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AC<ARbP <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE jMMIDDIYYYYj <br />12/18/2013 <br />THIS CERTIFICATE 1S 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 />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 pollcy(les) must be endorsed. if SUBROGATION 1S WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lleu of such endorsement(s). <br />PRODUCER <br />Insurance West Corp. <br />2450 Tapo Street <br />Simi Valley CA 930 63 <br />CONTACT Julie Vitto <br />NAME: <br />PHONE (805) 579 -1900 FAX N : (805)579 -1916 <br />� °RIE : jvitto @insurancewest. com <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A Vi ilant Ins. Co <br />20397 <br />INSURED <br />J C Entertainment Lighting Services, Inc., <br />Entertainment Lighting Services Inc. <br />11440 Sheldon Street <br />Sun Valley CA 91352 -1121 <br />INSURER B.-Hartford Fire Insurance Cop an <br />19682 <br />INSURER C :Federal Ins. Co. <br />20281 <br />INSURER D : <br />INSURER E: <br />S 1F0001000 <br />INSURER F: <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F_x1OCCUR <br />COVERAGES CERTIFICATE NUMBER:13 /14 All Coverages 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 <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 1F0001000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F_x1OCCUR <br />956- -73 -21 <br />M 2/31/2013X2/31/2014 <br />PDAMAGE TO RENTED <br />REM <br />REM! ES Ea occurrence <br />$ Include <br />MED EXP (Any one person) <br />S 10,000 <br />PERSONAL 8 ADV INJURY <br />$ 1, 0 0 0, 0 0 0 <br />GENERAL AGGREGATE <br />S 21000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMPIOP AGG <br />$ Include <br />X POLICY PRO LOC <br />S <br />AUTOMOBILE LIABILITY <br />(Ea accident) COMBINED SINGLE LIMIT <br />S 1 000 000 <br />BODILY INJURY (Per person) <br />S <br />B <br />X ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />2UEVJH1397 <br />2/31/2013 <br />2/31/2014 <br />BODILY INJURY (Per accident) <br />S <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accident)S <br />Uninsured motorist combined <br />S 1 0❑ 0 1 000 <br />UMBRELLA LIAB <br />x <br />OCCUR <br />EACH OCCURRENCE <br />S 20r000,000 <br />x <br />AGGREGATE <br />C <br />EXCESS UAB <br />CLAIMS -MADE <br />$ 20r000,000 <br />DE❑ I X RETENTIONS 10,000 <br />S <br />956 -73 -23 <br />2/31/2013 <br />2/31/2014 <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y I N <br />WC STATU- I 1OTH- <br />E.L. EACH ACCIDENT <br />$ 1 400 000 <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? Ly <br />(Mandatory in NH) <br />NIA <br />_ <br />95672_ 66 <br />0/15/2013 <br />0/15/2014 <br />E.L. DISEASE - EA EMPLOYE <br />$ 11000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E,L DISEASE - POLICY LIMIT <br />$ 11000,000 <br />B <br />Owned 6 Rented Equipment <br />72XSVIV0889 <br />2/31/2013 <br />2/31/2014 <br />Limit $12r000,000 <br />Special Form - R/ C <br />Deductible $ 2 , 5 0 0 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES lAttach ACORD 101, Addltlonal Remarks Schedule, H more space is required) <br />City of Riverside is included additional insured as required by written contract or agreement but only as <br />respect to operations of the named insured per attached form. #80 -02-2306. Auto Waiver of Subrogation per <br />attached form #CA04440310 <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2010105) <br />NS025 rani nntii n1 <br />Q 1988 -2010 ACORD CORPORATION. All rights reserved, <br />Tina Or_171R11 nnmeb and Innn ara ranictara►rl m2ritu of Or`_ -npn <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Riverside <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />3900 Main Street <br />AUTHORIZED REPRESENTATIVE <br />Riverside, CA 92522 <br />Kenneth Tucker /JULIE <br />ACORD 25 (2010105) <br />NS025 rani nntii n1 <br />Q 1988 -2010 ACORD CORPORATION. All rights reserved, <br />Tina Or_171R11 nnmeb and Innn ara ranictara►rl m2ritu of Or`_ -npn <br />