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PROOF OF INSURANCE (2020) CLOSED
C 0 88/23/23/22019019 CERTIFICATE OF LIABILITY INSURANCE I DAT) 11i 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 V this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Dana D Dattola Weaver & Associates, Inc. d ...... (6261 446-6161 ..... C.NaY.,I PHO�FXIt. ..... _.. _... PO Box 1508 5-3527 E-MAIL �?ataawa�wreaverinsurance.tom................__ 6Z6.TD044 Arcadia CA 91077 I RERS AFFORDINGCOWERAGE � ",",N,AIC# INSURER hmar"k Insurance Comte .. ........................... ar¢'yp141394 INS.......... .............. ......... ................_...... I'NSURER A : BenC ... II ..... . nc V 10200 Choura Events _..._....6RC:5ilsec�x.........., ante C'o ;fin .........-. ,... _ V -_- [INSURED 1'NSU,R.. Insurance .'""'�.'.L....................................—..................... 540 Hawaii Ave INSURER D: Torrance CA 90503 I�USURERE' INSURER F: COVERAGES CERTIFICATE NUMBER: cert ID 5422 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 DOLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, Y R".. .......................... TYPE OFIN...... ......... "ADD2 bu - .................. POLY ..,..........._............................ LIMITSLTR ... ....................... COMMERCIAL GENERALINSURANCE �... POLICY NUMBER ....._.- OeYYYY�m_,_ Y EF POLUCY EXP S I'MM'ID Y IMMIDDJYYYY') B X�I LIABILITY EACH OCCURRENCE $ - 000,000 �v �E'I"�YPENIEU 000,000 A ry J CLAIMS -MADE lI...X....I OCCUR Y Y US UEN 2731012.19 05/06/2019 OS/06/2D20' pl Ep�V ', „ Vic, rrea9ft),,,$,,,,,,,,,,,,,,,,,_�,,,,,,,-_,",,,,-4_ ...........!.......—._.......................... ........._„ ...M"E.D. EXP (Any one pen�r.r �...........$...—......_ :.ro.>.OTT _ ........�1 ._...—, ._..........................PERSONALBADV INJURY ........�,..$ 1100,0..+00.0m_ GEN1 AGGREGATE LIMIT APPLIES PER:...... GENE,R'A'LAGGREGATE is 2,000,000 _. LOC �r �n -COMP/OP A POLICY 0 GG $. ,_............... 0m".0 _�....._ OTHER J�C �NED SWGLE IMIT 11000,000 LIABILITY ) 05/06/20 B X ANY AUTO Y Y IIS UAE 2731050.19 '19 05/06/2020 BODILY (Per so $ OWNED SCHEDULED BODILY IN person) Y INJURY Per _ AUTOS ONLY_,...J AUTOS CJAMAG HIRED I NON -OWNED R�ER7Y E $ AUTOS ONLY �_... AUTOS ONLY f P'edaGwadorrl'Y .. ......................... .....__ ._.... B X UMBRELLA LIAB X I US UEN 2731012.19 05/06/2019 05/06/2020 EACHOCCURRENRE.$ 5000,,000."OCCUR ,... ..,,,, EXCESS LIAB CLAIMS"AAGGREGATE...._........ 5,000,000 .... 1- oETrNYICN$ II 11TH, A WORKERS COMPENSATION Y CSTS015990 05/06/2019 05/06/2020 X AND EMPLOYERS'LIABILITY YIN L, EACH ACCIDENT �$ 1, /aNYIPtriOPRgE7R7'pJf'hRT'NF.R4L.%ECU7IVE NIA L, DISEASE ... .. 0,000 OFFICEPAMEMSERE'XCLUDED? ..E.. 11000,000 ..".., IMandat" in Ni If yes, describe udder E.L. OISEAS�E • POUC.. 1.,..0.0.0..,........00 _ DESCRUPT'IONOFOPERA711ONSbelrw YYIMIl $ 000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The following policy endorsement forms apply on a blanket basis per terms listed on each individual form in favor of the certificate holder AS required by written contract: Additional Insured & Waiver of Subrogation with respects to general liability and auto liability; Waiver of Subrogation °with respects to workers' compensation. x Full certificate holder: The City of E1 Segundo, its officials, employees, agents, commissions, and volunteers 11 CERTIFICATE HOLDER C'AN'CELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of E1 Segundo AttL Jackie Day 401 Sheldon Street AUTHORIZED REPRESENTATIVE El Segundo CA 90245 ,p I ©1`988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1 DATE (MMIDDIY E E � w THIS CERTIFICATE ISISSUED ASA CERTIFICATE MA ONOOFLYAINDBCONFERSNONSURANCECE x/17/2 RIGHTS UPON T 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 poiicy(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 CONTACT Stacy Marshall NAME: Alandale InsuranceA enc PHONE IC (562) 493-3521 FAX (562) 430-5300 9 Y Palm Exta: .., (A�: 11022 Winners Circle, Ste. 100 ADDRESS: stacy@alandale.com INSURER(S) AFFORDING COVERAGE Los Alamitos CA 90720 INSURERA: West American Ins Co INSURED INSURER B, American Fire & Casualty Choura Venue Services INSURER C: Berkshire Hathaway Homestate Ins Co 4101 East Willow St INSURER D : INSURER E: Long Beach CA 90815 1INSURER F: COVERAGES CERTIFICATE NUMBER: Master 19'-20 REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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 MAYBE 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' AQUI. Sta'UII POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMlDOIYYYY) (MM/DDlYYYY) X COMMERCIAL GENERAL LIABILITY $ 1,000,000 CLAIMS -MADE FX OCCUR $ 500,000 $ 5,000 A i Y $ 1,000,000 GENTAGGREOATE LIMITAPPLIES PER: $ 2,000,000 X� POLICYLJ JECOT. F7LOC $ 2,000,000 ( OTHER 3 AUTOMOBILE LIABILITY X ANYAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X UMBRELLALIAB HOCCUR I B EXCESS LIAR CLAIMS -MADE �Y DED f XLMETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE C OFFICER/MEMBER EXCLUDED? Y NIA (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NAIC ak 44393 24066 CDhIBIr+IEDsINGI.ELIMIT BKW58947865 BAA58947865 ESA58947895 CHWC926350 EACH OCCURRENCE OAMAut I O ktlW I tU PREMISES (Ea occurrence) MED EXP (Any one person) 06(3012019 06/30/2020 I PERSONAL&ADV INJURY GENERAL PRODUCTS-COMPIOP AGG 06/30/2019 0613012020 06130/2019 06/30/2020 06/30/2019 06/30/2020 $ 1,000,000 Ea eccddorltY BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (P«;r accidenQ . Business Auto endt pp s EACH OCCURRENCE II $ 2'000'000 AGGREGATE � $ 2,000,000 IIS XI STATUTE I I WITH E L EACH ACCIDENT I $ 1,000,000 IEL DISEASE - EA EMPLOYEE � $ 1,000,000 Liquor Liability A BKW58947865 06/3012019 06/30/2020 LIMIT DESCRIPTION OF OPERATIONS /LOCATIONS !VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of EI Segundo, its officials, and employees are anmed as additional insured with primary and non contributory I E L, DISEASE -POLICY LIMIT I $ 1 ,000,000 $1,000,000 1A___ coverage as their interest may appear when required by contract. '30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium HOLDER City of EI Segundo City Clerk 350 Main Street, Room 5 El Segundo N ACORD 25 (2016/03) CERTIFICATE CANCELlrt1T80N SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CA 90245 © 1988-2015 ACORD CORPORATION. All rights reserv ed. The ACORD name and logo are registered marks of ACORD Hiscox Insurance Company Inc. Am HISCOX Additional Insured - Person or 0manization - Special Requirements In consideration of the premium charged and on the understanding that all other terms, conditions and exclusions remain unchanged, it is agreed that this endorsement modifies only the terms and conditions of the Coverage Part(s) listed below: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name of Person or Organization (Additional Insured) City of El Segundo - City Clerk 350 Main Street Room 5 El Segundo, CA 90245 It is agreed that WHO IS COVERED is amended to include the person or organization stated in the Schedule above as an additional insured, but only to the extent of such additional insured's liability for bodily injury, property damage or personal and advertising injury caused by your acts or omissions or the acts or omissions of those acting on your behalf: A. in the performance of your on-going operations; or B. in connection with your premises owned by or rented to you. However, 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 or that which you would have been entitled to under this Coverage Part, whichever is less. This insurance does not apply to bodily injury, property damage or personal and advertising injury arising out of the sole negligence of the additional insured. For the purposes of coverage provided by this endorsement only, HOW MUCH WE WILL PAY is amended to include the following: 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: A. required by the contract or agreement; or B. available under the applicable Limits of Insurance stated in the Declarations; whichever is less. Any payments we make under this endorsement will be a part of and not in addition to the applicable Limits of Insurance stated in the Declarations. The title of the endorsement is solely for ease of reference and forms no part of the terms and conditions of coverage. Includes copyrighted material of Insurance Services Office, Inc., with its permission. EGL E4317 CW (03/15) Page 1 of 2 Hiscox Insurance Company Inc. Special Wording Requirement of Designated Person or Organization: 449 HISCOX III. For the purposes of coverage provided by this endorsement only, SPECIAL CONDITIONS is amended as follows: A. The Other Insurance provision is amended to include the following: Where you are legally required by contract, this insurance will be primary and non-contributory with respect to any other valid and collectible insurance available to the additional insured in the Schedule above for a claim or suit that is covered by this insurance. Includes copyrighted material of Insurance Services Office, Inc., with its permission. EGL E4317 CW (03115) Page 2 of 2 Hiscox Insurance Company Inc. HISCOX Blanket Additional Insured Endorsement In consideration of the premium charged and on the understanding that all other terms, conditions and exclusions remain unchanged, it is agreed that this endorsement modifies only the terms and conditions of the Coverage Part(s) listed below: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name of Person or Organization (Additional insured) Persons or Organizations as Described Below It is agreed that WHO IS COVERED is amended to include the following: A. Any person or organization from whom you lease a premises, and with whom you have agreed through a written or oral contract to provide insurance as afforded by this Coverage Part, are added as additional insureds. However: 1. this insurance applies to such additional insured only to the extent of liability arising out of the ownership, maintenance or use of that particular part of such premises leased to you in your on-going operations; and 2. if coverage provided to the additional insured is required by 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 or that which you would have been entitled to coverage under this Coverage Part, whichever is less. This insurance does not apply to: 1. any occurrence that takes place after you cease to be a tenant in the premises or the end of the policy period, whichever comes first; 2. structural alterations, new construction or demolition operations performed by or on behalf of the additional insured; or 3. bodily injury, property damage or personal and advertising injury arising out of the sole negligence of the additional insured. B. Any person or organization from whom you lease equipment or props, sets and wardrobe, and with whom you have agreed through a written or oral contract to provide insurance as afforded by this Coverage Part, are added as an additional insured. However: 1. this insurance applies to such additional insured only to the extent of their liability arising out of the maintenance, operation or use by you or anyone on your behalf of the equipment or props, sets and wardrobe in the performance of your on-going operations; and 2. if coverage provided to the additional insured is required by 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 or that which you would have been entitled to coverage under this Coverage Part, whichever is less. This insurance does not apply to: 1. any occurrence that takes place after the equipment or props, sets and wardrobe rental agreement/lease expires or the end of the policy period, whichever comes first; or 2. bodily injury, property damage or personal and advertising injury arising out of the sole negligence of the additional insured. C. Any: 1. financial institution or any entity that has a fiduciary interest in your business; Includes copyrighted material or Insurance services Office, Inc , with its permission EGL E4310 CW (03115) Page 1 of 2 Hiscox Insurance Company Inc. HISCOX 2. State, Municipality or other Political Subdivision; 3. payroll service; 4, advertising agency and/or advertiser; or 5. distributor for whom you are contractually obligated to provide insurance as afforded by this Coverage Part, are added as insureds. However: 1, if coverage provided to the additional insured is required by 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 or that which you would have been entitled to coverage under this Coverage Part, whichever is less. 2. this insurance does not apply to bodily injury, property damage or personal and advertising injury arising out of the sole negligence of the additional insured. In the case of oral agreements, the agreement must also be evidenced by a certificate of insurance issued foryou by us or on our behalf. For the purposes of coverage provided by this endorsement only, HOW MUCH WE WILL PAY is amended to include the following: 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: A. required by the contract or agreement; or B. available under the applicable Limits of Insurance stated in the Declarations; whichever is less. Any payments we make under this endorsement will be a part of and not in addition to the applicable Limits of Insurance stated in the Declarations. The title of the endorsement is solely for ease of reference and forms no part of the terms and conditions of coverage. Includes copyrighted material of Insurance Services Office, Inc , with its permission. EGL E4310 CW (03/15) Page 2 of 2 Hiscox Insurance Company Inc. H I SCOX :r • r, ff 11 <. . In consideration of the premium charged and on the understanding that all other terms, conditions and exclusions remain unchanged, it is agreed that this endorsement modifies only the terms and conditions of the Coverage Part(s) listed below: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization (Additional Insured) 1. All of your clients when required by written contract. 2. All owners, operators and managers of premises where you conduct your operations, when required by written contract or per Certificates on file. I. It is agreed that WHO IS COVERED is amended to include the person or organization stated in the Schedule above as an additional insured, but only to the extent of such additional insured's liability for bodily injury, property damage or personal and advertising injury caused by or arising from your acts or omissions or the acts or omissions of those acting on your behalf: A. in the performance of your on-going operations; or B. in connection with your premises owned by or rented to you. However, 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 or that which you would have been entitled to under this Coverage Part, whichever is less. IL. For the purposes of coverage provided by this endorsement only, HOW MUCH WE WILL PAY is amended to include the following: 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: A. required by the contract or agreement; or B. available under the applicable Limits of Insurance stated in the Declarations; whichever is less. Any payments we make under this endorsement will be a part of and not in addition to the applicable Limits of Insurance stated in the Declarations. The title of the endorsement is solely for ease of reference and forms no part of the terms and conditions of coverage, Includes copyrighted material of Insurance Services Office, Inc, with its permission EGL E4316 CW (03/15) Page 1 of 1 POLICY NUMBER: US UAE 2731080.19 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below Named Insured:'Choura Events Endorsement Effective Date. '05/06/2019 SCHEDULE Name(s) Of Person(s) Or Organization(s): Person or ora anization As Rfmquir ed by Written Contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations_ The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organizations) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13O Insurance Services Office, Inc., 2011 Page 1 of 1 Hiscox Insurance Company Inc.' e HIscox Blanket Additional Insured Endorsement In consideration of the premium charged and on the understanding that all other terms, conditions and exclusions remain unchanged, it is agreed that this endorsement modifies only the terms and conditions of the Business Auto Coverage Form. As Required by Written Contract Section II — Covered Autos Liability — Coverage - Who is an Insured, is amended to add the following: d. Any person or organization, leasing "autos" to an "insured"; and e. Any of the following persons or entity types: (1) Financial guarantor and fiduciary; (2) State, Municipality or other Political Subdivisions; (3) Payroll services; (4) Advertising agencies and/or advertiser; (5) Distributor; (6). Record label; or (7) Personal service or loan out corporation while acting within the scope of their duties for you, with whom you are contractually obligated to provide insurance as is afforded by this Policy. However, this insurance applies to such an "insured" only to the extent that: (1) the liability arises out of your business operations; and (2) the Policy would cover you for the same "accident' or "suit'. The title of the endorsement is solely for ease of reference and forms no part of the terms and conditions of coverage, Includes copyrighted material of Insurance Services Office, Inc , with its permission CAI ICAA— / %Al /n=il A% 13— 1 nF n C�fll? H I SCOX Entertainment policy jacket Policy wording 24. No benefit to carrier or No person or organization having custody of insured property will benefit from this insurance other bailee than the insured. 25. Non -Renewal If we decide not to renew this Policy, we will mail or deliver to the first named insured stated in the Declarations written notice of the nonrenewal not less than 60 days before the expiration date. If notice of nonrenewal is mailed, proof of mailing will be sufficient proof of notice. 26. Other insurance If, at the time of the loss, there is other insurance available which would apply in the absence of this Policy, the insurance provided by this Policy will apply as excess insurance over the other insurance whether or not the insured can collect on such other insurance. 27_ Premium audit If this Policy is issued on an auditable basis, the estimated premium is based on the exposures that you told us you would have when this Policy began. We will compute the final premium due when we determine your actual exposures. The estimated total premium will be credited against the final premium due and you will be billed for the balance if any. If the estimated total premium exceeds the final premium due, a refund will be issued to the first named insured stated in the Declarations. The first named insured stated in the Declarations is responsible for any additional premium due as a result of an audit. You must keep records of the information we need for premium computation and send us copies at such times as we may request. 28. Recovered property If, after a loss payment by us, any lost or damaged property is recovered by the insured or by us, the party making the recovery must give the other party prompt notice. If any recovered property has a salvage value, we will control the disposition of such salvage. When property is recovered, the insured may either keep the recovered property and return the applicable payment to us or keep the payment and we will keep the recovered property. If any recovered property the insured chooses to keep is in need of repair at the time of recovery, we will pay for the repairs subject to the applicable Limit of Insurance stated in the Declarations and any Basis of Settlement provisions. If any recovered property has salvage value, all amounts recovered by us shall first be applied to the amount that we have paid to the insured with respect to the claim, next to our costs of recovery, including our attorney's fees, and then to reimburse the insured for the insured's deductible amount and any uninsured amounts the insured may have incurred. We will determine the amount of loss or damage on the basis on which it would have been settled had the amount of recovery been known at the time the loss was originally determined. 29. Representations By acceptance of this Policy, you agree that any application form, and any representations and statements made to us by you or by anyone on your behalf are true, accurate and complete, and that we have relied upon such information in issuing this Policy. The application form will be deemed part of the Policy. If we determine that such information or any materials submitted in support thereof were untrue, inaccurate, or misleading in any material respect, then we are entitled to rescind any relevant Coverage Part. 30. Subrogation Upon payment for any loss under this Policy, the insured's rights to recover for the loss from any person or entity shall be transferred to us to the extent of our payment, regardless of whether the insured has fully recovered or been made whole for the loss. The insured must do nothing after loss to impair such rights. At our request, the insured will bring suit against the persons or entities responsible for the loss or we may bring suit in the insured's name or as the insured's assignee. All amounts recovered by us or by the insured from any such person or entity shall first be applied to reimburse us for the amount that we have paid to the insured with respect to the claim, next to our cost of recovery, including our attorney fees, and only then to the insured for the insured's deductible amount and any uninsured amounts the insured may have incurred or any portion of the loss for which the insured has not been made whole. We will waive the right of recovery we would otherwise have had against another individual or entity only if the insured has waived the insured's right of recovery against such individual or entity in a written contract or agreement that is fully executed before the loss. ENT P4000 CW (3115) — Entertainment Policy Jacket Page 6 of 8 r, 1iw1, re uo11!fli, H I SCOX Entertainment property floater coverage part Policy wording VII. Special Conditions Coinsurance Coinsurance applies to miscellaneous equipment only when a coinsurance percentage under Miscellaneous Equipment is stated in the Declarations. However, coinsurance does not apply to miscellaneous equipment of others for which you are legally liable. If the Declarations shows a coinsurance percentage for the miscellaneous equipment, you are required to carry a Limit of Insurance no less than that percentage (coinsurance percentage stated in the Declarations) of 100% of the replacement value of the covered miscellaneous equipment. FOR EXAMPLE: Determine the Value of covered Miscellaneous Equipment at fime of loss $100,000 Coinsurance Percentage (80%) X .8D Required Limit of Insurance (No Less Than) $80,000 If the Limit of Insurance you cant' is less than the required Limits of Insurance, we will not pay the full amount of any loss. We will determine what we will pay and what your share of the loss will be using the following formula: A. determine the value of the covered miscellaneous equipment at the time of loss or damage in accordance with the applicable Loss Payment Basis condition; then B. multiply the value determined in step A by the applicable coinsurance percentage stated in the Declarations; then C. divide the applicable Limit of Insurance for Miscellaneous Equipment stated in the Declarations by the amount determined in step B; then D. multiply the total amount of the covered loss or damage, before the application of any deductible, by the amount determined in step C; and then E. subtract the applicable deductible from the amount determined in step D. The amount determined in step E is the most we will pay for loss or damage, not to exceed the applicable Limit of Insurance for Miscellaneous Equipment stated in the Declarations. Coverage territory Coverage applies anywhere in the world, except where we are legally prohibited from providing insurance. Deductible We will not pay for loss or damage arising out of any one occurrence until the amount of loss or damage exceeds the deductible stated in the Declarations. We will then pay the amount of loss or damage in excess of the deductible, up to the applicable Limit of Insurance. If more than one deductible is applicable to the same loss under this Coverage Part, we will only apply the highest deductible that is applicable. If this Policy is excess because more specific other insurance applies, we will still apply all applicable deductible amounts under this Coverage Part regardless of whether you can collect on the other insurance. Excess coverages under this Coverage Part may not be used to satisfy the deductible requirements of the more specific other insurance. Blanket loss payee For covered property in which both you and a loss payee have an insurable interest as evidenced in a written document created prior to the occurrence, we will.- A. ill:A. adjust losses with you; and B. pay any claim for loss or damage jointly to you and the loss payee, as your respective interests may appear. Loss payment provision The Loss Payment provision in the GENERAL TERMS of the Entertainment Policy Jacket is ECF P4204 CW (03/15) Page 6 of 9 40 HISCOX Policy Number: Named Insured: Endorsement Number: Endorsement Effective: US UEN 2731012.19 Choura Events 11 09/13/2019 Hiscox Insurance Company Inc. Policy Change Endorsement In consideration of the endorsement premium charged or returned as stated above and on the understanding that all other terms, conditions and exclusions remain unchanged, it is agreed that this endorsement modifies only the terms and conditions of the Coverage Section(s) listed below: COVERAGE PARTS AFFECTED Commercial General Liability Coverage Part CHANGES The Policy Declaration is amended as follows. The following line of business has been amended: Line of Business: General Liability The following coverages are added: Person or Organization - Special Requirement Premium: $0 The following forms are added: EGL E4317 (03-15) Additional Insured - Person or Organization - Special Requirements All other terms and conditions remain unchanged. b" Authorised Representative The title of the endorsement is solely for ease of reference and forms no part of the terms and conditions of coverage. Includes copyrighted material of Insurance Services Office, Inc., with its permission. ENT E4022 CW (06/14) Page 1 of 1 Hiscox Insurance Company Inc. 4et H I SCO. In consideration of the premium charged and on the understanding that all other terms, conditions and exclusions remain unchanged, it is agreed that this endorsement modifies only the terms and conditions of the Coverage Part(s) listed below: COMMERCIAL GENERAL LIABILITY COVERAGE PART fN mmme of Perwa0 �aii° i t �,�Illw,ii'gYMI,;;ii',;�vvll'��VIIIIII (A(� aVV',II;�PhY iM IIIA''"vr"e'Gi) Blanket Plaza Bank, its Successors and Assigns PO Box 4260 Napa, CA 94SS8 Loan No. 700103700-3 It is agreed that WHO IS COVERED is amended to include the person or organization stated in the Schedule above as an additional insured, but only to the extent of such additional insured's liability arising out of the maintenance, operation or use by you or anyone on your behalf of equipment or props, sets and wardrobe in the performance of your on-going operations. However, 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 or that which you would have been entitled to under this Coverage Part, whichever is less. This insurance does not apply to: A. any occurrence that takes place afterthe equipment or props, sets and wardrobe rental agreement/lease expires or the end of the policy period, whichever comes first; B. bodily injury, property damage or personal and advertising injury arising out of the sole negligence of the additional insured. II. For the purposes of coverage provided by this endorsement only, HOW MUCH WE WILL PAY is amended to include the following: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of such additional insured is the amount of insurance: A. required by the contract or agreement; or B. available under the applicable Limits of Insurance stated in the Declarations; whichever is less. Any payments we make under this endorsement will be a part of and not in addition to the applicable Limits of Insurance stated in the Declarations. The title of the endorsement is solely for ease of reference and forms no part of the terms and conditions of coverage Includes copyrighted material of Insurance Services Office, Inc„ with its permission. EGL E4314 CW (03/15) Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA 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. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be _2.0 % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Any person or organization as required by written contract 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 Date: 5/6/2019 Policy No. Policy Effective Dates: 05/06/2019 - 05/06/2020 Insured: Choura Events Inc Carrier Name/ Code: Benchmark Insurance Company A WC 04 03 06 (Ed. 4-84) CST5015990 Countersigned by Endorsement No. Premium $ Page 1 of 1