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