|
DATE /Y Y>
<br />ACORD.. CERTIFICATE OF LIABILITY INSURANCE
<br /> ,/124/11
<br />24/11
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ARTHUR J. GALLAGHER & CO. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />INSURANCE BROKERS OF CALIFORNIA, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />505 N. BRAND BLVD., SUITE 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />GLENDALE, CA 91203-3944
<br />CONTACT: Hamila Bhika
<br />EMAIL: HamilaBhika@ajg.com
<br />_ INSURERS AFFORDING COVERAGE
<br />DIRECT LINE:
<br />818 539-1291. FAX: 818 539-1591
<br />INSURED
<br />Down In Front Entertainment, Inc INSURER A: EMPLOYERS FIRE INSURANCE COMPANY (EBI)
<br />2 Road Pictures, Inc. INSURER B: ONEBEACON INSURANCE COMPANY(EBI)
<br />Ih
<br />161516
<br />Street
<br />
<br />Santa Monica, CA 90403 INSURER C:
<br /> INSURER D:
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE I NSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED
<br />NOTWITHSTANDING ANY
<br />,
<br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN
<br />THE
<br />INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ,
<br />ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES
<br />AGGREGATE LIMITS
<br />SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .
<br />co
<br />LTR
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />POLICY EFFECTIVE
<br />POLICY EXPIRATION
<br />LIMITS
<br /> DATE (MM/DDIYY) DATE (MM/DD/YY)
<br /> GENERAL LIABILITY CP01352-00 12/08/10 12/08/11 GENERAL AGGREGATE
<br />' $ 2,000,000
<br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 1,000,000
<br /> CLAIMS MADE FX1 OCCUR PERSONAL & ADV INJURY $ 1,000,000
<br />A EACH OCCURRENCE $ 1,000,000
<br />
<br />
<br />' FIRE DAMAGE (ANY ONE FIRE) $ 100,000
<br /> GEN
<br />L AGGREAGATE LIMIT APPLIES PER
<br />PRO MED EXP -ANY ONE PERSON $ 5,000
<br /> POLICY X
<br />JECT LOC DEDUCTIBLE
<br />$ NIL
<br /> AUTO MOBILE LIABILITY CP01352-00 12108/10 12/08/11
<br />
<br />ANY AUTO COMBINED SINGLE LIMIT
<br />
<br />(Ea accident)
<br />$ 1,000,000
<br />
<br /> ALL OWNED AUTOS
<br />SCHEDULEAUTOS
<br />'MP00139-00 BODILY INJURY
<br />(Per
<br />erson)
<br />A X p
<br /> HIREDAUTOS DEDUCTIBLE 10% OF
<br /> X NON-OWNED AUTOS
<br />LOSS SUBJECT TO A BODILY INJURY
<br />(Per accident)
<br /> X P
<br />'
<br /> HYSICAL DAMAGE $2,500 MIN/$7,500 PROPERTY DAMAGE
<br /> (Per accident)
<br /> GARA GE LIABILITY AUTO ONLY - EA ACCIDENT
<br /> ANY AUTO
<br />OTHER THAN F1, ACC
<br /> AUTO ONLY: AGG
<br /> EXCES
<br />X SIUMBRELLA LIABILITY
<br />OCCUR 71 EX00532-00 12/08/10 12/08/11 EACH OCCURRENCE $ 9,000,000
<br />A CLAIMS MADE
<br />UMBRELLA FORM EX00555-00 12/08/10 12/08/11 AGGREGATE $ 9,000,000
<br />
<br />X
<br />OTHER THAN UMBRE DEDUCTIBLE $ NIL
<br /> LLA FORM
<br /> WORKERS COMPENSATION AND
<br />
<br />EMPLOYERS,
<br />EMPLOYERS' LIABILITY
<br />4060361430000 07/08/10 07/08111 X
<br />TORY LIAMIT 'F=TRH-
<br />B ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXC EVIDENCE ONLY E.L. EACH ACCIDENT $ 1,000,000
<br /> LUDED?
<br />If
<br />es
<br />describe
<br />nd PAYROLL SERVICE E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br /> y
<br />,
<br />u
<br />er
<br />SPECIAL PROVISIONS below USED. E.L. DISEASE - POLICY LIMIT
<br />$ 1
<br />000
<br />000
<br />OTHER (PRODUCTION PACKAGE) MP00139-00 ,
<br />,
<br />12/08/10 12/08/11
<br />A THIRD PARTY PROPERTY DAMAGE Limit: $2,000
<br />000 DED: $2
<br />500
<br />MISCELLANEOUS EQUIPMENT REPLACEMENT COST ,
<br />,
<br />VALUATION Limit: $3,000
<br />000 DED: $2
<br />500
<br />PROPS/SETS WARDROBE ,
<br />,
<br />Limit: $2
<br />000
<br />000 DED: $2
<br />500
<br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ,
<br />,
<br />,
<br />CERTIFICATE HOLDER CITY, ITS OFFICERS, EMPLOYEES, AGENTS
<br />VOLUNTEERS AND REPRESENTATIVES AS ADDITIO
<br />,
<br />NAL INSURED ARE INCLUDED AS AN
<br />ADDITIONAL INSURED UNDER THE GENERAL LIABILITY (CG 20 26 07 04) OR AUTO LIABILITY POLICIES AND A LO
<br />SS PAYEE UNDER THE PRODUCTION PACKAGE
<br />POLICY BUT ONLY AS RESPECTS THEIR AGREEMENT WITH THE NAMED INSURED FOR THE RENTAL OR LEASE
<br />OF PROPS, SETS & WARDROBE, EQUIPMENT,
<br />VEHICLES OR PREMISES FOR THE PRODUCTION: "CUFF'D" SEASON ONE. INSURANCE IS PRIMARY WITH RESPECT TO INSURANCE OR SELF-INSURANCE
<br />PROGRAMS MAINTAINED BY THE CITY.
<br />CERTIFICATE HOLDER CANCELLATION
<br />
<br />
<br />CITY OF SANTA ANA, ITS OFFICERS
<br />EMPLOYEES _
<br />SHOULD ANY OF THE ABOVE POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF
<br />,
<br />,
<br />AGENTS, VOLUNTEERS AND REPRESENTATIVES AS , THE ISSUING INSURER WILL iMDGM/GRTO MAIL 30 DAYS WRITTEN
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5111T. FAII WRIiii TO 00
<br />ADDITIONAL INSURED
<br />20 CIVIC CENTER PLAZA AppROVED AS TO FOR
<br />SANTA ANA
<br />CA 92701
<br />,
<br />-?
<br />?
<br />w
<br />` 'AUTHORIZED REPRESENTATIVE
<br />ernon ee i?nneino? r
<br />•--- "-°' _/ TLKWA v..r?yL @ ACORD CORPORATION 1988
<br />Assistant City Attorney
|