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CERTIFICATE OF LIABILITY INSURANCE r3ate(9123r201 4YY) <br />O�JI23?201 4 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />I BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION 15 WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does notconfer rights to <br />the certificate holder in lieu of such endorseMent(sj. <br />- <br />-. , <br />PRODUCER <br />ContsctName: TONIPEETE <br />AONIALBERT G. RUBEN INSURANCE SERVICES, INC. <br />Phone: <br />Fay 047-S53 -359T <br />CA LICENSE: 0806034 <br />Arc Na. Ext : eta- 742.0709 <br />A1c No): <br />Ernalt Addrase: tonl.peater,Aaon.com <br />15303 VENTURA BLVD., SUITE 1200 <br />Insurors AfforNdirmia C yaraga <br />NAIL p <br />SHERMAN OAKS. CA 91403 <br />INSURED <br />EPIC <br />INSURER B, Flratnan's Fund Insurance Cam on <br />NBCUNIVERSALM'EDIA., LLC <br />FI ENTERTAINMENT TELEVISION, LLG & EVOLUTION FILM & TAPE, INC. <br />INSURER C: <br />MFO FON (Any one person) <br />INSURER D: _ <br />5750 WRSH IRE BLVD. <br />LOS ANGELES, CA 90036 <br />INSURER E: <br />INSURER r": <br />PERSONAL & ADV INJURY <br />COVERAGES CERTIFICATE NUMBER REVISION NUMBER. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br />NOTtN)THSTANDING ANY REOU€REMIENT, TERM OR CONOITION OF ANY C:ON1RAC1 OR O t'HEN 0OCUMENT WrrM RESPEOT'rO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY <br />PER'rA ?N, THE ]INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU81'C -CT TO ALL THE TERMS. EXC}.US40N5 AND (CONOITIONS OF SUCH POLICIES LIMITS SHOWN MAY <br />HAVE BEEN REnUCED HY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED <br />wsR <br />LTR <br />TYP2 or INellRAtrCi= <br />ADDL <br />INSR <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY F11 <br />IMM)DDIYYYYI <br />PULICY EXP <br />(MM1DDfYYYYI <br />LIMIT9 <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />X <br />XXC80447223 08{21/14 08121/15 <br />EACH OCCURRENCE <br />1,000,000 <br />� <br />CLAIMS -MADE L_J OCCUR <br />DAMAGE TO RENTED <br />PREMISES (Ea Occurrence) <br />100,000 <br />MFO FON (Any one person) <br />000 <br />PERSONAL & ADV INJURY <br />$1 ti00,0E)0 <br />1 <br />APPROVED <br />APPLIES PER: <br />GEN'L AGGR83ATTEE <br />GENERA i AGGREGATE <br />2000.000 <br />-LIMIT <br />POLICY I X I PROJECT LOC <br />t - F <br />PRODUCTS- COMPIOP AGG <br />$1,000,000 <br />$ <br />OTHERr <br />A <br />AUTOMOBILE LIABILITY <br />X <br />XXC80467223 <br />08/21114 <br />06(21115 <br />COMBINED SINGLE LIMIT <br />Ee eccldenl) <br />1,004,000 <br />ANY AUTO <br />BODILY INJURY (Perpersen) <br />ALL OWNED SCH£OULEO <br />AUTOS AUTO$ <br />BOOILY INJURY (Per accicienl} <br />PROPERTYDAMAGE <br />(Per accident) <br />X <br />HIRED AUTOS X NON�OWNED <br />ALTOS <br />f °— <br />Umbrella Llab <br />OCCUR <br />EACH OCCURRENCE <br />AGGREGATE <br />Eacesa Llab <br />CLAIMS -MADE <br />DEC RETENTION 5 <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />STATUTE Olher <br />-`-I <br />E.L. Each Accident <br />ANY PRor'RIETOR/PARTNERlEKLCt THE YIN <br />GF.FICERI1YEMI3F" EKCLUPEOT <br />E.L. DIReasa- EA Employee <br />(Mandatory in NH) <br />MA <br />If yes, deambe under <br />UESCRiPTION OF OPERATIONS below <br />E.L. Disease - Polley Limb <br />'$ <br />B <br />PRODUOTIONPACKAGE <br />MPT07111910 <br />08121/14 <br />02/21116 <br />THIRD PARTY PROPERTY DAMAGE <br />LIMIT: $1,000,000 <br />MISCELLANEOUS EQUIPMENT <br />LIMIT: $4,000,000 <br />M. <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1 Ot, Adddtioral RemarKs S&ed+ala, df more SPOCa IS required) <br />PRODUCTION: "BOTCHED" SEASON 2 -SHOOT DATE: SEPTEMBER 29, 2014 <br />SUBJECT TO THEIR TERMS AND CONDITIONS, CITY OF RIVERSIDE, ITS OFFICERS AND EMPLOYESS ARE INCLUDED AS ADDITIONAL INSURED ON THE <br />GENERAL AND AUTO LIABILITY POLICIES AND AS LOSS PAYEE ON THE PRODUCTION PACKAGE POLICY AS THEIR INTEREST MAY APPEAR, BUT ONLY AS <br />REQUIRED BY CONTRACT. <br />e'C0TI =LF-AT1Z III nFR UANCELLA IIUN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />CITY OF RIVERSIDE DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY <br />3900 MAIN ST., PROVISIONS. <br />RIVERSIDE, CA 92522 <br />AUTHORIZFD REPRESENTATIVE <br />AonlAlbert G. Ruben Insurance Services, Inc. <br />ACORD 25 (2014101) ©1988 — 2014 AGQRD E;UKPOKAI1UN. All rtgnts reserves <br />The ACORD name and logo are registered marks of ACORD <br />