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2019/10/06 The Red Leopard Tea CO Cancellation Notice -Certificate of Liability InsuranceREDLEOP-01 CHANDRAPESH ACaRv CERTIFICATE OF LIABILITY INSURANCE DAT DIYYYY) 7//1 16/2 s/2o2o THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY 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 , vwcT Denise Reeder NFP Property & Casualty Services, Inc. PHONE FAX 2450 Tapo Street _(AD, . IE>rt :(805) 537-0145 I RA►c,Ne):(805) 579-1916 Simi Valley, CA 93063 E&&ss; Denise.Reeder@nfp.com INSURED The Red Leopard Tea Co,; The Beach Bar Italian Ice I JNSURERC: 4627 Morrow Drive INSURER D : Woodland Hills, CA 91364 INSURER E env C'r-0T1CIf ATC All $RARCD. nel Insurance Comoanv Ltd 111000 01MU10IA410 All IRRQCO. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THDNAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT UMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIE ERFIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY D LIR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER _INSR POLICY E PO LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � X 1 OCCUR '72SBMIT9847 02019 20 EACH OCCURRENCE $ 1,000,000 DAMAGETSEaORENTED ce 1,000,000 MED EXP An one person)10,000 PERSONAL& ADV INJURY 1,000,000 GEWL AGGREGATE LIMIT APPLIES PER: X POLICY u jEef LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - C PFOP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO N OWNED SCHEDULED AUTOS ONLYAUTOS NON -OWNED ONLYAUTOS ONLY 72SBMIT984 10/6/2019 10/6/2020 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY. Per erson $ BODILY INJURY Peracrid $ XHIRED PROPERTY DAMAGEAUTOS Perac $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGRE TE $ DED I I RETENTION $ $ WORKERS COMPENSATIONS AND EMPLOYERS' LIABILITY Y,+ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below IA aTH- EL EACH ACCIDENT $ EL DISEASE_ - EA EMPLOYE9, S E.L. DJSEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I 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 #SS00080405 (pages 10-14) City of Menifee 29714 Haun Road Menifee, CA 92586 ACORD 25 (2016/03) 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 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: REDLEOP-01 CHANDRAPESKIN ACCWV ' LOC #: 1 ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED NFP Property & Casualty Services, Inc. 4627 Morrow Drlveea Co,; The Beach Bar Italian Ice POLICY NUMBER Woodland Hills, CA 91364 SEE PAGE 1 Los Angeles CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate ofLiaiHii!yInsurance LIABILITY CONTRACTUAL INSURANCE REQUIREMENTS Page 1 of 1 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 u ed. NFP Property & Casualty Insurance Services, Inc. CA LICENSE #OF15715 2450 TAPO ST SIMI VALLEY, CA 93063 TELEPHONE: (806) 579-1900 FAX: (806) 579-1916 ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD