ACORDTM CERTIFICATE OF LIABILITY INSURANCE
<br />Date (MM /DD /YYYY)
<br />04/25/14
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
<br />DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF
<br />INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE
<br />CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and
<br />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
<br />such endorsement(s).
<br />PRODUCER
<br />AON /ALBERT G. RUBEN INSURANCE SERVICES, INC.
<br />15303 VENTURA BOULEVARD, SUITE #1200
<br />SHERMAN OAKS, CA 91403 - 5817
<br />LICENSE # 0806034
<br />Contact Name:
<br />Phone:
<br />A/C, No. Ext :
<br />Fax A/C, No):
<br />POLICY NUMBER
<br />Email Address:
<br />Insurer's Affording Coverage
<br />NAIC #
<br />INSURED
<br />L. PLUMMER MEDIA, INC.
<br />7083 HOLLYWOOD BLVD., 5TH FLOOR
<br />HOLLYWOOD, CA 90028
<br />INSURER A: FIREMAN'S FUND INSURANCE CO
<br />INSURER B:
<br />INSURER C:
<br />$1,000,000
<br />INSURER D:
<br />X COMMERCIAL GENERAL LIABILITY
<br />INSURER E:
<br />INSURER F:
<br />DAMAGE TO RENTED PREMISES
<br />(Ea occurrence)
<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 />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
<br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY
<br />HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSR
<br />SUBR
<br />VWD
<br />POLICY NUMBER
<br />POLICY EFF
<br />(MM /DD/YYYY)
<br />POLICY EXP
<br />(MM /DD/YYYY)
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />DAMAGE TO RENTED PREMISES
<br />(Ea occurrence)
<br />1,000,000
<br />CLAIMS MADE FX OCCUR
<br />X
<br />XXC 80487223 01/15/14 01/15/15
<br />PERSONAL &ADV INJURY
<br />1,000,000
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />PRODUCTS — COMP /OP AGG
<br />$1,000,000
<br />APPROVED
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER POLICY
<br />X PROJECT LOC
<br />MED EXP —ANYONE PERSON
<br />$5,000
<br />A
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$1,000,000
<br />ANY AUTO
<br />BODILY INJURY (Per person)
<br />$
<br />X
<br />XXC 80487223 01/15/14 01/15/15
<br />AUTO PHYSICAL DAMAGE
<br />LIMIT INCLUDED IN MISC
<br />ALL OWNED
<br />AUTOS
<br />SCHEDULED
<br />AUTOS
<br />BODILY INJURY (Per accident)
<br />DEDI MENT L MIT T
<br />)(
<br />HIRED AUTOS
<br />X
<br />NON -OWNED
<br />AUTOS
<br />PROPERTY DAMAGE
<br />Per accident
<br />A
<br />X
<br />Umbrella Liab
<br />X
<br />OCCUR
<br />X
<br />XAU15012768
<br />01/15/14
<br />01/15/15
<br />EACH OCCURRENCE
<br />$10,000,000
<br />AGGREGATE
<br />$10,000,000
<br />Excess Liab
<br />CLAIMS -MADE
<br />DEDUCTIBLE RETENTION $
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY
<br />WC Statutory Other
<br />Limits
<br />E.L. Each Accident
<br />ANY PROPRIETOR /PARTNER /EXECUTIVE Y /N
<br />OFFICER /MEMBER EXCLUDED?
<br />E.L. Disease — EA Employee
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. Disease — Policy Limit
<br />OTHER
<br />MPT 07111910
<br />01/15/14
<br />01/15/15
<br />A
<br />PROPS /SETS / WARDROBE
<br />THIRD PARTY PROPERTY DAMAGE
<br />Limit: $2,000,000 / Deductible $2,500
<br />Limit: $2,000,000 / Deductible $2,500
<br />MISCELLANEOUS EQUIPMENT
<br />Limit: $5,000,000 / Deductible $3,500
<br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />THE CITY OF RIVERSIDE ARE INCLUDED AS AN ADDITIONAL INSURED AND /OR LOSS PAYEE AS THEIR INTEREST MAY APPEAR, BUT ONLY AS RESPECTS THE
<br />OPERATIONS OF THE NAMED INSURED. PRODUCTION ENTITLED: "PREACHERS OF LA" SEASON 2
<br />CERTIFICATE HOLDER Cancellation
<br />City of Riverside
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY
<br />PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />3900 Main St.
<br />Riverside, CA 92522
<br />ACORD 25 (2010/05) 1988 - 2010 © ACORD CORPORATION All rights reserved.
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