Loading...
2019/10/06 The Red Leopard Tea Co Certificate of Liability InsuranceCITY OF MENIFEE FINANCE REDLEOP-01 A�� RC7 CE,R, TIF1'G'AfE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 8M O/2019 THIS CERTIFICATE IS ISSUED AS A M�Ef�; QF f kNFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVA4 1 )iI A •IVEL_Y AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NFP Property & Casualty Services, Inc. 2450 Tapo Street Simi Valley, CA 93063 INSURED The Red Leopard Tea Co,; The Beach Bar Italian Ice 4627 Morrow Drive Woodland Hills, CA 91364 COVERAGES CERTIFICATE NUMBER: CONTACT Denise Reeder NAME: PHONE ) FAX 8� 579-1916 (A/C, No, Ext): (805 537-0145, N9L� Ad,`�ss: Den ise.Reeder@nfp.com INSURER(S)AFFORDING COVERAGE NAIC # INSURER A: Sentinel Insurance Company Ltd 11000 I NSURER D : INSURER C i INSURER D : INSURER E t INSURER F : REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ryPE OF INSURANCE ,ADDL 10 SUER POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR 72SBMIT9847 10/6/2019 10/6/2020 DAMAGE 1,000,000 SET FR occurrence) _$ 10,000 VIED EXP (Any one person) $ 1,000,000 PERSONAL & ADV INJURY $ GEML AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑ PRO- ❑ LOC JECT PRODUCTS 2,000,000 $ OTHER: $ A AUTOMOBILE LIABILITY _ ZE MBBII ED SINGLE LIMIT Wenl)ANY $ 1'000,006 AUTO 72SBMIT9847 10/6/2019 10/6/2020 BODILY INJURY (Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED )( NON -AWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE A__GG_R_E_G_A_T_E_ $ _ DIED RETENTION $ PER OTH- STATUTE I . ER $ WORKERS COMPENSATIN AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A E.L. DISEASE -EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: Event on October 28, 2017; Menifee Fall Festival. Certificate holder is included as additionally insured per attached form #SS00080406 (pages 10-14) City of Menifee 29714 Haun Road Menifee, CA 92586 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: REDLEOP-01 LOC #: 1 DENISEREEDER AC "RL] ADDITIONAL REMARKS SCHEDULE AGENCY JFP Property & Casualty Services, Inc. POLICY NUMBER >EE PAGE 1 CARRIER 'EE PAGE 1 ADDITIONAL REMARKS NAMED INSURED The Red Leopard Tea Co,; The Beach Bar Italian Ice 4627 Morrow Drive Woodland Hills, CA 91364 Los Angeles NAIC CODE SEEP 1 EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, Page 1 of 1 FORM NUMBER: ACORD 26 FORM TITLE: Certificate of Liabili Insurance LIABILITY CONTRACTUAL INSURANCE REQUIREMENTS The attached Certificate of Insurance is provided as part of our service to our client, the Insured. If special endorsements have been provided, they also are indicated attached. You may find that these documents do not comply with all the terms and conditions of the underlying contract between the Certificate Holder and the Insured due to the insurance company's insuring conditions, limitations, exclusions and other terms. If you have any questions, please contact the undersigned. NFP Property & Casualty Insurance Services, Inc. CA LICENSE #OF15715 2450 TAPO ST SIMI VALLEY, CA 93063 TELEPHONE: (805) 579-1900 FAX: (805) 579-1916 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD