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��® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 0912412013 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 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 Movielnsure.com Insurance Services 9936 Reseda Blvd #105 Northridge, CA 91324 NAME: CONTACT Deborah West PHONE FAX i ^[Alc,_No,Ex_0; 888 - 959-0772 (A/C, No): 818-293-1702 E-MAIL ADDRESS: debbie movieinsure.com LIMITS EFM GENERAL LIABILITY INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: AGL - American Guarantee and Liability Insurance Company 26247 Phone No. 818 284 -0300 Fax No. 818 264 -0699 INSURED 2013 Event, LLC 1000 Universal Studios Plaza, Studio 22A, Set 200 INSURER B: EFM - Empire Fire and Marine Insurance Company 21326 INSURER C: NAS - North American Specialty Insurance Company 29874 _ .... w µ Orlando, FL 32819 INSURER D: DAMAGE TO RENTED PREMISES a occurrence INSURER E: MED EXP (Any one person) $ 5,000 INSURER F Phone No. 407 224 --5403 Fax No. COVERAGES CERTIFICATE NUMBER: 466239 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 POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE IN SR ACCORDANCE WITH THE POLICY PROVISIONS. POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMID�IYYYY LIMITS EFM GENERAL LIABILITY EN9803904 -00 09119/2013 09/2912013 EACH OCCURRENCE $ 12000,000 }( COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X _ .... w µ DAMAGE TO RENTED PREMISES a occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 a PRODUCTS - COMPIOP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER + 1 $ 7 POLICY PRO- LOC _ _ EFM AUTOMOBILE LIABILRY EN9803904 -00 09/19/2013 09/29/2013 Ea (Ea SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ Included ANY AUTO X ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ Included PRO a c PERTY den DAMAGE EMax per A ! $ 125,0 NAS X HIRED AUTOS x NON-OW NED AUTOS EKN 1002090 -00 09/1912013 09/29/2013 $ AUTO PHYSICAL. X IDAMAGE GL UMBRELLA LIAB X OCCUR SXS9696488 -00 09/19/2013 09/29/2013 EACH OCCURRENCE $ 2,000,000 X AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE ❑ED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILnY YIN ANY PROPRIETORIPARTNERIEXECUTIVE WOC STATUS OTH- E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? Ll NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ NAS Inland Marine EKN 1002090 -00 09/19/2013 09/2912013 See Attached DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)COverage Location: United States & Canada The City of Riverside and its officers, employees, agents and volunteers are additional named insureds Production Fireball Run Allstars and Movie with respect to liabilities arising out of the performance of services herunder. Cars All coverages expire at 12:01 a.m. Standard Time. CERTIFICATE HOLDER CANCELLATION City of Riverside and its officers, employees, age 3900 Main Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Riverside, CA 92522 ACCORDANCE WITH THE POLICY PROVISIONS. United States Of America AUTHORIZED REPRESENTATIVE Phone No. Fax No. 0 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD This certificate of insurance does not affirmatively or negatively amend, extend, or alter the coverage afforded by the insurance policy.