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HomeMy WebLinkAboutA8740 - II GIARDINO RISTORANTE ITALIANO~ RTFOODS-01 TWANG ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY) '---' 5/13/2025 THIS CERTIF ICATE 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(les) 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 riahts to the certificate holder In lieu of such endorsement(s). PRODUCER License# 0C36861 ~~er Kimberly Aguilar San Marcos -Escondido I PHONE ( ) r FAX 277 Rancheros Dr, Ste 300 (NC, No, e..t): 760 304-7357 (NC, No): San Marcos , CA 92069 A E CE/ V ~ss: kimberly.aguilar@alliant.com ED INSURER(Sl '-FFOROIHG COVERAGE I HAIC• MAY 2 2 INSURER A : Ohio Security Insurance Company 24082 INSURED 2025 INSURER a : Sequoia Insurance Company 22985 R.T. Food Services, Inc 9~F/C INSURER c . dba: II Giardino Rlstorante !tall E OF THE • 333 S Indian Canyon Ste K &L CJ Ty ~Rl(R D : Palm Springs, CA 92262 • . INSURERF : Cn\l~RAGES CERTIFICATE NUMBER· REVISION NUMBER· THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IN SURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCU MENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED O R MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LI MITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i~M TYPE OF INSURANCE l~kl~ POUCY NUMBER POLICY EFF POUCYEX~ l LMIT$ . A X COIIMERCW. GENERAL LIABILITY ' I EACH OCCURRENCE l s 1,000,000 J CLAIM S-MADE I X l OCCUR xi DAMAGE TO RENTED 300,000 BKS57117075 312/2025 3/212026 f PREMISES (Ea oc,;urrence) I $ ! MED EXP (Any one person) s 15,000 PERSONAL & ADV INJURY ~ $ 1,000,000 GENt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY l I ~ I X I LOC PROOUCTS -COMP/OP AGG S 2,000,000 I OTHER: LIQUOR LIABILIT s 1,000,000 A AUTOMOell.E UABIUTY COM BIN ED SINGLE LIMIT 1 1,000,000 (Ea~) s ANY AUTO BKS57117075 3/2/2025 3/212026 BODILY INJURY (Pw pe,son) $ OWNED 1 SaiEDULED AUTOS ONLY 1x ;~t~ BODILY INJURY {Pw accident) $ X ~!WWSONLY 11.0PERTY ~AMAGE ~ er aoolden1 $ $ UMBRELLA UA8 ~ t OCCUR EACH OCCURRENCE s I EXCESS LIAS CLAIMS-MADE AGGREGATE 1: DED I r RETENTION, B WORKERS COMPENSATION I X •~TVTE I ~~ AND EMPLOYERS' LIABILITY Y/N QWC1461227 6115/2025 6/1512026 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE v1 E.L. EACH ACCIDENT J S ~~~~ EXCLUDED? N /A 1 ,000,000 E.L. OISEASE • EA EMPLOYE $ grs-c=~ ~ERATIONS t,ejow I E.L. DISEASE • POLICY LIMIT s 1,000,000 A Liquor Liability j BKS57117075 312/2025 3/2/2026 Aggregate 2,000,000 I I I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES {ACORD 101, Addltlon■I R■m■rb Schedule, m■y be att■ched If mon, space I■ requl..cl) . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Palm Springs 3200 E. Tahqultz Canyon way TH~ EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AC ORDANCE WITH THE POLICY PROVISIONS. Palm Springs, CA 92263 AUTHORIZED REPRESENTATIVE I ~~ ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD RTFOODS-01 1 DATE (MMIDDIYYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 1/22/2025 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). License # OC36861 CONTACT Vikie M Reyes PRODUCER NAME: San Marcos - Escondido PHONE FAX (A/C, No, Ext): (760) 304-7120 (ANo):(760) 304-7748 277 Rancheros Dr, Ste 300 EMAIL VRe es alliant.com San Marcos, CA 92069 ADDRESS: y INSURER(S) AFFORDING COVERAGE NAIC # RECEIVED INSURER A: Ohio Security Insurance Company 24082 INSURED INSURER B: Technology Insurance Company Inc _42376 R.T. Food Services, Inc JAN Z / ZOZb INSURERC: dba: II Giardino Ristorante Italiano 333 S Indian Canyon Ste K &L INSURER D Palm Springs, CA 92262 OFFICE OF TI-d U1 CLElq#(R E: INSURER F : DC\ACIAW Al11MRP1?• GOVtKAUhb VCR - --'-'-' - '-- THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ERTIFY THAT NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L ADDL SUBR POLICY EFF POLICY EXP YPE OFINSURANCE INSD WV POLICY NUMBER / /YYYY MM/ IYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 +000+000 CLAIMS -MADE X OCCUR X BKS57117075 3/212025 3/2/2026 DAMAGEPREMISESS ( RENTED (Ea occurrence) $ 315,000 15,000 MED EXP (Any one person) $ 1,000,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY PRO X JECT LOC PRODUCTS - COMP/OP AGG $ LIQUOR LIABILIT 1,000,000 OTHER $ COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO BKS57117075 3/2/2025 3/2/2026 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -AWNED PROPERTY DAMAGE Per accdent $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION X PER STATUTE EERH AND EMPLOYERS' LIABILITY YIN TWC4433737 6/15/2024 6115/2025 E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER BE EXCLUDED? Y N / A 1,000,000 Rory in E.L. DISEASE - EA EMPLOYEE $ It yes. describe under E.L. DISEASE -POLICY LIMIT $ 1 +000+000 DESCRIPTION OF OPERATIONS below A Liquor Liability BKS57117075 3/2/2025 3/2/2026 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Palm Springs 3200 E. Tahquitz Canyon way Palm Springs, CA 92263 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 v�R ACORD 25 (2016/03) v-IWoo-cv10M%.WF%U The ACORD name and logo are registered marks of ACORD Contract Company Name : Company Contact: Summary of Services : Contract Price : Funding Source : Contract Term : Contract Administration Lead Department: Contract Administrator: Contract A1212rovals Council Approval Date: Agreement No : ~ g~ 4 Q Contract Com12liance Exhibits : Signatures : I nsurance : Bonds: Contract prepared by : Submitted on : 04-05-2021 CONTRACT ABSTRACT II Giardino Ristorante Italiano Rosario Cultraro COVID-19 SMALL BUSINESS ASSISTANCE PROGRAM AGREEMENT $10 ,000 ("Loan ") to help preserve and operate the Business . Business Owner understands that the Loan is a zero-interest loan with a term of six (6) months. City Council appropriated $1,000 ,000 from General Fund Six (6) months Community & Economic Development Jay Virata , Director Included Included n/a n/a March 11 , 2021 Community & Economic Development Department By : Jennifer Henning/Diana Shay C) -n -I r-1 0 ----j -< G r r, , :: = ,...,_, w I"'.) w () --1 -< :::-0 .,.> r,1 ,_ U1 I -o O ::0 z C) (/l THE CITY OF PALM SPRINGS COVID-19 SMALL BUSINESS ASSISTANCE PROGRAM AGREEMENT This Agreement is by and between the City of Palm Springs ("City") and IL Giardino Ristorante Italiano Small Business Assistance ("Program"). Under the Program the City provides a forgivable loan to local small businesses impacted by COVID-19 mandated closures . The Program is to assist with the loss in revenue that the Business has suffered and is intended to help those small businesses most in need , subject to certain requirements depending on the number of full-time employees retained by the Business . The City Council authorizes the use of general fund monies to increase , improve and preserve locally owned small businesses . The Program is specifically provided for those business owners who will re-open their Business within thirty (30) days of receipt of funds and remain open throughout the loan term of six (6) months . 1. Rosario Cultraro and Teresa Attardi are the owners of the Business ("Business Owner"), located at 333 S . Indian Canyon Dr. Suite K & L , Palm Springs, CA. 2 . Business Owner has applied to the Program and requested a loan in the amount of $10 ,000 ("Loan") to help preserve and operate the Business . Business Owner understands that the Loan is a zero-interest loan with a term of six (6) months ("Term "). City does not warrant that the Loan amount will pay all costs of Business ' operation during the Term . 3. Business Owner hereby authorizes the City or its des ignee to verify ownership of the Business and obtain a credit report only for the purpose of confirming that there are no defaults recorded on the Business that will affect ownership of the Business. 4 . Business Owner hereby certifies (or declares) under penalty of perjury under the laws of the State of California that the Business is in good standing and has not violated any State, County or local emergency orders , that the Business has suffered a significant loss in revenue as a result of mandated closures, and that Business Owner has truthfully reported any COVID-19 relief-related financial assistance received from any government entity . Business Owner further certifies (or declares) under penalty of perjury that the Business is an independently owned local business or non-profit with no more than five (5) full-time employees . Business Owner further certifies (or declares) under penalty of perjury that he/she is the owner and legal representative of the Business with the authority to bind the Business under this Agreement. 5. Business Owner intends to open the Business within thirty (30) days of receiving the Loan and remain open in good standing (in compliance with State , County , and local emergency orders) throughout the Loan Term. Business Owner agrees to submit a monthly report on the Business ' operations to the City in a form acceptable to the City during the Loan Term . Business Owner understands that the Loan shall be amortized over the Term. To wit , each month that the Bus iness remains open , the Loan will be reduced and discounted by one-sixth (1/6) of the Loan amount. If Business Owner retains and operates the Business for the full Loan Term, the Loan will be forgiven . Business Owner understands that if the Business is sold or transferred during the Loan Term, the unforgiven portion of the Loan shall become due and payable immediately . COVID -19 Small Business Assistance Program Agre ement 1 6 . Business Owner hereby promises to repay the Loan amount of $10 ,000 by either meeting the conditions for Loan forgiveness , set forth in paragraph 5 , or paying any unamortized amount to the City should the Business not remain open for the full Term. 7 . MISCELLANEOUS . 7 .1 Conflict of Interest. Business Owner acknowledges that no officer or employee of the Business has or shall have any direct or indirect financial interest in this Agreement nor shall Owner enter into any agreement of any kind with any such officer or employee during the term of this Agreement and for one year thereafter. Owner warrants that Owner has not paid or g iven , and will not pay or give , any third party any money or other cons ideration in exchange for obtaining this Loan . 7 .2 Non-Discrimination . A. Business herein covenants by and for itself, its heirs , executors , administrators and assigns and all persons claiming under or through it , and this Agreement is made and accepted upon and subject to the following conditions : That there shall be no discrimination against or segregation of any person or group of persons on account of race, sex , marital status , colo r, creed , national origin , disability , medical condition , religion , sexual orientation , age or ancestry , in the leasing , subleasing , transferring , use , occupancy , tenure or enjoyment of the Premises herein , nor shall the Business itself, or any person claiming under or through it , establish or permit any such practice or practices of disc rimination or segregation with reference to the selection , location , number, use or occupancy of Business , lessees , sub- lessees , or vendees in the Premises . B. Business certifies and represents that , during the term of the Agreement , Business and any other parties with whom it may contract shall adhere to the City 's non-discrimination and equal benefits laws as provided pursuant to Ordinance No. 1896 in the Palm Springs Municipal Code Section 7 .09 .040 to assure that applicants and employees are treated equally and are not discriminated against because of their actual or perceived race , color , religion , ancestry , national origin , disability, medical condition , marital status, domestic partner status , sex , gender, gender identity , gender expression , or sexual orientation . Business further certifies that it will not maintain any segregated facilities . C. Business shall , in all solicitations or advertisements for applicants for employment placed by or on behalf of Business in the use of the property covered by this Agreement, include a statement that it is an "equal opportunity employer" or that all qualified applicants will receive consideration for employment without regard to their actual or perceived race , color , religion , ancestry , national origin , disability , medical condition, marital status , domestic partner status , sex, gender, gender identity , gender expression, or sexual orientation . D. Business shall certify that it has not , in the performance of its obligations under this Agreement, discriminated against applicants or employees because of their actual or perceived race , color , religion , ancestry , national origin, disability , medical condition , marital status , domestic partner status , sex , gender, gender identity , gender expression , or sexual COVID -19 Small Bu siness Assistan ce Program Agree m ent 2 orientation . E. If requested to do so by the City , Business shall provide the City with access to copies of all of its records pertaining or relating to its employment practices, except to the extent such records or portions of such records are confidential or privileged under state or federal law. F. Business agrees to recruit Coachella Valley residents initially and to give them preference, if all other factors are equal , for any new positions which result from the performance of this Agreement and which are performed within the City. The City may agree to modify this requirement where it is in conflict with federal or state laws or regulations . G. Nothing contained in this Agreement shall be construed in any manner so as to require or permit any act which is prohibited by law . 7 .3 Notices. Wherever in this Agreement it shall be required or permitted that notice and demand be given or served by either party to this Agreement to or on the other, such notice or demand shall be given or served in writing and shall not be deemed to have been duly given or served unless in writing , and personally served or forwarded by certified mail , postage prepaid , addressed , if to the City of Palm Springs , P.O. Box 2743, Palm Springs , California, 92263 , Attn : City Manager, and if to Business, 333 S. Indian Canyon Dr. Suite K & L, Palm Springs , CA 92262 . Either party may change the address set forth herein by written notice by certified mail to the other . Any notice or demand given by certified mail shall be effective one (1) day subsequent to mailing. 8 . All other provisions of the Agreement shall remain in full force and effect. IMPORTANT ALL APPLICANTS MUST READ BEFORE SIGNING Business and Business Owner shall indemnify and hold harmless , the City of Palm Springs ("City"), the City Council , its officers, agents , employees and independent contractors free and harmless from any liability whatsoever based and asserted upon any act or omission of the City for property damage , bodily Injury or death or any other element of damage of any kind or nature , relating to or in any way connected with Business and Business Owner's participation in the Program . Business Owner certifies that the above statements a re true and accurate to the best of his/her knowledge . Business Owner's application to the Program shall remain the property of the City and shall be deemed a public record for purposes of the California Public Records Act (Government Code§ 6250 et seq .). [SIGNATURES ON NEXT PAGE] COVID -19 Small Bu si ness Assi stan ce Prog r am Agre e m ent 3 IN WITNESS WHEREOF, the parties have duly executed this Agreement on the date first set forth above. BUSINESS NAME ("Business") By: £~ d/t~ Rosario Cultraro, Co-Owner IL Giardino Ristorante Italiano By:V~~- Teresa Attardi, Co-Owner IL Giardino Ristorante Italiano COVID -19 Small Business Assistance Program Agreement THE CITY OF PALM SPRINGS ("City") By: J~fton~~ City Manager Approved as to Form : Jeffrey ~Balll City Attorney ony Mejia City Clerk 4 A 97NO /-MON RTFOODS-01 KOUGGIANA '4� CERTIFICATE OF LIABILITY INSURANCE EV DATE(ML/202'3 1/23/2023 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(les) must have ADDITIONAL INSURED provisions or be endorsed. N SUBROGATION IS WAIVED, subject to the terns 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 endorsements . PRODUCER License # OC36861 CONTACT Kettle Gugglane San Marcos -Escondido PHONE Alliant Insurance Services, Inc WC, No, Eat): _ _ FAX No): __ 570 Rancheros Dr Ste 100 E-MAILDRSS: Ke111e.Gugglanagalliant.eom San Marcos, CA 92069 I INSURED R.T. Food Services, Inc dba: II Giardino Ristorante Italiano 333 S Indian Canyon Ste K &L Palm Springs, CA 92262 INSURER(S) AFFORDING COVERAGE _ INSURER A: Ohio Security Insurance Cowaaam INSURER B: _ INSURER C : INSURER D : INSURER E : 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- TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMBS A X I COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ CLAIMS -MADE X OCCUR X- 3/2/2023 3/2/2024 DAMAGE300,000 RENTED(Ea .BKS57117075 PREM- ) $ MED EXP [Any one person) $ 15,000 - — -- PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY I JECT I X I LOC 2,000,000 PRODUCTS-COMP/OP AGG $ OTHER: LIQUOR LIABILIT s 1,000,000 A LIABILITY COMBINED SINGLE LIMIT 1000000 Y�AUTOMOBILE IODILYIEa _ If ANY AUTO _ BK357117075 312/2023 3/2I2024 BODILY INJURY IPerpersm) J $ OWNED SCHEDULED AUTOS ONLY AArIUU�TTO.pSS BODILY INJURY (Per accidenp X AUTOS ONLY x A11T03 ONLY PROPERTY pAMAGE accident) 3. _ (Per UMBRELLA UAB OCCUR .I EACH OCCURRENCE EXCESS DAB CLAIMSiMDE AGGREGATE DIED RETENTION $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE _ ANY PROPRIETORIPARTNER/EXECUTNE OFFICERWI MBER EXCLUDED? L� in NIA EL EACH ACCIDENT - - (Mandatory NN) Il yyes. describe Under E.L.DISEASE - EA EMPLO __ — $ - DESCRIPTION OF OPERATIONS belnv E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may ba atbched R more apace is required) RECEIVED FEB 0 6 2023 City Hall Reception Desk City of Palm Springs 3200 E. Tahquitz Canyon way Palm Springs, CA 92263 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 A 97NO /-MON RTFOODS-01 KOUGGIANA '4� CERTIFICATE OF LIABILITY INSURANCE EV DATE(ML/202'3 1/23/2023 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(les) must have ADDITIONAL INSURED provisions or be endorsed. N SUBROGATION IS WAIVED, subject to the terns 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 endorsements . PRODUCER License # OC36861 CONTACT Kettle Gugglane San Marcos -Escondido PHONE Alliant Insurance Services, Inc WC, No, Eat): _ _ FAX No): __ 570 Rancheros Dr Ste 100 E-MAILDRSS: Ke111e.Gugglanagalliant.eom San Marcos, CA 92069 I INSURED R.T. Food Services, Inc dba: II Giardino Ristorante Italiano 333 S Indian Canyon Ste K &L Palm Springs, CA 92262 INSURER(S) AFFORDING COVERAGE _ INSURER A: Ohio Security Insurance Cowaaam INSURER B: _ INSURER C : INSURER D : INSURER E : 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- TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMBS A X I COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ CLAIMS -MADE X OCCUR X- BKS57117075 3/2/2023 300,000 3/2/2024 DREM SET RENTED(Ea . ) $ - MED EXP [Any one person) $ 15,000 - — -- PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY I JECT I X I LOC 2,000,000 PRODUCTS-COMP/OP AGG $ OTHER: LIQUOR LIABILIT s 1,000,000 A LIABILITY COMBINED SINGLE LIMIT 1000000 Y�AUTOMOBILE IODILYIEa _ If ANY AUTO _ BK357117075 312/2023 3/2I2024 BODILY INJURY IPerpersm) J $ OWNED SCHEDULED AUTOS ONLY AArIUU�TTO.pSS BODILY INJURY (Per accidenp X AUTOS ONLY x A11T03 ONLY PROPERTY pAMAGE accident) 3. _ (Per UMBRELLA UAB OCCUR .I EACH OCCURRENCE EXCESS DAB CLAIMSiMDE AGGREGATE DIED RETENTION $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE _ ANY PROPRIETORIPARTNER/EXECUTNE OFFICERWI MBER EXCLUDED? L� in NIA EL EACH ACCIDENT - - (Mandatory NN) Il yyes. describe Under E.L.DISEASE - EA EMPLO __ — $ - DESCRIPTION OF OPERATIONS belnv E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may ba atbched R more apace is required) RECEIVED FEB 0 6 2023 City Hall Reception Desk City of Palm Springs 3200 E. Tahquitz Canyon way Palm Springs, CA 92263 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 VC- ----i RTFOODS-01 . TWA AC�RO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4—� 1 /22/2024 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 License # OC36861 CONTACT Kimberly Aguilar San Marcos - Escondido PHONE FAX Alliant Insurance Services, Inc (A/c, No, Exq: (760) 304-7357 (AIC, No): 570 Rancheros Dr Ste 100 E-MAIL . Klmberly.Aguilar@alllant.com San Marcos, CA 92069 - INSURER A: Ohio Security Insurance Company 24082 INSURED INSURER B . R.T. Food Services, Inc INSURERC: dba: II Giardino Ristorante Italiano 333 S Indian Canyon Ste K &L INSURERD: Palm Springs, CA 92262 INSURERS: INSURER F : COVERAGES CERTIFICATE NUMBER: 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. IL IR ADDLTYPE OF INSURANCE INSD SUBRWVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL Lmmi-rrY CLAIMS -MADE OCCUR �( BK$57117075 3/2/2024 3/2/2025 EACH OCCURRENCE $ 1,000,000 300,000 DAMA SE TO RENTED MED EXP oneperson) 15,000 PERSONAL. & ADV INJURY 11000'000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT FX-1 LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 LIQUOR LIABILIT 1,000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X AUUTOS ONED BKS57117075 3/2/2024 3/2/2025 COMBINESINGLE LIMIT 1,000,000 $ BODILY INJURY Per arson BODILYBODILY INJURY (Per accident X (M.r f27Y, AMAGE UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS4MADE EACH OCCURRENCE AGGREGATE DIED RETENTION $ ---- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A - - - - PER OTIi- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE AgE - POLICY -- - - - DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Palm Springs FEB 0 5 2024 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3200 E. Tahquitz Canyon way Palm Springs, CA 92263 Hall ,)n Desk AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD