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Supple -Merrill & Driscoll, Inc. <br />550 EI Dorado Street • Pasadena, CA 91102 <br />(626) 795-9921 a Fax: (626) 577-6656 a Email: david@productioninsurance.com <br />Short Term Production Quote ouoteNumber: 22808 Quote Date: 1/8/2004 <br />Client Details <br />Nanre <br />Fast Carrier/Regenerate <br />Phone <br />(310) 836-5018 <br />Contact <br />Steve Rubin <br />Fax <br />(310) 836-5012 <br />Aadreee <br />3535 Hayden Avenue <br />Deter Phone <br />Stunts, Pyrotechnics, Aircrafts, Boats, <br />City, state, zip <br />Culver City, CA 90232 <br />Email Address <br />steve@fastcarrier.com <br />Production Details <br />Production Title <br />Santa Ana Edutainment Video <br />Coverage Territory <br />USA and Canada <br />Production Type <br />Educational & Training Film <br />Prlorclelms <br />None <br />Gross Production Coat <br />75,000 <br />Major Exclusions <br />Stunts, Pyrotechnics, Aircrafts, Boats, <br />Workers Comp Payroll <br />$11,250 (State: CA) <br />Animals, Cast Coverage, Weather, Fight <br />Payroll Calculated as 15% of Gross Production Cost <br />Extra Expense <br />Scenes, Equipment in Unattended <br />Excluded <br />Vehicles, Owned Equipment, Blanks, <br />Squibs, Guns <br />Premium and Coverage Summary <br />Coverages Limit Coverage Description Deductible Premium <br />Property <br />100,000 <br />Rented Equipment, Props, Sets & Wardrobes <br />1,500 <br />$300.00 <br />Excluded <br />Negative Film or Videotape <br />Excluded <br />Faulty Stock, Camera & Processing <br />Excluded <br />Extra Expense <br />Excluded <br />Third Party Property Damage <br />State Mandated Taxes <br />9.68 <br />General Liability <br />2,000,000 <br />General Aggregate <br />None <br />1,075.00 <br />2,000,000 <br />Each Occurrence <br />Included <br />Certificates/Blanket Additional Insureds <br />Included <br />City / Other Special Certificates <br />150.00 <br />State Mandated Taxes <br />39.51 <br />Umbrella <br />Excluded <br />Per Occurrence / Aggregate <br />Automobile <br />1,000,000 <br />Hired/Non-Owned Liability <br />300.00 <br />500,000 <br />Hired/Non-Owned Physical Damage -Aggregate <br />10% loss/$2,500 min <br />350.00 <br />125,000 <br />Hired/Non-Owned Physical Damage -Per Vehicle <br />10% loss/$2,500 min <br />State Mandated Taxes <br />20.96 <br />Workers' Compensation <br />1,000,000 <br />Limits <br />None <br />962.75 <br />State Mandated Taxes <br />26.00 <br />Sub -Total <br />3,233.90 <br />Coverage Dates #Days <br />Policy Fee <br />225.00 <br />Property 03/29/04 - 04/08/04 10 <br />Broker Fee <br />150.00 <br />General Liability 03/29/04 - 04/08/04 10 <br />Convenience Fee <br />0.00 <br />Automobile 03/29/04 - 04/08/04 10 <br />Total <br />$3,608.90 <br />Workers' Com ensation 03/29/04 06/27/04 90 <br />P - <br />'AII coverages expire at 12:01 a in. Staneam Time. <br />See attached page for Coverage Explanations. <br />Sample policy available online at www.shorttermproductions.com <br />`t'Coverage will not be bound until receipt of full payment and company approval. <br />Coverage cannot be cancelled nor amended once bound <br />License #: 0517777 <br />