|
ACORDT. CERTIFICATE OF LIABILITY INSURANCEDate
<br />(MM/DD/YYYY)
<br />3/6/2019
<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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION
<br />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
<br />to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Aon/Albert G. Ruben Co. of NY, Inc. I Aon/Albert G. Ruben Insurance Services of CA
<br />171 Madison Avenue, Suite 401 1 15303 Ventura Boulevard, Suite 1200
<br />New York, NY 10016 1 Sherman Oaks, CA 91403
<br />Contact Name: John Galanis
<br />James Pedrick
<br />Phone: 212-463-5589
<br />212-337-4356
<br />Email: aonrubenw aon.com
<br />Insurer's Affording Coverage NAIC #
<br />INSURED
<br />O Positive LLC
<br />48 West 25 Street,
<br />3rd Floor
<br />New York, NEW YORK 10010
<br />INSURER A: Fireman's Fund Insurance Company
<br />INSURER B: Navigators Insurance Company
<br />INSURER C:
<br />INSURER D:
<br />INSURER E:
<br />INSURER F:
<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 />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMITS
<br />LTR
<br />INSR
<br />WVD
<br />(MM/DD/YYYY)
<br />(MM/DD/YYYY)
<br />A
<br />GENERAL LIABILITY
<br />XXC80514931
<br />01/01/19
<br />01/01/20
<br />EACH OCCURRENCE $1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />DAMAGE TO RENTED PREMISES Excluded
<br />(Ea occurrence)
<br />CLAIMS MADE FX OCCUR
<br />�......
<br />PERSONAL &ADV INJURY $1,000,000
<br />X
<br />GENERAL AGGREGATE $2,000,000
<br />P1
<br />APPROVED
<br />PRODUCTS — COMP/OP AGG $1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY X PROJECT LOC
<br />''...
<br />MEDICAL EXPENSE EXCLUDED
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />XXC 80514931
<br />01/01/19
<br />01/01/20
<br />COMBINED SINGLE LIMIT
<br />Ea accident)$1,000,000
<br />ANY AUTO
<br />BODILY INJURY (Per person)
<br />$0 Deductible
<br />ALL OWNED SCHEDULED
<br />X
<br />BODILY INJURY (Per accident)
<br />AUTOS AUTOS
<br />X
<br />HIRED AUTOS X NON -OWNED
<br />PROPERTY DAMAGE
<br />=t
<br />AUTOS
<br />Per
<br />X
<br />AUTO PHYS. DAM. **
<br />AUTO PHYSICAL DAMAGE $1,000,000
<br />A
<br />X
<br />Umbrella Liab
<br />X
<br />OCCUR
<br />XAE 32383630
<br />01/01/19
<br />01/01/20
<br />EACH OCCURRENCE $25,000,000
<br />B
<br />NY19FXPZ0117BIV
<br />01/01/19
<br />01/01/20
<br />AGGREGATE $25,000,000
<br />x
<br />Excess Liab
<br />CLAIMS -MADE
<br />DEDUCTIBLE
<br />WORKERS COMPENSATION AND
<br />WC Statutory Other
<br />EMPLOYERS' LIABILITY
<br />Limits
<br />E.L. Each Accident
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y /N
<br />NOT COVERED
<br />OFFICER/MEMBER EXCLUDED?
<br />HEREUNDER
<br />(Mandatory in NH)
<br />N/A
<br />E.L. Disease — EA Employee
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. Disease — Policy Limit
<br />A
<br />WORLDWIDE PRODUCTION PACKAGE
<br />MPT 07200779
<br />01/01/19
<br />01/01/20
<br />LIMIT DEDUCTIBLE
<br />MISCELLANEOUS EQUIPMENT**
<br />$5,000,000 $0
<br />THIRD PARTY PROPERTY DAMAGE *
<br />$0 Deductible
<br />$5,000,000 1 $0
<br />PROPS, SETS & WARDROBE
<br />$5,000,000 $0
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />Omnicom Inc. — BBDO New York - Signature Lattes, BDNY-P00014257,
<br />Coty of Riverside is Additional Insured (by "Blanket" Endorsement) under General/Auto Liability but only with regard to claims arising from the
<br />operations of Named Insured and as required by written contract. Certificate Holder is Loss Payee with regard to Production Package. All coverage is
<br />subject to terms and conditions of policies of insurance. This Certificate does not amend, extend or alter the coverage afforded by the policies above.
<br />CERTIFICATE HOLDER Cancellation
<br />ACORD 25 (2016/03) 1988 — 2015 © ACORD CORPORATION All rights reserved.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />City of Riverside
<br />DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY
<br />PROVISIONS.
<br />3900 Main Street
<br />AUTHORIZED REPRESENTATIVE
<br />Riverside CA 92522
<br />Aon/Albert G. Ruben Insurance Services, Inc.
<br />ACORD 25 (2016/03) 1988 — 2015 © ACORD CORPORATION All rights reserved.
<br />
|