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CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIDDNYYY)
<br />08/082024
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement($).
<br />PRODUCER
<br />Marsh USA LLC
<br />30 South Street /
<br />Philadelphia, PA 19103 \
<br />NBCU.Cequest@marsh
<br />` a
<br />IAttn:
<br />INSURED
<br />NBCUniversal Media, LLC
<br />a fully owned subsidiary ofComcAcieved
<br />potation
<br />30 Rockefeller Plaza
<br />New Ycdc, NY 10112
<br />.0 - Alliellclin In nldlCum n %- G V C %.A %J 122667
<br />1der, IN Ins CA Of North Amarica 143575
<br />COVERAGES CERTIFICATE NUMBER: CLE-OD724352Ml REVISION NUMBER: 6
<br />20702
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />J=ADDL
<br />vinvo,SUBR
<br />POLICYNUMBER
<br />MMIDDYmYY
<br />MMLICYEXY
<br />LIMBS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />XSL G47307314
<br />12/0112023
<br />12O112024
<br />EACH OCCURRENCE
<br />$ 14,900,000
<br />CLAIMS -MADE X�OCCUR
<br />DMAGETOR ED
<br />PREMISES (Fa occurrence)
<br />$ 14,900,000
<br />X
<br />MED Excel (Any ono person)
<br />$ 10,000
<br />SIR $100,000
<br />PERSONAL a ADV INJURY
<br />$ 14,900,D00
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />$ 60,000,000
<br />GENIE
<br />X
<br />POLICY JET LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 15,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />ISA H10700164
<br />12/0112023
<br />12101/2024
<br />COMBINED SINGLE LIMIT
<br />Ea accident)15,000,000
<br />$
<br />BODILY INJURY (Par peon)
<br />$
<br />X
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accitlenl
<br />$
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />G
<br />_Xfl
<br />UMBRELLALIAB
<br />X
<br />DCCUR
<br />XEU G27924840009
<br />12O112023
<br />12/01/2024
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />$ 10,OD0,000
<br />E%CESS LIAR
<br />CLAIMS -MADE
<br />CEORETENTION $
<br />$
<br />B
<br />A
<br />D
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILRYIN Y
<br />ANYPROPRIETORIPARTNERIEXECUTIVE
<br />OFFICERIMEMBEREXCLUDED9
<br />(Mandatory in NH)
<br />N/A
<br />(ADS)
<br />WLR C70318568 ADS
<br />WLR C70318fi0A (CA, MA)
<br />SCF C70318684(WI)
<br />12/0112023
<br />12I0112023
<br />12JO112023
<br />12I01/2024
<br />12N1YL024
<br />12101/2024
<br />PER OTH-
<br />X STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 2,001
<br />E.L. DISEASE -EA EMPLOYEE
<br />$ 2,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE- POLICY LIMIT
<br />$ 2,000,000
<br />A
<br />Excess Workers Compensation
<br />WCU C70318647 (WA)
<br />12/0112023
<br />12/01/2024
<br />Ea Acc//Dis EmplDyee/Dis Poli
<br />2,000,000
<br />SIR
<br />5,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 1e1, Additional Remarks Schedule, may be attached if more space is required)
<br />City of Santa Ana, Its City Council, its officers, officials, employees, agents, and volunteers, with respect to liability arising out of work or operations performed by or on behalf of the Pelmiffee including materials,
<br />parts, equipment, and personnel furnished in connection with such work or operations are included as additional insured (except workescompensation) where required by written contract with the Named Insured,
<br />This Insurance Is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract Waiver of subrogalkm is
<br />applicable where required by written Contract. NBCU is self -insured for auto physical damage.
<br />See Acord 101
<br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Attn: Risk Management Division THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
<br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PRC
<br />Santa Ana, CA 92702 r RiskIrbunagonatDivel
<br />+`
<br />AUTHORIZED REPRESENTATIVE `5 fiEelEWED&APPRCI BY.-
<br />o
<br />jimcrawm
<br />!� I Risk Management( Specialist
<br />©1988.2016 ACORD
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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