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PROOF OF INSURANCE (2020) CLOSED
MORNPRO-01 CENGSTROM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY)6/14/2019 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 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). PRODUCER License # 01319762 PONTI4Reyes .. tA4W41 CT Natalie . .... ......... e........................................,.,.,__.....,.,.,.,.,____.....,.,., PHONE FAX, Momentous Insurance Brokerage Inc (A'°'1�d °' '� : a-8)1933-2 (AJ ..N.o.'...(... 33-2286 5990 Sepulveda Blvd., #550 Van Nuys, CA 91491 9 a i.com p 19 8 8) INSURE, R S AFFORDING COVERAGE ... .......................................... ............ .NA,IR..#-....._.... INSURER A: American Insurance Comparly..........................................................q INSURED INSURER B: IIII............................................................_.....,................._...._..., Morningstar Productions, LLC INSURER C: Alan Morgenstern 41213 Sandalwood Circle NSURrR,D: Murrieta, CA 92562 (ra uRER_E : _................. .......................... INSURER F : ......... COVERAGES CERTIFICATE NUMBER; REVISION I 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH DOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY SAID CLAIMS, ILTTRR TYPE OF INSURANCE IANDSD_p SWBD POLICY NUMBER POLICY EFF 060660 , LIMITS _.,.........111thf/1��1�.1!ltA1d� 000 A X ...............000 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2'' —.. CLAIMS -MADE OCCUR X XPK80996260 4/10/2019 4/10/2020 RENTED 300000 rFeaoecucurrencec $ MED EXP (Anp one person) $ 5'000 DESCRIP'T= OF OPERATIONS / LOCATIONS / VEH6CLES (ACORD 101, Addiftnal Remarks Schediwla, may be attached ifmom aPace is requlmd) The certificate holder is included as an Additional Insured but only as respects to claims arising out al the negligence of the Named Insureds operations. The certificate holder is included as Loss Payee as respects to rented vehicles CERTIFICATE HOLDER CANCELLATION .. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Ci of EI Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City 9 ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street EI Segundo, CA 92545 AUTHORIZED REPRESENTATIVE .......................I ...... ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PERSONAL & ADV INJURY $ 2'000'000 N'L AGGREGATE', LIMIT APPLIES PER: GENERAL AGGREGATE 2'000,000 $.., X 'POLIC'Y I JET LOC PRODUCTS - COMP/OP AGG ...,.,.•............... $ 2' 000, 11 0 1. 00 OTHER'. $ A SINGLELIMI'T' 1,000,000 AU—OMOBILELIABILITYCOMBINED _.( 0denll ANY AUTO x XPK80996260 4/10/2019 4/10/2020 BODILY,INJURY„(Perpera„o,,,,n,)8... J ............. , OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident), OO X AUTOS ONLY X.... AT CYdpa?ITFAMh.GE 1. ....� ,..$,...... . UMBRELLA OCCUR OAB EACH OCCURRENCE w.___......... $EXCESS LIABCLAIMS-MADE RETENTION$ N�..�NC,E $. .. A WORKERS YMX SCW0088701901 M�d�OMBERIEXCTU ED7ECUTIVE 4/10/2019 4/10/2020 1,000,000 ANY I NIA ,�XLESH$ 1,000,000 Janda. nNH) � E S DISEASE -EA $ ............ . If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E L.. DISEASE - POLICY LIMIT $ , 17 Auto Physical Damage MSF07205286 4/10/2019 4/10/2020 Ded: $2,500 250,000 DESCRIP'T= OF OPERATIONS / LOCATIONS / VEH6CLES (ACORD 101, Addiftnal Remarks Schediwla, may be attached ifmom aPace is requlmd) The certificate holder is included as an Additional Insured but only as respects to claims arising out al the negligence of the Named Insureds operations. The certificate holder is included as Loss Payee as respects to rented vehicles CERTIFICATE HOLDER CANCELLATION .. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Ci of EI Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City 9 ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street EI Segundo, CA 92545 AUTHORIZED REPRESENTATIVE .......................I ...... ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights 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: XPK80996260 Producer: MOMENTOUS INS BROKERAGE, INC Effective Date: 04-10-19 This endorsement modifies insurance providedunder 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but 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: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: l.. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable 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 a Secretary President CG2026 4-13 © Insurance Services Office, Inc., 2012 Primary and Noncontributory - Other Insurance Condition CG 20 01 04 13 Policy Amendment(s) Commercial General Liability This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part Products/Completed Operations Liability Coverage Part The following is added to the Other Insurance (1) The additional insured is a Named Insured under Condition and supersedes any provision to the such other insurance; and contrary: Primary And Noncontributory Insurance (2) You have agreed in writing in a contract or agreement that this insurance would be primary This insurance is primary to and will not seek and would not seek contribution from any other contribution from any other insurance available to an insurance available to the additional insured. additional insured under your policy provided that: 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 President CG2001 4-13 © Insurance Services Office, 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 Producer MOMENTOUS INSURANCE BROKERAGE, INC. Schedule THE CITY OF EL SEGUNDO 350 MAIN STREET MURRIETA, CA 92562 Policy Number SCW0088701901 Effective Date 04-10-19 We have the right to recover our payments from any- one liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly 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 �Psi dcnl WC000313 4-84 Copyright 1983 National Council on Compensation Insurance