2019/04/12 Atmosphere Events Certficiate of Liability InsuranceAC O`�
CERTIFICATE OF LIABILITY INSURANCE DATE(MANDD/YYYY)
F9/16/201 9
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 CONTACT NAME: Sheri DiGirolamo
G.A. Mavon & Co. PHONES (630) 242-3176
10 West Chicago Avenue W--,
Hinsdale, IL 60521 ADDRESS: sheri.digirolamo@mavon.com
INSURED
Atmosphere Events
26439 Rancho Pkwy South #125
Lake Forest, CA 92630
INSURER C :
INSURER D :
INSURER E :
3 AFFORDING COVERAGE I NAIC A
Insurance Co 1 10673
COVERAGES CERTIFICATE Nl1MRFR- Rrwim m NIIMRFCI-
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
1NSR EKP
LTR TYPE OF INSURANCE POLICY NUMBER POIiCY EFyY1F MM OD 1'Y LIMITS
A
COMMERCIAL GENERAL LIABILITY
X
CPS5054305
4/12/19 4/12/20
EACH OCCURRENCE
$1 MUM
CLAIMS -MADE L nl OCCUR
ENTEO
= occurrence)
$ 100,000
MED EXP (Any one person)
s 5 000
PERSONAL BADVINJURY
s1 000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
s2,000,000
POLICY F7 PRO- ❑
JECT LOC
PRODUCTS - COMP/OPAGG
$1,000,000
$
OTHER:
AUTOMOBILE LIABILITY
COMWNEDSINGLE UMrf
a accident
$
BODILYINJURY(Per person)
$
ANY AUTO
ALLOWNED —'SCHEDULED
AUTOS IAUTOS
BODILY INJURY (Per accident)
$
INON-OWNED
HIRED AUTOS l AUTOS
PROPERTYDAMAGE
Per accident
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
EXCESS LIAR
CLAIMS -MADE
AGGREGATE
$
DED RETENTION s
$
WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS'LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED?
N/A
STATUTE
E.L. EACH ACCIDENT
$
E,L. DISEASE - EA EMPLOYE
$
(Mandatory in NH)
If yes, describe under
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
The certificate holder is noted as additional insured with respects to claims arising out of the operations of the named insured
perform CG2010(7/04).
%.r=rs r WILIM r r= r1v4.ucri L:ANL.kLLAIIVN
City of Menifee
29844 Haun Road
Menifee, CA 92586
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
C 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: CPS5054305
COMMERCIAL GENERAL LIABILITY
CG 20 10 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Or anization s :
Locations Of Covered Operations
City of Menifee
29844 Haun Road
Menifee, CA 92586
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", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s) desig-
nated above.
B. With respect to the insurance afforded to these
additional insureds, the following additional exclu-
sions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
1. All work, including materials, parts or equip-
ment furnished in connection with such work,
on the project (other than service, maintenance
or repairs) to be performed by or on behalf of
the additional insured(s) at the location of the
covered operations has been completed; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its in-
tended use by any person or organization other
than another contractor or subcontractor en-
gaged in performing operations for a principal
as a part of the same project.
CG 20 10 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 0