Laserfiche WebLink
SHAKw DAigitall sl <br />CERTIFICATE OF LI NCE AATE(MMDDYYYY) <br />41712022 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION O LY N IGHTS UP r N T CERTIFICATF HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND Off -ALTER THE COVF tAL HE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUT A CONTRACT BETWEEN I c ISS 1 FiEI'�AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />0 All <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, th o 'e) u t IC 1 ro; _ 1022125111 <br />If SUBROGATION IS WAIVED, subject to the terms and conditions o the poi cy, certain policies m ,y require an endorsement. sta eme)Lt o 1 <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements . _ _ <br />PRODUCER CONTACT <br />Griswold & Griswold Insurance Agency, Inc. PHONE FAx <br />2785 Pacific Coast Highway Ste 308 uc, Na, Eat : (310) 377-7172 uc, Na):(310) 377-3169 <br />Torrance. CA 90505 :6M oI�«. infoCdoriswoldinsurance.com <br />INSURED <br />Shakespeare By the Sea <br />777 Centre Street <br />San Pedro, CA 90731 <br />COVERAGES CERTIFICATE NUMBER- RFVIBInM kl"mRFR• <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 CONTRACTOR 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 />INTO <br />TYPE OF INSURANCE <br />ADOLSUBR <br />POLICY NUMBER <br />POLICY EPP <br />POLICY EXP <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FA] OCCUR <br />X <br />01-0030-672 <br />31212022 <br />302023 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE TO RENTEDPREMISES (Ea occurrence) <br />1,000,000 <br />MED EXP (My one arson <br />5,000 <br />PERSONAL&ADV INJURY <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY El PEaT F-1 LOC <br />OTHER: <br />GENERAL AGGREGATE <br />2,000,000 <br />PRODUCTS-COMP/OPAGG <br />2,000.000 <br />SEXUAL MISCONDU <br />100,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />AUTOS ONLY NON-OWNED <br />OONLY <br />COMBINED SINGLE LIMIT <br />BODILY INJURY Per arson <br />BODILY INJURY Peraccidenl <br />Pa�aiGtlenl AMAGE <br />UMBRELLA LIAR <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />AGGREGATE <br />LED RETENTION$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNEWEXECUTIVE ❑ <br />MNHR EXCLUDED? <br />PFaFnICEMEMBE <br />a <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />PER OTH- <br />E.L. EACH ACCIDENT <br />E.L. DISEASE- EA EMPLOYE <br />E.L. DISEASE -POLICY LIMIT <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California, 92701; Its officers, employees, agents and volunteers are named as additional insureds. <br />The City of Santa Ana Risk Management <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 REPRESENTATIVE <br />4 <br />ACORD 25 (2016/03) ©1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />WekMamagementDlvislon t <br />ReVIEYVED6APPROVEDSr . <br />t,111111r, );' AH.�j:r AdwYAA �: <br />Risk Management Specialist <br />of <br />