ACORD® DATE (MM/DDAYYYY)
CERTIFICATE OF LIABILITY INSURANCE
8/22/2022
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 INSURERS), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain pollcles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements).
COME Laura Baror
NICKERSON INSURANCE SERVICES PHONE (310) 326-6333 TAC, No: (310)326-5916 (A/C. No. Exti:
LIC #0491589 EDDREss: [email protected]
2106 West Lomita Blvd. INSURERS) AFFORDING COVERAGE NAIG # Lomita CA 90717 INSURERA: Continental Casualty Company 20443 INSURED INSURER: Transportation Insurance Company 20494 Focus Media Group, Inc., INSURER C: AnTrust North America 19879 DBA: Coastline Advertising Corporation INSURER D:
2271 W MALVERN AVE. #407 FULLERTON INSURER E:
Fullerton CA 92833-2106 INSURER F:
CERTIFICATE NUMBER: 22-23GLAUWCUMB REVISION 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. NOTWTHSTANDING 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.
INSR TADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD. WAD. POLICY NUMBER IMMIDDAYYY)(MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 I CLAIMS-MADE DAMAGE TO RENTED les es 300,000
OCCUR PREMISES (Ea occurrence)
B4034610293 5/19/2022 5/19/2023 MED EXP (Any one person) 10,000 PERSONAL & ADV INJURY 1,000,000
GENI AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE 2,000,000 PRO 2,000,000
_ POLICY X JECT LOC PRODUCTS - COMPIOP AGG
OTHER:
AUTOMOBILE LIABILITY 1,000,000
* ANYAUTO BODILY INJURY (Per person) $
ALL OWNEI 7 SCHEDULED BUA5088115784 5/19/2022 5/19/2023 BODILY INJURY (Per accident)
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGI
HIRED AUTOS AUTOS Per accident
insured motoris combined stole 1,000,000
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 4,000,000
B EXCESS LIAB CLAIMS-MADE AGGREGATE 4,000,000
[DED X RETENTION S 10,000 CUP4034610245 5/19/2022 5/19/2023
WORKERS COMPENSATION I STATUTE T
AND EMPLOYERS' LIABILITY YIN
APPROVED AS TO FORM EL EACH ACCIDENT 1,000,000
NIA
SWC1383487 4/23/2022 4/21/2023 | EL. DISEASE -EA EMFLOYEE S 1,000,000 DESCRIPTION OF OPERATIONS below BY: MICHARLE GATES EL DISFASE - POLICY LIMIT | S 1,000,000
CITY ATTORNEY
CITY OF HUNTINGTON BEACH
The Cort rota Holder: COEs unanton Been, es of mers elened or appointed officials employeas jents and volunteers are automatic Additional Insured in respect to insured ongoing operations pe tached CNA endorsement form #SB-300120-C (Ed. 06/11) and endorsement form #-SB146932E 06/11 whic
CERTIFICATE HOLDER CANCELLATION
[email protected]
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
2000 Main streBacon Attn.:
Huntington Beach, CA 92648 AUTHORIZED REPRESENTATIVE
Sarah Kelly/LAURA Parad Alley
© 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INSO26 (201401)
SB-300120-C
CNA Focus Media Group, Inc. (Ed. 06/11)
Policy Number: B4034610293
Effective: 5/19/2022
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -
SCHEDULED PERSON OR ORGANIZATION - WITH PRODUCTS COMPLETED
OPERATIONS COVERAGE
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
SCHEDULE*
Name Of Person Or Organization:
City of Huntington Beach, its officers, elected or appointed officials, employees, agents and volunteers 2000 Main Street
Huntington Beach, CA 92648
* Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations.
A. The following is added to Paragraph C. Who Is An 1. The rendering of, or the failure to render any Insured: professional architectural, engineering, or
4. surveying services, including:
Any person(s) or organizations) shown in the
Schedule is also an additional insured, but only (a) The preparing, approving, or failing to prepare with respect to liability for "bodily injury," "property or approve maps, shop drawings, opinions, damage" or "personal and advertising injury." reports, surveys, field orders, change orders caused, in whole or in part, by: or drawings and specifications; and a. Your acts or omissions; or (b) Supervisory, inspection, architectural or engineering activities.
b. The acts or omissions of those acting on your
behalf 2. "Bodily Injury," "property damage," or "personal and advertising injury" arising out of any premises
in the performance of your ongoing operations for or work for which the additional insured is the additional insured(s); at the locations) specifically listed as an additional insured on designated above; or another endorsement attached to this Policy. c. "Your work" that is included in the "products- C. The following is added to Paragraph H. of the completed operations hazard" and performed Businessowners Common Policy Conditions:
for the additional insured, but only if this
H. Other Insurance
This insurance is excess over any other insurance
naming the additional insured as an insured
be either primary or primary and noncontributing.
SB-300120-C Page 1 of 1
(Ed. 06/11)
Focus Media Group, Inc. CNA80103XX
CNA (09-14)
Policy Number: B4034610293
Effective: 5/19/2022
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY-
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS COMMON POLICY CONDITIONS
The following is added 1a Paragraph H. Diher Insurance and supersedes any provision to the contrary:
rimarv And Noncontributorv Insurance
his insurance my see contribution from any her insurance available to an additional insure nder vour policy provided tha
1. The additional insured is a Named Insured under such other insurance; and
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 All other terms and conditions of the Policy remain unchanged.
CNA80103XX (09-14)
Copyright, CNA All Rights Reserved. Includes copyrighted material of Insurance Services Offica, inc., with Its permission Focus Media Group, Inc. SB-146932-E
CNA Policy Number: B4034610293 (Ed. 06/11)
Effective: 5/19/2022
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - LIABILITY EXTENSION
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
Coverage afforded under this extension of coverage endorsement does not apply to any person or organization covered as an additional insured on any other endorsement now or hereafter attached to this Policy.
1. ADDITIONAL INSURED - BLANKET VENDORS own acts or omission or those of its employees or anyone else acting on it:
WHO IS AN INSURED is amended to include as an behalf. However, this exclusion does not additional insured any person or organization (referred apply to:
to below as vendor) with whom you agreed, because
f a written contract or agreement to provid (1) The exceptions contained in nsurance, but only with respect to "bodily injury" ( Subparagraphs d. or f.; or "property damage" arising out of "your products" which (2) Such inspections, adjustments, tests or are distributed or sold in the regular course of the servicing as the vendor has agreed to vendor's business, subject to the following additional make or normally undertakes to make in exclusions: the usual course of business, in
connection with the distribution or sale of
1. The insurance afforded the vendor does not apply
to: the products.
a. "Bodily injury" or "property damage" for which 2. This insurance does not apply to any insured the vendor is obligated to pay damages by person or organization, from whom you have reason of the assumption of liability in a acquired such products, or any ingredient, part or contract or agreement. This exclusion does container, entering into, accompanying or not apply to liability for damages that the containing such products. vendor would have in the absence of the This provision 2. does not apply to any vendor contract or agreement; included as an insured by an endorsement issued b. Any express warranty unaufhorized by you; by us and made a part of this Policy. c. Any physical or chemical change in the 4. This provision 2. does not apply if "bodily injury" or product made intentionally by the vendor; "property damage" included within the "products- completed operations hazard" is excluded either
d. Repackaging, except when unpacked solely by the provisions of the Policy or by endorsement. for the purpose of inspection, demonstration,
testing, or the substitution of parts under 2. MISCELLANEOUS ADDITIONAL INSUREDS instructions from the manufacturer, and then WHO IS AN INSURED is amended to include as an repackaged in the original container; insured any person or organization (called additional e. Any failure to make such inspections, insured) described in paragraphs 2.a. through 2.h. adjustments, tests or servicing as the vendor below whom you are required to add as an additional has agreed to make or normally undertakes to insured on this policy under a written contract or agreement but the written contract or agreement must
connection with the distribution or sale of the be:
products; 1. Currently in effect or becoming effective during the f. Demonstration, installation, servicing or repair term of this policy; and operations, except such operations performed 2. Executed prior to the "bodily injury," "property at the vendor's premises in connection with damage" or "personal and advertising injury," but the sale of the product;
Only the following persons or organizations are
g. Products which, after distribution or sale by additional insureds under this endorsement and you, have been labeled or relabeled or used coverage provided to such additional insureds is as a container, part or ingredient of any other limited as provided herein:
thing or substance by or for the vendor; or
a. Additional Insured - Your Work
h. "Bodily injury" or "property damage" arising
out of the sole negligence of the vendor for its That person or organization for whom you do work is an additional insured solely for liability
SB-146932-E Page 1 of 5
(Ed. 06/11)
SB-146932-E
CNA (Ed. 06/11)
aue to your negligence specifically resulting This insurance does not apply to "bodily from your work for the additional insurec injury," "property damage" or "personal and which is the subject of the written contract or advertising Injury" arising out of operations written agreement. No coverage applies to performed for the state or municipality. liability resulting from the sole negligence of c. Controlling Interest the additional insured.
The insurance provided to the additional Any persons or organizations with controlling interest in you but only with respec
insured is limited as follows: to their liability arising out of:
(1) The Limits of Insurance applicable to the (1) Their financial control of you; or additional insured are those specified in
the written contract or written agreement (2) Premises they own, maintain or control or in the Declarations of this policy while you lease or occupy these whichever is less. These Limits o premises.
Insurance are inclusive of, and not in
addition to, the Limits of Insurance shown This insurance does not apply to structural in the Declarations. alterations, new construction and demolition operations performed by or for such additional
(2) The coverage provided to the additional insured.
insured by this endorsement and
paragraph F.9. of the definition of "insured d. Managers or Lessors of Premises contract" under Liability and Medical A manager or lessor of premises but only with Expenses Definitions do not apply to respect to liability arising out of the ownership, "bodily injury" or "property damage" maintenance or use of that specific part of the arising out of the "products-completed premises leased to you and subject to the operations hazard" unless required by the following additional exclusions:
written contract or written agreement.
This insurance does not apply to:
(3) The insurance provided to the additional
insured does not apply to "bodily injury," (1) Any "occurrence" which takes place after "property damage," or "personal and you cease to be a tenant in that premises; advertising injury" arising out of the
rendering or failure to render any
(2) Structural alterations, new construction or
professional services. demolition operations performed by or on b. State or Political Subdivisions behalf of such additional insured.
A state or political subdivision subject to the e. Mortgagee, Assignee or Receiver following provisions: A mortgagee, assignee or receiver but only (1) This insurance applies only with respect with respect to their liability as mortgagee, to the following hazards for which the assignee, or receiver and arising out of the state or political subdivision has issued a ownership, maintenance, or use of a premises permit in connection with premises you by you.
own, rent, or control and to which this This insurance does not apply to structural insurance applies: alterations, new construction or demolition (a) The existence, maintenance, repair, operations performed by or for such additional construction, erection, or removal of
advertising signs, awnings, canopies, f. Owners/Other Interests - Land is Leased entrances, holes,
driveways, manholes, An owner or other interest from whom land hoistaway openings, sidewalk vaults, has been leased by you but only with respect street banners, or decorations and to liability arising out of the ownership, similar exposures; or naintenance or use of that specific part of the land leased to you and subject to the following
(b) The construction, erection, or
removal of elevators; or
This insurance does not apply to:
(2) This insurance applies only with respect
to operations performed by you or on your (1) Any "occurrence" which takes place behalf for which the state or political after you cease to lease that land; or subdivision has issued a permit.
SB-146932-E Page 2 of 5
(Ed. 06/11)
SB-146932-E
CNA (Ed. 06/11)
(2) Structural alterations, new Damage To Property, is replaced by the construction or demolition operations following:
performed by or on behalf of such K. Damage To Property additional insured.
g. Co-owner of Insured Premises "Property damage" to:
1. Property you own, rent or occupy,
A co-owner of a premises co-owned by you
and covered under this insurance but only
with respect to the co-owners liability as co-
owner of such premises.
h. Lessor of Equipment
Any person or organization from whom you
lease equipment. Such person or organization
are insureds only with respect to their liability
arising out of the maintenance, operation or 2. Premion, lone propery damager use by you of equipment leased to you by
such person or organization. A person's or arises out of any part of those organization's status as an insured under this premises; endorsement ends when their written contract
or agreement with you for such leased 3. Property loaned to you; equipment ends. 4. Personal property in the care,
With respect to the insurance afforded these custody or control of the insured; additional insureds, the following additional 5. That particular part of any real exclusions apply: property on which you or any
contractors or subcontractors working
This insurance does not apply: directly or indirectly in your behalf are (1) To any "occurrence" which takes place performing operations, if the "property after the equipment lease expires; or damage" arises out of those operations; or
(2) To "bodily injury," "property damage" or
"personal and advertising injury" arising 6. That particular part of any property out of the sole negligence of such that must be restored, repaired or additional insured. replaced because "your work" was
incorrectly performed on it.
Any insurance provided to an additional insured
designated under paragraphs b. through h. above Paragraph 2 of this exclusion does not does not apply to "bodily injury" or "property apply if the premises are "your work" and damage" included within the "products-completed were never occupied, rented or held for operations hazard." rental by you.
3. The following is added to Paragraph H. of the Paragraphs 1, 3, and 4, of this exclusion BUSINESSOWNERS POLICY than damage by fire of explosion) to CONDITIONS:
H. Other Insurance
(1) rented to you:
4. This insurance is excess over any other
insurance naming the additional insured (2) temporarily occupied by you with the as an insured whether primary, excess, permission of the owner, or contingent or on any other basis unless a (3) to the contents of premises rented to written contract or written agreement you for a period of 7 or fewel specifically requires that this insurance be consecutive days. either primary or primary and
• separate limit of insurance applies t
oncontributins Jamage To Premises Rented To You a
4. LEGAL LIABILITY - DAMAGE TO PREMISES described in Section D - Liability and Medical Expenses Limits of Insurance.
A. Under B. Exclusions, 1. Applicable to
Business Liability Coverage, Exclusion k
SB-146932-E Page 3 of 5
(Ed. 06/11)
SB-146932-E
CNA (Ed. 06/11)
Paragraphs 3, 4, 5, and 6 of this (2) Any partner, if you or an additional exclusion do apply to liability insured is a partnership; assumed under a sidetrack agreement. (3) Any manager, if you or an additional insured is a limited liability company;
operations (4) Any "executive officer" or insurance
hazard. Producis-completed manager, if you or an additional insured is a corporation;
B. Under B. Exclusions, 1. Applicable to (5) Any trustee, if you or an additional Business Liability Coverage, the last insured is a trust; or paragraph of 2. Exclusions is deleted and
replaced by the following: (6) Any elected or appointed official, if you or an additional insured is a political
Exclusions c, d, e, f, g, h, i, k, I, m, n, and o, subdivision or public entity. do not apply to damage by fire to premises
while rented to you or temporarily occupied by his paragraph e. applies separately to vo you with permission of the owner or to the nd any additional insured contents of premises rented to you for a
period of 7 or fewer consecutive days. A 7. Bodlly Injury separate limit of insurance applies to this Section F. Liability and Medical Expenses coverage as described in Section D. Liability Definitions, item 3. "Bodily Injury" is deleted and And Medical Expenses Of replaced with the following:
Insurance.
"Bodily injury" means bodily injury, sickness or
C. The first Paragraph under item 5. Damage To disease sustained by a person, including death, Premises Rented To You Limit of Section humiliation, shock, mental anguish or mental D. Liability And Medical Expenses Limits injury by that person at any time which results as Of Insurance is replaced by the following: a consequence of the bodily injury, sickness or The most we will pay under Business Liability disease.
for damages because of "property damage" Expanded Personal and Advertising Injury to any one premises, while rented to you, or Definition temporarily occupied by you, with the
permission of the owner, including contents of a. The following is added to Section F. Liability such premises rented to you for a period of 7 and Medical Expenses Definitions, item 14. or fewer consecutive days, is the Damage to Personal and Advertising Injury, In the Premises Rented to You limit shown in the Businessowners General Liability Declaration. Coverage Form:
5. Blanket Waiver of Subrogation h. Discrimination or humiliation that results in injury to the feelings or reputation of a natural
We waive any right of recovery we may have person, but only if such discrimination or against: humiliation is:
a. Any person or organization with whom you 1. Not done intentionally by or at the have a written contract that requires such a direction of:
waiver. a. The insured; or
6. Broad Knowledge of Occurrence
b. Any "executive officer," director,
The following items are added to E
Businessowners General Liability Conditions
in the Businessowners Liability Coverage
2. Not directly or indirectly related to the
e. Paragraphs a. and b. apply to you or to any employment, prospective employment, only when such past employment or termination of
"occurrence," offense, claim or "suit" is known employment of any person or person by to:
(1) You or any additional insured that is an b. The following is added to Exclusions, Section individual; B.:
SB-146932-E Page 4 of 5
(Ed. 06/11)
SB-146932-E
CNA (Ed. 06/11)
(15) Discrimination Relating to Room, Personal and Advertising Injury Liability is Dwelling or Premises excluded either by the provisions of the Policy or by endorsement.
Caused by discrimination directly or
9. Personal and Advertising Injury Re-defined
Section F. Liability and Medical Expenses
Definitions, item 14, Personal Advertising Injury,
or premises by or at the direction of any
Paragraph c. is replaced by the following:
(16) Fines or Penalties c. The wrongful eviction from, wrongful entry into, or invasion of the right of private
Fines or penalties levied or imposed by a occupancy of a room dwelling or premises governmental entity because that a person or organization occupies discrimination. committed by or on behalf of it's owner, c. This provision (Expanded Personal and
Advertising Injury) does not apply if
SB-146932-E Page 5 of 5
(Ed. 06/11)
Focus Media Group, Inc. SB-300022-B
CNA (Ed. 07/09)
Policy Number: B4034610293
Effective: 5/19/2022
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF SUBROGATION
SCHEDULE
Name Of Person Or Organization:
ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE A
CONTRACT THAT REQUIRES SUCH A WAIVER
* Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations.
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS COMMON POLICY CONDITIONS
We waive any right of recovery we may have against:
1. Any person or organization shown in the Declarations; or Any person or organization with which you have a contract that requires such a waiver.
SB-300022-B Includes copyrighted material of Insurance Services Office, Inc., with Its permission. Page 1 of 1 (Ed. 07/09) Copyright, Insurance Services Office, Inc., 2002 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.
The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration.
Schedule
Person or Organization Job Description
Any person or organization as required by written contract.
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.) Endorsement Effective 4/21/2022 Policy No. SWC1383487 Endorsement No.
Insured Focus Media Group Inc. Premium $ 9,541
Insurance Company Security National Insurance Company
Countersigned by
WC 04 03 06
(Ed. 04-84)