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PROOF OF INSURANCE (2019) CLOSED MORNPRO-01 A,:P,ATEL CERTIFICATE OF LIABILITY INSURANCE DATE/18/20Y8 _. ............_ ........................._..................................... 0411812018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPONTHECERTIFICATE 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(les)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 ...PRODUCERlrtconfer rights s to the certificate holder m lieu of sucmor s. Lcense#OG19762JNataldeReyes........................... .............................................. �_� Momentous Insurance Brokerage Inc PlIONE FAX 5990 Sepulveda Blvd.,#550 (AIC„No,Exty:(818)933-2719 INC,Nol.'(818)933-2269 Van Nuys,CA 91411 pu ss.natalie.reyes@iniTnib'i.com INSURER(S).AFFORDING COVERAGE NAIC# INSURER A:American Insurance Company 21857 INSURED INSURER 8 American Automobile Insurance,Com'pa'ny 21849 Morningstar Productions,LLC Alan Morgenstern INSURER C. 41213 Sandalwood Circle INSURER D: Murrieta,CA 92562 INSURER E; INSURER F . COVERAGES LL S _. CERTIFICATE.A, ...N,U,►V)j 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 CONTRACTOR 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 TYPE OF INSURANCE ADDL il!R POLICY EFF POLICY EXP L7p„ ,,,,, IPS y,i.'I'1 POLICY NUMBER LMM� C?PY..Y4I_tI�I.{�Ik.. .Y .YI' LIMITS A X COMMERCIAL GENERAL LIABILITY 1,000,000 ------- EAOItI)ICI)R'I$k:Na&I: S - CLAIMS-MADE -X OCCUR X XPK80987051 04/10/2018 04/10/2019 �a' %s°RENTED. Ime) 100,000 -- ---- MED EXP(Awry we ptrrsonry S 5,000 PLIRSOMNI.,&ADV INJURY S 1,000,000 _GEN'L AGGREGATE LIMIT�pI�� APPLIES PER: P E'NEI'M.AGG E,GATE $ 2,000,000 -X POLICY Lrl�'A�Ss7 ----� LOC PRODUCTS-COMP/OP AGO S 2,0005000 OTHLR A AUTOMOBILE LIABILITY .......,.m........................................... COMBINED SNL........._.•......._. 1,000,000 SINGLE LIMLfl IdCa OrInderili S ANY AUTO X XPK80987051 04/10/2018 04/10/2019 BODILY INJURY(Per'Per'suny S OWNED X SCHEDULED AUTOS ONLY AUTOS �y Hop II,,Y INJURY(Per�acacienl) S X A�,#T S ONLY X AiLOTO R�'MLY" yh.,4t,,4a a dent�)AlvaAC+I�°. S UMBRELLA LIAR OCCUR FACH OdCCUIR'RENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION$ B WORKERS COMPENSATIONPER OTH- AND EMPLOYERS'LIABILITY X STATIJTF ER ANY PROPRIETORIPARTNERIEXECUTIVE YIN X "^I''�""I`p 1';'1$1039654 04/10/2018 04/10/2019 1,000,000 FC�I4ER.PMK'MBEREXCLUDED? Y NIA E L �EACI-U ACCIDENT S 4 andmtsary In NH) EL DISEASE-EA EMPLOYEE $ 1,000,000 It yes,describe und.®_.. .....ONS..... lo ................................. ........:., ,•„a�I;,RL�,�;'e'.POLI(',Y lJM'IT S 1,000,000 DESCRIPTION OFarPOPERATIONS A Hired Auto PD IMSF07205286 04/10/2018 04/10/2019 D .....below FL ed:$2,500 250,000 TIONS I LOCATIONS I VEHICLE'S (ACORD 101,Additional Remarks Schodule,may be attached if more ace•i The certificate holders included as LossThe certificate holder is included as an dPa lee aslrespectsred but to rented vehicles to claims arising out o then e DESCRIPTION OF OPERATIONS y r quimedl '• y p g f negligence of the Named Insureds operations. Y CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of EI Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. EISegundo,CA 92545 .......................wr.... .............................. �........._�.�. AUTHORIZED REPRESENTATIVE .. •.•.•_........•.•...............................•.•.•.... ...• ................................................................. X ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights g s reserved. The ACORD name and logo are registered marks of ACORD Additional Insured - Designated Person or Organization - CG 20 26 04 13 Policy Amendment(s) Commercial General Liability Insured: MORNINGSTAR PRODUCTIONS LLC Policy Number:XPK80987051 Producer: MOMENTOUS INS BROKERAGE, INC Effective Date: 04-10-18 ................................. This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part Schedule Name Of Additional Insured Person(s) Or Organization(s): The City of EI Segundo 350 Main St. EI Segundo, CA 90245 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to insurance afforded to such additional insured include as an additional insured the person(s) or will not be broader than that which you are organization(s) shown in the Schedule, but only required by the contract or agreement to with respect to liability for bodily injury, property provide for such additional insured. damage or personal and advertising injury caused, in whole or in part, by your acts or omissions or B. With respect to the insurance afforded to these the acts or omissions of those acting on your additional insureds, the following is added to behalf: Section III - Limits Of Insurance: 1. In the performance of your ongoing If coverage provided to the additional insured is operations; or required by a contract or agreement, the most we will pay on behalf of the additional insured is the 2. In connection with your premises owned by amount of insurance: or rented to you. 1. Required by the contract or agreement; or However: 2. Available under the applicable Limits of 1. The insurance afforded to such additional Insurance shown in the Declarations; insured only applies to the extent permitted by law; and whichever is less. 2. If coverage provided to the additional insured This endorsement shall not increase the applicable is required by a contract or agreement, the Limits of Insurance shown in the Declarations. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy FL— Secretary President CG2026 4-13 0 Insurance ServicesOffice, Inc., 2012 Workers' Compensation and Employers' Liability Insurance Policy Waiver of Our Right to Recover From Others Endorsement WC 00 03 13 If the following information is not complete, refer to the appropriate Schedule attached to the policy. Insured MORNINGSTAR PRODUCTIONS,LLC Policy Number XWC81039645 Producer MOMENTOUS INSURANCE BROKERAGE,INC, Effective Date 04-10-18 .............................................................. Schedule THE CITY OF EL SEGUNDO 350 MAIN STREET MURRIETA,CA 92562 We have the right to recover our payments from any- contract that requires you to obtain this agreement one liable for an injury covered by this policy. We will from us.) not enforce our right against the person or organization named in the Schedule. (This agreement applies only This agreement shall not operate directly or indirectly to the extent that you perform work under a written to benefit anyone not named in the Schedule. This Form must be attached to Change Endorsement when issued after the policy is written, One of the Fireman's Fund Insurance Companies as named in the policy Secretary N'sotic�bd W0000313 4-84 Copyright 1983 National Council on Compensation Insurance