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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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92 -E6 -S488.8 008441 <br />CMP -4260C <br />Page 1 of 3 <br />IMPORTANT NOTICE <br />Effective with this policy term, CMP4260 AMENDATORY ENDORSEMENT (California) is added to your <br />policy. <br />This notice suminarizes the changes being made to your policy. Please read the new endorsement care- <br />fully and note the following changes: <br />OTHER CHANGES <br />• SECTION I AND SECTION II — COMMON POLICY CONDITIONS <br />o Our Rights Regarding Claim Information: We have added a provision stating that we will not be <br />restricted or prohibited from obtaining, using, or retaining records as part of the claim process. The <br />records will be obtained, used, and retained in accordance with applicable laws and regulations <br />consistent with our business functions. <br />o Electronic Delivery: We have added a provision permitting electronic delivery of documents and <br />notices with the consent of the insured. <br />• SECTION II — MEDICAL EXPENSES, Coverage M – Medical Expenses: Paragraph 1.d.(2) is re- <br />vised to state that we will pay medical expenses when the injured person or, when appropriate, some- <br />one acting on behalf of that person executes authorization to allow us to obtain copies of medical bills, <br />medical records, and any other information we deem necessary to substantiate the claim. Such au- <br />thorizations must not: <br />o Restrict us from performing our business functions in obtaining records, bills, information, and data <br />or in using or retaining records, bills, information, and data collected or received by us, <br />o Require us to violate federal or state laws or regulations; <br />o Prevent us from fulfilling our data reporting and retention obligations to insurance regulators, or <br />o Prevent us from disclosing claim information and data to enable performance of our business func- <br />tions, meet our reporting obligations to insurance regulators and data consolidators, and as other- <br />wise permitted by law. <br />If the holder of the information refuses to provide it to us despite the authorization, then at our <br />request, the person making claim or his or her legal representative must obtain the information and <br />promptly provide it to us. <br />Endorsement CMP -4260 follows this notice. Please read it thoroughly and place it with your policy. If you <br />have any questions about the information in this notice, please contact your State Farm® agent. <br />This notice is a general description of coverage and/or coverage changes and is not a statement of <br />contract. This message does not change, modify, or invalidate any of the provisions, terms, or conditions <br />of your policy, or any other applicable endorsements. <br />CMP -4260 AMENDATORY ENDORSEMENT (California) <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS COVERAGE FORM <br />1. SECTION I — EXCLUSIONS is amended as f. Dishonesty <br />follows: <br />(1) Dishonest or criminal acts by you, <br />a. Paragraph 2.f. Dishonesty is replaced by anyone else with an interest In the <br />the following: property, or any of your or their <br />O, Copyright. State Farm Mutual Automobile Insurance Company, 2018 <br />Includes copyrighted material of Insurance Services Office, Inc., with Its permission. <br />I5-Ze <br />
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