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PROOF OF INSURANCE (2025 - 2025)1 0 IY DATE (MM/DDYYY) , 4C<>,R. " CERTIFICATE OF LIABILITY INSURANCE 10/29/2024 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 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 MI,at,1 Alex R Ross Roman Empire Insurance Agency, Inc. PHONE 818-433 6054 FAx 818�33-4220 E fafAIL ADDRE :, info@romanempireins.com -- I 2110 N. Glenoaks Blvd. INsuRft s„ J4A FORGING covE I RAGE .. [ NAIC # ..... Burbank CA 91504 pNsuRER A „ Penn -Star Ins Co / Amwins 10673 .......... .. ......... ..... Capitol Specialty Ins CO 10328 INSURED INSURER a , _....__ Infinity ..... Select Ins Co .. 11738 Matrix Audiovisual Designs, Inc. INS uRER c . y INSURER D . 2525 W. Burbank Blvd. INSURI R E - m Burbank CA 91505 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. . _.µ -__- INSR� .......... �........... .......__ I ALkDLiSUBR ------ ...... .�.�.�POLICY E'F'� PO EX TYPE OF INSURANCE 4 " POLICY NUMBER A r LIMITS GENERAL LIABILITY 1000 EACH C000.00 i�E(.E -GEN „v /\- COMME1308AL GENERAL LIABILITY X-TTR(: �_.s i1riW,�Afi F tab R/4ilt�n $ ,, ,&I .,MISE'4.�" (,,, q u�V p( ,� .,......1,,...,i 6 OOO 00,,11 CLAIMS -MADE OCCUR n one pecs_tan) $ 5,000.00 A �,..... Y Y CPV0087116 1,0/30/2024 10/30/2025 PERSONAL ADV INJURY 1 000,000 00 �$,,_ .., ...-_ �� ��..�.... $ 000 000.00 TE 2 .. ... 2,000,000 00.... PGRNERALAGGREGA IOPG COMP/OP $.,, L .,. GEN L AG RE LIMIT APPLAF.S PER. ODUCTS . -- PRi LOC $ 0,00 � MIAG 1,000,000.00 AU OMO ILE LIABILLIABILITY( l BODILY INJURY (Per person) `( C rv� X ANY AUTO mm _ _ ALL OWNED �/ SCHEDULED /` N N 50002550701 1/26/2024 1/26/2025 BODILY INJURY (Per accidenl) $ I +�/ AUTOS NON -OWNED HIRED AUTOS AUTOS OWNED P OPt RTY DAMAtvE $ P C.. UMBRELLA LIAB o 3 000 000 00 E CCURRENCE $ ' B X EXCESS. uas cLAIMs MADE Y Y XS23037645-01 10/30/2024 10/30/2025 AGCH GREGATE $ 3,000,000.00 .., .....,. r. 1 Crises Response I $ 250,000.00 FD NTI N WC STATU WORKERS COMPENSATION i01flll T4 RY.I�,1 ?tT�S.. ,. ..... kV'� ,....................... ....... AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? �� N / A -.._._ ACCIDENT $ _ . , j E.L. (Mandatory in NH) SEA SE....-EAE,mm� w.... .... .. ,MPLOYEE" $ ....�............ ..— If yes, describe under DESCRIPTION F OP RATI N low E.L.. DISEASE POLICY LIMIT $ i DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) OPERATIONS: Audio & Visual set Design & Installation. Blanket Additional Insured Endorsement and Blanket Waiver of Subrogation Endorsement with Primary & Non -Contributory Wording Endorsements on the General Liability and Excess Liability policies. Additional Insured and Waiver of Subrogation endorsements included on the Commercial Auto policy. Additional Insured: City of El Segundo *10 days cancellation notice for non-payment of premium and 30 days cancellation notice for all other matters. City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 Main St. I El Segundo, CA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 90245 AUTHORIZED REPRESENTATIVE Alex R Ross ACORD 25 (2010/05) tJ lyiSti-LU7U AL UICU L UIcr%JMM I IUI14. r%u r lynw I W*=1 V WU- The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS COVERAGE ENHANCEMENT (ONGOING OPERATIONS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Construction Project Aggregate Limit: See General Aggregate Limit in Declarations Maximum Policy General Aggregate Limit: $5,000,000 Lost Key Coverage Each Occurrence Limit: $10,000 Property Damage Extension Each Occurrence Limit: $5,000 Property Damage Extension Aggregate Limit: $25,000 A. The following is added to SECTION II - WHO IS AN INSURED: 1. Any owner, lessee, or contractor for whom you are performing operations is an additional insured if you have agreed in a written contract or written agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage", or "personal and advertising injury" caused, in whole or in part, by your acts or omissions, or the acts or omissions of those acting on your behalf in the performance of your ongoing operations performed for that person or organization. However, the insurance afforded to such additional insured only applies to the extent permitted by law and will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. A person or organization is not an additional insured with respect to "bodily injury', "property damage", or "personal and advertising injury" arising out of the acts, omissions, or negligence of that person or organization. 2. With respect to the insurance afforded to these additional insureds, this insurance does not apply to "bodily injury", "property damage", or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: a. The preparing, approving, or failing to prepare or approve maps, shop drawing, opinions, reports, surveys, field orders, change orders, or drawings and specifications; or b. Supervisory, inspection, architectural, or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training, or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or „property damage"„ or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render„ any professional architectural, engineering, or surveying services. B. SECTION IV- COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: 1. The following is added to Paragraph 4. Other Insurance and supersedes any provision to the contrary: Primary and Noncontributory The insurance under this endorsement is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: a. The additional insured is a Named Insured under such other insurance; b. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured; and EPA-1920 (01/2019) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 3 c. The "bodily injury" or "property damage" is The limits shown in the Declarations for Each caused by your sole negligence, or the Occurrence, Damage To Premises Rented To "personal and advertising injury" is caused by You and Medical Expense continue to apply. an offense committed solely by you. However, instead of being subject to the General 2. The following is added to Paragraph 8. Transfer Aggregate Limit shown in the Declarations, such of Rights of Recovery Against Other to Us: We limits will be subject to the applicable waive any right of recovery we may have against Construction Project General Aggregate Limit an additional insured because of payments we and the Maximum Policy General Aggregate make for injury or damage arising out of your Limit, shown in the Schedule above. ongoing operations or "your work" done under a d. The Maximum Policy General Aggregate contract with an additional insured and included Limit shown in the Schedule is the most we in the "products -completed operations hazard" will pay for the sum of all Construction Project This waiver applies only when the "bodily injury" Aggregate Limits. or "property damage" is caused by your sole 2. For all sums which the insured becomes legally negligence, or the "personal and advertising obligated to pay as damages caused by injury" is caused by an offense committed solely "occurrences" under SECTION I — COVERAGE by you. A, and for all medical expenses caused by accidents under SECTION I — COVERAGE C, which cannot be attributed only to ongoing C. The following is added to SECTION III — LIMITS OF operations at a single designated construction INSURANCE: project: Construction Project Aggregate Limit a. Any payments made under Coverage A for 1. For all sums which the insured becomes legally damages or under Coverage C for medical obligated to pay as damages caused by expenses shall reduce the amount available "occurrences" under SECTION I — COVERAGE under the General Aggregate Limit shown in A, and for all medical expenses caused by the Declarations or the Products -Completed accidents under SECTION I — COVERAGE C, Operations Aggregate Limit, whichever is which can be attributed only to ongoing applicable; and operations at a single designated construction b. Such payments shall not reduce any project: Construction Project General Aggregate a. A separate Construction Project General Limit. Aggregate Limit applies to each construction 3. When coverage for liability arising out of the project, and that limit is equal to the amount "products -completed operations hazard" is of the General Aggregate Limit shown in the provided, any payments for damages because of Declarations. "bodily injury" or "property damage" included in b. The Construction Project General Aggregate the products -completed operations hazard" will Limit is the most we will pay for the sum of all reduce the Products -Completed Operations damages under Coverage A, except Aggregate Limit shown in the Declarations, and damages because of "bodily injury" or not reduce the General Aggregate Limit shown in "property damage" included in the "products- the Declarations nor the Construction Project completed operations hazard", and for General Aggregate Limit. medical expenses under Coverage C 4. If the applicable designated construction project regardless of the number of: has been abandoned, delayed, or abandoned (1) Insureds; and then restarted, or if the authorized (2) Claims made or "suits" brought; or contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project (3) Persons or organizations making claims will still be deemed to be the same construction or bringing "suits". project. c. Any payments made under Coverage A for 5. The provisions of SECTION III — LIMITS OF damages or under Coverage C for medical INSURANCE not otherwise modified by this expenses shall reduce the Construction endorsement shall continue to apply as Project General Aggregate Limit for that stipulated. construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Construction Project General Aggregate Limit for any other construction project. EPA-1920 (01/2019) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 3 2. Property Damage Extension D. The following provisions are added to Subparagraph J. Damage to Property of Paragraph 2. Exclusions, of SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY: 1. Lost Key Coverage However, if you or your "employees", agents, or any other person acting on your behalf lose keys that have been given to them to access the premises at which you are performing work, we will pay to replace the keys and adjust locks to accept new keys, or, if required, we will pay for new locks of like kind and quality, including the cost of their installation. This coverage does not apply to "property damage' caused by misappropriation, secretion, conversion, infidelity, or dishonest acts by you or your "employees", agents, or any other person acting on your behalf. The most we will pay for damages under this coverage because of "property damage' arising out of any one "occurrence' is the Lost Key Coverage Each Occurrence Limit shown in the Schedule above. This limit is part of, not in addition to, the Each Occurrence and General Aggregate Limits described in SECTION III - LIMITS OF INSURANCE. Subparagraphs (4) and (5) do not apply to "property damage" arising out of operations performed at premises under your care, custody or control. The most we will pay for all damages under this extension because of "property damage' is the Property Damage Extension Aggregate shown in the Schedule above. Subject to the Property Damage Extension Aggregate, the most we will pay for all damages under this extension because of "property damage' arising out of any one "occurrence' is the Property Damage Extension Each Occurrence Limit shown in the Schedule above. These limits are part of, not in addition to, the Each Occurrence and General Aggregate Limits described in SECTION III - LIMITS OF INSURANCE. EPA-1920 (01/2019) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 3