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PROOF OF INSURANCE (2020) CLOSEDDATE I(M
0YY
Y)
AC��RCCERTIFICATE OF 09117/2019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERNORIGHTS
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).
CONTACT
Y
CT Stacy Marshall
PRODUCER
Alandale Insurance Agency PHONN .Ext) (562) 493-3521 I Arc Not. (562) 430-5300
11022 Winners Circle, Ste. 100 ADDRLEss, stacy@alandale.com
DDR
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of EI Segundo City Clerk ACCORDANCE WITH THE POLICY PROVISIONS.
350 Main Street, Room 5
AUTHORIZED REPRESENTATIVE
EI Segundo CA 90245
©1988-2015 ACORD CORPORATION. All rights reserved,
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
INSU'RER($)AFFORDING COVERAGE
NAIC •
Los Alamitos CA 90720
INSURER A: West American Ins Co
44393
INSURED '
INSURER B: American Fire & Casualty
24066
Choura Venue Services
INSURER C: Berkshire Hathaway Homestate Ins Cc
4101 East Willow St
INSURER D
INSURER E:
li
Long Beach CA 90815
INSURER F:
0
COVERAGES CERTIFICATE NUMBER: Master 19-20
REVISION NUMBER:
BELOW HAVE BEEN
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEDT
ISSUED O 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,
T9sR "hQULW B R
LTR TYPE OF INSURANCE 1NSD WVD POLICY NUMBER
POLICY L /F" POLICY EkP
dMWDD/yY'YY)-fMMIDDMYY) ... LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
S 1'000'000
� OCCUR
°°'U=Gh 10 R=N I to
I PREMISES (Ea occurrence)
S 500.000
CLAIMS -MADE
MED EXP (Anv one person)
S 5,000
A Y BKW58947865
06/30/2019 06/30/2020 PERSONAL & ADV INJURY
$ 1,000,000
IGENERAL AGGREGATE
S 2'000'000
GENLAGGRE'GA"rE
LIMIT APPLIES PER:
PRO-
POLICY JECT LOC
I PRODUCTS- COMPIOPAGG
I2,000,000
S
I
IS
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
f Ea aaWden0
S 1,000,000
X
ANYAUTO
( BODILY INJURY(Per person)
15
B
OWNED
SCHEDULED
BAA58947865
06/30/2019 06/30/2020 BOD ILYINJURY(Per accident)
I S
AUTOS ONLY
HIRED
AUTOS
NON -OWNED
PROPERTY DAMAGE
S
AUTOS ONLY
AUTOS ONLY
Wer acodeniI
Business Auto endt
S
UMBRELLA LIAB OCCUR
HCLAIMS-MADE
EACH OCCURRENCE
S 2,000,000
2,000"000
B EXCESS LIAB
ESA58947895
06/30/2019 06/30/2020 AGGREGATE
'S
DED ) X) RETENTNOrv' S
WORKERS COMPENSATION
PER p y OTH-
XI STATUTE Y I ER
AND EMPLOYERS' LIABILITY YIN
1,000,000
$
C ANY PROPRIETOR(PARTNER/EXECUTIVE NIA CHWC926350
06/30/2019 06/3012020 E L EACH ACCIDENT
OFFICER/MEMBER EXCLUDED?
1,000,000
(Mandatory In NH)
E L DISEASE - EA EMPLOYEE
S
If yes, describe under
E L DISEASE - POLICY LIMIT
1,000,000
$
DESCRIPTION OF OPERATIONS below
A-
Liquor Liability BKW58947865
06/30/2019 06/30/2020
LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS! LOCATIONS f 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 coverage as their interest may appear
when required by contract. `30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of EI Segundo City Clerk ACCORDANCE WITH THE POLICY PROVISIONS.
350 Main Street, Room 5
AUTHORIZED REPRESENTATIVE
EI Segundo CA 90245
©1988-2015 ACORD CORPORATION. All rights reserved,
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
B' DATE(MM/DD/YYYY)
Com"" CERTIFICATE OF LIABILITY INSURANCE
08/23/2019
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 CONTACT
Weaver & Associates, Inc. PHONE Dana (626)D4466fiFAX
PO Box 1508 %W ..NSt._6/I)_ (...pjt9)1.1.(626) 445-3827
EMAIL
Arcadia CA 91077 ADDRESS: da'naw@woa."�erins.°")'.r.ance... com
INSUR,E,RIS)„APFORD,IN,GOOVERAGE NAIC#
INSURER A: Benchmark Insurance ComRan 41394
INSURED INSURERB:Hiscox Insurance Company Ino 110200
Choura Events INSURERC:
540 Hawaii Ave
INSURER D:
Torrance CA 90503
INSURERE:
INSURER F:
COVERAGES CERTIFICATE NUMBER: cert ID 5422 REVISION NUMBER:
TI IIS IG TO CERTIFY TI IAT TI IE 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 ,'AID CLAIMS.
INE ...TR TYPEOFINSURANCE IAD 8iJA l
�,„„wVn POLICY NUMBER
POLICY EXP
POLICY EFF ."„ ". .... LIMITS
IMM/DO/YYYYI_(AAMIDDYYYYYI
B X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE$
1,000,000
CLAIMS -MADE I X I OCCUR Y Y US DEN 2731012.19
IJAW til:10AENra) .. , .
05/06/2019 05/06/2020 PRLMI5E.,,('Eaoceuirrancac) $
1,000,000
MED EXP (Any one person) $
10,000
PERSONAL&ADVINJURY I$
1,000,000
GENIAGG'REG.ATE LIMIT APPLIES PER:
GENERAL AGGREGATE S
2, 000, 000 ...
'
X
y ----
PRO- �
POLIICh” PRO-
JECTLOC
J JECT
TCOMP/OP..
P.RO.DUCTSAGG $
2,000,000
.............
$
OTHER,
....
AUTOMOBILE LIABILITY
4 COMBINED SIINGI,E LIMIT
I
$
11000,000
B X ANY AUTO Y Y US UAE 2731060.19
oDLY INJURY (Per person)
05/06/2019 05/06/2020 BODILY
$
OWNED—
f SCHEDULED
BPODIILcY�I Per accident)
$
AUTOS ONLY
HIRED
AUTOS
NON -OWNED
RCdi'FR�A"f AMA�f�
$
AUTOS ONLY
ISI
AUTOS ONLY
d
B X UMBRELLA LIAB X OCCUR
US UEN 2731012.19
05/06/2019 05/06/2020IEACH OCCURRENCE
�$
000, 000
hl EXCESS LIAR CLAI
( AGGREGATE
` $ ...
5, 000, 000
.., ... ...
.. ............,M.S.-MADE
DBD RETENTION $ I
$
WORKERS COMPENSATIONPER
Y
05/06/2019 05/06/20201
0TH
8 FR
A CST5015990
AND EMPLOIERS'LIABILITY YY /N
CECUTIVE
EL H ACCIDENT $
1,000,000
OFFICER/MEMBER EXCLUDED NIA
(Mandatory in NH) I�
EL DISEASE EA EMPLOYEEI $
1,000,000
If yes, describe under
( E1 DISEASE LIMIT $
1,000,000
DESCRIPTION OF OPERATIONS below
-POLICY ,
DESCRIPTION OF OPERATIONS / LOCATIONS / 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.
Full certificate holder: The City of E1 Segundo, its officials, employees, agents, commissions,
and volunteers
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS.
AttL Jackie Day
401 Sheldon Street AUTHORIZED REPRESENTATIVE
El Segundo CA 90245 w
©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Page 1 of 1
Hiscox Insurance Company Inc. Am
H I SCOX
Additional Insured - Person or Oroanizat'ion - oec'ial Reouirernents
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 E1 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 endorsementwill 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 (03115) Page 7 of 2
Hiscox Insurance Company Inc.
elo
H I SCOX
Special Wording Requirement of Designated Person or Organization:
.._..........
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 (03/15) Page ..2 of 2
Hiscox Insurance Company Inc.
r�l
H
I SCOX
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
IName 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 of 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 for you by us or
on our behalf.
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 or Insurance Services Office, Inc , with its permission.
EGL E4310 CW (03/15)
Page 2 of 2
Hiscox Insurance Company Inc.
H I SCOX
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.
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.
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 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 (03115) Page 1 of 1
POLICY NUMBER: 'US UAE 2731080.19 COMMERCIAL AUTO
CA 04 4410 13
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUIBROGATION)
This endorsement modifies insurance provided under the following;
ALTO 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($) Of Person(s) Or Organization(s):
Person or Organization As Required 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 organization(s) 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 44 110 13 @Insurance Services Office; Inc., 2011 Page 1 of 1
Hiscox Insurance Company Inc.
Hiscox
Blanket Additional Insured Endorsement
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
Ne. 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
°log
H SCO Entertainment inment
policy jacket
�acket
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
44
i4io�, ^r4�7
HISCOX
Al. Special Conditions
Entertainment property floater coverage part
Policy wording
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 time of loss $100,000
Coinsurance Percentage (809/6) X .8D
Required Limit of Insurance (No Less Than) $80,000
If the Limit of Insurance you carry 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. 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 (03115) Page 6 of 9
AM
HISCOX
Policy Number: US UEN 2731012.19
Named Insured: Choura Events
Endorsement Number: 11
Endorsement Effective: 09/13/2019
Hiscox Insurance Company Inc.
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.
r.
i�YI �
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.
HISCOX
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)
Blanket
Plaza Bank, its Successors and Assigns
PO Box 4260
Napa, CA 94558
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 after the 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
othenivise due on such remuneration.
Schedule
Person or Organization Job Description
Any person or organization as required by written contract
IL
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. CST5015990 Endorsement No.
Policy Effective Dates: 05/06/2019 - 05/06/2020 Premium $
Insured: Choura Events Inc
Carrier Name/ Code: Benchmark Insurance Company A
WC 04 03 06
(Ed. 4-84)
Countersigned by
Page 1 of 1