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PROOF OF INSURANCE (2021 - 2022) CLOSED+►= CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 01 /19/2021 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 be endorsed. If SUBROGATIONIS 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 ABI FOX AGENCY 52709712 PHONE (866) 467-8730 (AIC, No, Ext): FAx (888) 443-6112 (Alc, No): The Hartford Business Service Center E-MAIL 3600 Wiseman Blvd San Antonio, TX 78251 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURERA: Sentinel Insurance Company Ltd. 11000 VENDING AND AMUSEMENTS INC. INSURER B : 3235 N SAN FERNANDO RD UNIT 1F LOS ANGELES CA 90065-1434 INSURER C N INSURER D INSURER E : INSURER F COVFRAnFR 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, INS TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS MERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 CLAIMS-MADEFX OCCUR *xGemneral DAMAGE TO RENTED $1,000,000 Liability MED EXP (Any one person) $10,000 A X X 52 SBA R03195 09/01/2020 09/01/2021 PERSONAL&ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO r�I' LOC PRODUCTS COMP/OP AGG $4,000,000 JECT I OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT' �Ea accident) ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) HIRED NON -OWNED PROPERTY DAMAGE AUTOS AUTOS (Per accident) UMBRELLA LIAB X OCCUR EACH OCCURRENCE $3,000,000 AGGREGATE $3,000,000 A EXCESS LIAB _ CLAIMS- MADE 52 SBA R03195 09/01/2020 09/01/2021 DIED X RETENTION $ 10,000 WORKERS COMPENSATION lb5TATUIE PER OTH- AND EMPLOYERS' LIABILITY E.L.: EACH ACCIDENT ANY YIN PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E..L,. DISEASE -EA EMPLOYEE. (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT R I F P... TI I DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER UAf+IGEL,L.AI J N City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 350 MAIN ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED EL SEGUNDO CA 90245-3813 IN ACCORDANCE WITH THE POLICY PROVISIONS. AU�T'HORIZED REPRESENTATIVE J ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC#: 4157 11 ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED ABI FOX AGENCY VENDING AND AMUSEMENTS INC. '.. POLICY NUMBER 3235 N SAN FERNANDO RD UNIT 1F SEE ACORD 25 LOS ANGELES CA 90065-1434 CARRIER NAIC CODE SEE ACORD 25 EFFECTIVE DATE: SEE ACORD 25 L KCIVIAMMO THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Blanket Waiver of Subrogation applies in favor of the Certificate Holder per the Waiver of Our Right to Recover from Others Endorsement WC040306, attached to this policy. Notice of Cancellation will be provided in accordance with Form SS1223, attached to this policy. Coverage is primary and noncontributory per the Business Liability Coverage Form SS0008, attached to this policy. Certificate holder is an additional insured per Additional Insured- Owners, Lessees, or Contractors; Scheduled Person or Organization Form SS4170 and Additional Insured: Owners, Lessees or Contractors; Completed Operations form SS4171, attached to this policy. Waiver of Subrogation applies in favor of the Certificate Holder per the Business Liability Coverage Form SS0008, attached to this policy. ACORD 101 (2014/01) © 2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CATE OF LIABILITY INSURANCE::D�TE(Ml;/DD/ym 0/23/2021 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. NT:IfthecertificateholderisanADDITIONALINSURED, the ..................._ IMPORTANT: mm endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions ofthe policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). ............._... ......................... .,,,.. ...... ._........... _.,,,.. PRODUCER CONTACT NAME: Jaime H. DiazJaime _ Farmersaz Agency PHONE FAX Insurance (A/C, NO, EXT): 818 722 2237 A/c, No): 818 722 2240 12087 Lopez Canyon Rd Ste 108 E-MAIL _ Sylmar CA 91342-6063 ADDRESS: jdiaz3@farmersagent.com INSURERS) AFFORDING COVERAGE NAIC # INSURED INSURER A: TfUC .w.Y.°._.------------- k Insurance Exchange 21709 ............. _................................... INSURERB: Farmers Insurance Exchange 21652 First Choice Vending INSURERWC: _ WMid WCent Century Insurance Company 21687 3235 N SAN FERNANDO RD UNIT 1F INS ........................ .......... ._... _. INSURER D: INSURER E: www�............_................._ ..........._-� LOS ANGELES CA 90065INSURER F: ----------- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHATTHE POLICIES OF 1NSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED NAME ABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACTOR OTHER DOCUMENT W ITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ ....... _--...--- .... ......... .._--- INSR ADDTL SUBR POLICY EFF POLICYEXP LTR TYFEOFINSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL ..............--.._.... _._------.-.- ................. _ _._._...... ..m ENERALLIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE PREMISES (Ea Occurrence) (EaTO Occurrrrence) $ MED EXP (Anyone person) $ PERSONAL &ADV INJURY $ GEN'L AGGREGATE LIMITAPPLIES PER: _._. ._. GENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS -COMP/OPAGG $ ........................... OTHER: _ $ _- AUTOMOBILE LIABILITY COMBINED}INGLELIMIT $ 1,000,000 ANYAUTO BODILY INJURY (Per person) $ OWNEDAUTOS SCHEDULED C ONLY X AUTOS Y N 606785823 03/09/2021 03/09/2022 BODILY INJURY (Per accident} $ HIRED AUTOS NON -OWNED PROPERTY DAMAGE ONLY AUTOSONLY (Per accident) $ ... ....-._.............. -... _....-.._. __...........- ..--.......... . _.. -..---.... .-........ ...... UMBRELLALIAB OCCUR EACH OCCURRENCE $ .------------------------ _. ......_._._. EXCESS LIAB CLAIMS -MADE AGGREGATE $ w .W _.............-...._._. DED RETENTION $ Is .._.......... _.,,.................... ............................_...�...,.. _,�.w...._.......... .......... ...................... -7" WORKERS COMPENSATION PER OTHER $ AND EMPLOYERS' LIABILITY STATUTE ... ............ ANY PROPRIETOR/PARTNER/ Y/N N/A E.L. EACH ACCIDENT $ EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE Ifyes, describe under DESCRIPTION OF ............... E.L.DISEASE- POLICY LIMIT $ OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may p be attached if more space is required) SUNSET GOWER ENTERTAINMENT PROPERTIES, LLC, HUDSON MEDIA AND ENTERTAINMENT MANAGEMENT, LLC, HUDSON PACIFIC PROPERTIES, L.P., HUDSON PACIFIC PROPERTIES, INC., BPP TWILIGHT MANAGER LLC, and its respective parents, subsidiaries, partners and affiliated companies, as well as the directors, officers, shareholders, agents, representatives and employees of each and all of the foregoing are included as additional insureds jointly and/or severally, regarding any coverage afforded by this policy with respect to services and/or materials performed, furnished or supplied on, for c^°1wr+v,r^hr•P�rwn�rfv-�b^ai+e�err+ct+r�titr^A°°cFralP-ka-a+rinctrv�rri#Fw °a^ronrvb•tr^a-�rorro�e °rr96e�rc-irt,��rrn�swr^Yro aaaarrMAFrlr�- lrx°crrcH^4°°�^ErRrNsr^nroail-Ja°parwrrari ��rrre!-ehradb°Fwr*+°Yarrow�e�er�st��l-3-rr•-r��nr^eca CERTIFICATE HOLDER CANCELLATION _.- Sunset Gower EntertainmentProperties, SHOULDANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION LLC c/o Hudson Pacific Properties DATE THEREOF, NOTICIEWILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ........ .. ...--.... ....... 1438 North Gower St. Bid. 16 , 2nd Floor AUTHORIZED REPRES T 1VE ........ .. LCIS.ANGEL�- �CA_.90028 ..... ...... ..—. �.......... ...,,,,,,, ... ACORD 25 (2016/03) @1988-2015 ACORD CORPORATION. All Rights Reserved 31-1769 11-15 The ACORD name and logo are registered marks of ACORD °! CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 05/11 /2021 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. _ p_.. IMPORTANT: If the certificate olic......... holder is an ADDITIONAL INSURED, the olicy(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).mm PRODUCER 1C9MIACT AUTOMATIC DATA PROCESSING INSURANCE AGCY INC 1 ADP BLVD MS 625 ROSELAND, NJ 07068 (877)677-0428 677-0428 INSURER(S) AFFORDING COVERAGE INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA INSURED INSURER B : FIRST CHOICE VENDING & AMUSEME 3235 SAN FERNANDO ST INSURER C : LOS ANGELES, CA 90065 INSURER D t. INSURER E INSURERmFm..X ................. COVERAGES ........ ......... CERTIFICATE NUMBER: 351459140431131 REVISION NUMBER: 677-0430 NAIC # 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 LTR TYPE OF INSURANCE .�..,,.....------------------- ADD INSO. SUER AMVD,. POLICY NUMBER 6,...,,.....-..,.,(.MM/D,L?/YYYY...m,,.,,LfY1M/DD/YYYY) POLICY EFF POLICY EXP LIMITS EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY AG ... RENTED CLAWS -MADE ❑OCCUR PR MI S(Eagrgrunnce) MED EXP Any one erson , $ PERSONAL. & ADV INJURY $ GENERAL AGGREGATE $ - GEN L AGGREGATE LIMIT APPLIES PER POLICY [::] PRO- F] LOC JECT PRODUCTS -COMPYOP AGG '.$ __.. $ ........ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO OWNED AUTOS AUTOS ONLY BODILY INJURY (Per accident) $ HIRED .NON -OWNED AUTOS ONLY '.AUTOS ONLY PROPERTY DAMAGE (Per accident) $ $ 'UMBRELLALIAB OCCUR UMBRELLA EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE • - -- ••-••- �_-----__—_— AGGREGATE $ RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N .ANY PROPRIETOR/PARTNER/EXECUTIVE r--1 N/A X UB-BP618732-21 04/13/2021 04/13/2022 X sTaruTE °I H E L EACH ACCIDENT _ $ 1 ,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L.. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AS RESPECTS TO WORKERS COMPENSATION COVERAGE, WC 99 03 76 (A) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA (BLANKET WAIVER) HAS BEEN ATTACHED TO THE POLICY. CERTIFICATE HOLDER THE CITY OF EL SEDUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EL SEGUNDO, CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD �� ^0, WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 03 76 ( A) - 001 POLICY NUMBER: UB-8P618732-21-42-G WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be 2.00 % of the California workers' compensation pre- mium. Person or Organization ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. Schedule Job Description VENDING MACHINE OPERATORS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium Insurance Company Countersigned by DATE OF ISSUE: 03-16-21 ST ASSIGN: Page 1 of 1