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2019/05/01 Advanced Medical Productions Certificate of Liability Insurance
ACORDTM CERTIFICATE OF LIABILITY INSURANCE Date (M l 1 /20/2019YYY) /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 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). Aon/Albert G. Ruben Co. of NY, Inc. 171 Madison Avenue, Suite 401 New York, NY 10016 INSURED Advanced Medical Productions d b.a Figure 8 Films 410 N. Greensboro Street Suite 280 Carrboro, NORTH CAROLINA 27510 r(]VPRAr;FS rPPTIFIrATF NI IMRFR- Contact Name: James Pedrick John Hicks Phone: 212-337-4356 212-463-5587 Insurer's Affording Cave INSURER A: Great Divide Insurance INSURER B: INSURER C: INSURER F: 0PVICIr1N MI IMRF12. NAIC # 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, LIMITS SHOWN AREAS REQUESTED. INTR TYPE OF INSURANCE INSR DDL SUB WVD(MMIDDIYYYY) POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL LIABILITY CNA7503824 05/01/19 05/01/20 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $1,000,000 CLAIMS MADE OCCUR X PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY X 1 PROJECT LOC MEDICAL EXPENSE Excluded A AUTO LIABILITY CNA7503824 05/01/19 05/01/20 COMBINED SINGLE LIMIT Ea accident)$1,000,000 ANY AUTO BODILY INJURY (Per person) OWNED AUTOS SCHEDULED ONLY AUTOS X 'AUTO PHYSICAL BODILY INJURY (Per accident) 6 HIRED AUTOS NON -OWNED ONLY X AUTOS ONLY DAMAGE DEDUCTIBLE: $2.500 X PROPERTY DAMAGE (Peraccident) 6 AUTO PHYS. DAM. " X AUTO PHYSICAL DAMAGE $1.000,000 X Umbrella Liab X OCCUR CUA7503825 05/01/19 05/01/20 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 Excess Liab CLAIMS -MADE X A DEDUCTIBLE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC Statutory limits Other E L. Each Accident ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N NOT COVERED OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA HEREUNDER E L. Disease - EA Employee If yes, describe under DESCRIPTION OF OPERATIONS below E L Disease —Policy Limit A WORLDWIDE PRODUCTION PACKAGE CNA7503824 05/01/19 05/01/20 LIMIT DEDUCTIBLE MISCELLANEOUSEQUIPMENT" S5,000,000 $2,500 PROPERTY OF OTHERS S5,000,000 $2,500 PROPS. SETS & WARDROBE S5,000.000 $] 500 I DESCRIPTION OF OPERATION S/LOCATIONSA/EHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Discove ry Networks — TLC - Co u nting 0 n S ea son Certificate Holder is Additional Insured (by "Blanket" Endorsement) under General/Auto Liability but only with regard to claims arising from the negligence of Named Insured and as required by written contract. Certificate Holder is Loss Payee with regard to Production Package. All coverage is subject to terms and conditions of policies of insurance. This Certificate does not amend extend or alter the coverage afforded by the policies above - City of Menifee 29844 Haun Road Menifee, CA 92586 Cancellation 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 Aon/Albert G. Ruben Insurance Services, Inc. ACORD 25 (2016/03) 1988 — 2015 © ACORD CORPORATION All rights reserved.