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Insurance Certificates 2019/20 LH ProductionsLHPRODU-01 MIBAVI ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) MM /2019 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 have ADDITIONAL INSURED provisions or 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 License # OK73720 CONTACT Tyler Crawford NAME: MFE Insurance Brokerage PHONE FAX 811 W. 7th Street. 11th Floor (A/C, No, E=t): (213) 634-2500 (A/C, No):(213) 640-5000 Los Angeles, CA 90017 ADDRESS: tyler@mfeinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: New York Marine And General Insurance Company 16608 INSURED INSURER B : LH Productions INSURERC: 1453 Virginia Ave Suite E INSURER D : Baldwin Park, CA 9170E INSURER E L.LlVCFIAur-0 Ut.KI WIL:A I t NiitYlbLK: KhVIbIL)N 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 NSR ADDL SUER POLICY EFF POLICY EXF LTR TYPE OF INSURANCE INSO WVO POLICY NUMBER LIMITS _.Ip��+±!4PLY?_Y�'.}�l�,ll'1Lp1YYYY1_ A X COMMERCIAL GENERAL LIABILITY EACH O_CC_NTURRENCE S 1'000'0� CLAIMS -MADE X OCCUR PK201900018230 6/28/2019 6/28/2020 DAMAGE TO REEO 100,0 X PREMISES (Ea OCcurrence) S 5,000 MED EXP (Any one person) S 1,000.000 PERSONAL & ADV INJURY S GEN'LAGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE S 2,000,000 X POLICY Jg&- LOC PRODUCTS - COMP/OPAGG S 1,000,000 . M, S A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 1,000,000 S ANY AUTO PK201900018230 6/2812019 6/28/2020 BODILYINJURY (Per person) S OWNEDSCHEDULED OXTULED A$ONLY BODILY INJURY (Per accident) S AN�ppW XUTOX PROPERTY err accident) S S UMBRELLA LIAB _ OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS -MADE AGGREGATE S DED RETENTION S S A WORKERS COMPENSATION PER 01 X •'- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE WC201900019886 6/28/2019 6/28/2020 E.L EACH ACCIDENT 1,000,000 S ❑❑FFiCERR�/M N/A andatory NH) 1,000,000 ,MBEREXCLUDED? `N m E.L DISEASE - EA EMPLOYEE S Ii yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS bolow E.L DISEASE - POLICY LIMFr 5. A Misc. Equipment PK201900018230 6/28/2019 6/28/2020 Ded. $1,000 150,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if marespace is required) 'he City of La Quinta, its officers, officials, employees, agents and volunteers are included as additional insured solely as respects claims arising from the )perations of the named insured and is loss payee as their interest may appear. Coverage is Primary and Non-contributory and includes a Waiver of subrogation on the Workers Compensation policy in favor of the certificate holder. City of La Quinta 78495 Calle Tampico La Quinta, CA 92253 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PK201900018230 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization(s) Location And Description Of Completed Operations City of La Quinta, its officers, officials, employees, agents and volunteers are included as additional insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or' "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to required by a contract or will pay on behalf of the amount of insurance: the additional insured is agreement, the most we additional insured is the 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 Policy Number: PK201900018230 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and The City of La Quinta, its officers, employees, agents and volunteers are included as additional insured. (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 04 13 ©insurance Services Office, Inc., 2012 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule The City of La Quinta 78495 Calle Tampico La Quinta , CA 92253 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Insured: LH Productions Endorsement Effective: 7/12/19 Insurance Company New York Marine & Genreal Effective Policy No Endorsement No. 2 Insurance Company WC201900019886 Premium: $1,743 WC 00 03 13 (Ed 4-84) Countersigned by 0 1983 National Council on Compensation Insurance.