PROOF OF INSURANCE (2023) CLOSED„,�
'6._, CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
10/18/2022
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 CONTACT Lillian Chen
NAMEt
United Western Insurance Brokers PHONE (626) 397-4700 FAX (626) 683-7682
[A& No. x't�... AIC No:
16 S. Oakland Ave A'I'L lillian@uwib.com
ADDRESS:
Ste. 205 INSURER(S) AFFORDING COVERAGE
Pasadena CA 91101 INSURERA: Travelers Property Casualty of America
2423741
INSURED INSURER B : Travelers Indemnity of Connecticut
Artisan Creative, Inc. INSURER C : Houston Casualty Company
1830 StonerAve.INSURER D: Federal Insurance Company
Suite 6 '.. INSURER E
Los Angeles CA 90025 INSURER F
CAVFRAr;FS CERTIFICATE NUMBER: CL22101813064 REVISION NUMBER:
THIS IS TO CERTIFYTHATTHE 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.
_C
ILTR
TYPE OF INSURANCE
INSO
WVD
POLICY NUMBER
MOLICY FF
POLICY F
POLICYEXP
EXP
'.. LIMITS
X
COMMERCIAL GENERAL LIABILITY
1 EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE Fx_] OCCUR
z
I PREMISES [Ea occwTence)
300,000
$
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
A
ZLP16N711082215
11/01/2022
11/01/2023
GGErN'LAGGREGATE LIMITAPPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OPAGG
$ 2,000,000
r"*w POLICY JECT' C” LOC
JE
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE.L.IMIT
Ear accident
$ 1,000,000
BODILY INJURY (Per person)
$
ANYAUTO
B
.. OWNED SCHEDULED
AUTOS ONLY AUTOS
XHIRED NON -OWNED
� AUTOS ONLY "" '. AUTOS ONLY
BA5PO680912215G
11/01/2022
11/01/2023
BODILY INJURY (Per accident)
PROPERTY DAMAGE'.
I Par aoddent
'... $
$
X
UMBRELLA LIAB X OCCUR
EACH OCCURRENCE
$ 5,000,000
A
EXCESS LIAB CLAIMS -MADE
CUP5P1897552215
11/01/2022
11/01/2023
AGGREGATE
$ 5,000,000
$
DED RETENTION $
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE M
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N/A
UB6PO753562215G
11/01/2022
11/01/2023
STATUTE ORTH-
R
E.L. EACH ACCIDENT _
1,000,000
$
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
1,000,000
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
Each Claim
$1,000,000
C
Professional Liability Including Cyber
Claims Made & Reported
H722119863
07/01/2022
11/01/2023
Aggregate Limit
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
Company D (Crime) - Federal Insurance Company
Crime -Employee Theft Effective Date - 11/8/22 - 11/8/23
Policy # - 8255-4200
Policy Limit - $1,000,000
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
*PROOF OF INSURANCE* ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
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