CERTIFICATE OF INSURANCE (219)
'"
.....I.I.tjl2l.611"......Ii_......illllil~,1~~.~_~~19~........_i........................................G_.T,_.~__.....~:.~:~!8~95.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Al!~f:1_THE CQYI:.I=tA9.E AFF=Q_f:1Q.Ej) BY TI::II; POlIC_I!;~~I;l:QW.
COMPANIES AFFORDING COVERAGE
COMAANY CLARENDON NATIONAL INS. CO. (Harbor)
HUGGABUG PRODUCTIONS
3112 Nicada Drive
Bel Air, California 'X'J077
I
ICQVEaA~E~ .
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,
, . ..! . . ..... -'.. j
-, POLICY EFFECTIV~ -,POLICY EXPIRATION!
, DATE (MMlDDNY) . DATE (MM/DDNY)
; INSURED
COMPANY
B
COMPANY
C
COMPANY
D
'co
ILTR
I
i GENERAL LIABILITY
i I
f x, COMMERCIAL GENERAL LIABILITY
, 'i..] CLAIMS MADE! JtoCCUR
I A !' I OWNER'S & CONTRACTOR'S PROT
x Blanket Contractual
Ix Ind. Contractors
I AUTOMOBILE LI~~;~ITY
1- -:
, ANY AUTO
- -I ALL OWNED AUTOS
A _ I SCHEDULED AUTOS
,x I HIRED AUTOS
I" i NON.OWNED AUTOS
.._J=_lu
GARAGE LIABILITY
TYPE OF INSURANCE
POLICY NUMBER
HGL 000020101 1-19-95 11-19-96
WARNING--This Policy does not cover any use of
Explosives or Pyrotechnics. See Special' Exclusion &
Limitation Endorsement I attached to this Policy.
HCA 000030101 1-19-95 I 1-19-96
W ARNING-- This Policy does not cover any Auto
Stunt Activity. See Special Exclusion & Limitation
I
Endorsement attached t9 this Policy.
,
I
~'\
,UI
',,(
:. \ \
UU
,
I
..u ""'-":
i
[~rE~W:'L')
, ANY AUTO
LIMITS
:'
jGENERALAGGREGATE 1$
PRODUCTS. COMP/OP AGG]S__
PERSONAL & ADV INJURY .Is...
EACH OCCURRENCE L
,
. FIRE DAMAGE (Any one fire) 1$
:::::~~:=:~:~ . r:
_Is.
1,000,000
1,000,000
,-
1,000,000
1,000,000
1,000,000
! BODILY INJURY
i (Per person)
I
: BODILY INJURY
. (Per accident)
j
I PROPERTY DAMAGE
IAU~~ ~~L ~---~~-ACCIDENT
,OTHER THAN AUTO ONLY:
EACH ACCIDENT
1$
!
1$
-ur;
-,
EXCESS LIABILITY -------uuuumJUIlf6-19{i-=i ,uul 'EACH OCCURRENCE
UMBRELLA FORM I I AGGREGATE
WOR~:::::::~~:~~~~L~!;R~_-l_u u __u -- u - ----~\)f' I. ~ M{--u-~Ji-tii,fll,.,,' ,," t~:'ril 'i,'~';;,1jfJW, i Pl:~
,EMPLOYERS' LIABILITY I ,. '~, H S\JU ~''\\J &>.. 'W ._- - -
I_lei' I EL EACH ACCIDENT $
A THE PROPRIETOR! I .
PARTNERS/EXECUTIVE ; INCL HWC 000040101 1-19-95 1-19-96 ilEL DISEASE. POLICY LIMIT i$
. OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE 1$
.. !OTHERH ---- _m_m.______,___..h__'__m_u_____h. - . -. . _U__ ,-. --m---ru~-:l-~TAT~~n;THER.T~~~NEVADA,
fJ",>,iON o'o,....iio,"'o"""",""'"""...""...-....--_.. n.;,'CITYiiF CLEARWATER ;s na~~ ::::' .~~:~r::;;;"'d (0<
General Liability and Automobile Liability, but only as respects liability arising out of the operations of the Named Insured.
CERTIFICATE #14. "THE HUGGABUG CLUB"
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENli~MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
~:;;;;;;:, '~~~~.=~':~GA::,:,~:::.
/iJ,~ .'~ ...;1 ~' /0, /.>,..'.' >- Tr~nl~llYanDyke,Jr.
V" '.... ..4-----.-~-~'-f-// l.i}~~QRPCQRPORATlQNt98
tC~RllFicAfEfiOLI)ER--
,
!
CANCELLAT10N
. ,
CITY OF CLEARWATER
P.O. BOX 4748
Clearwater, Florida
i
,
,
,
I
IAv~P2~~'{1L9jS>}.." >
34618
~;:'h
\.~~:~,t
.""",
1,000,000
1,000,000
1~00p,OOO
~,
, ...
;RU~AN VAN DYKE COJPANY 6255 SUNSET BLVD, SUITE 140110LLYWOOD, CA 90028 213/462-3300
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
SPECIAL EXCLUSION & LIMITATION ENDORSEMENT
MOTION PICTURE AND VIDEOTAPE PRODUCTION
IN CONSIDERATION OF THE PREMIUM CHARGED, IT IS HEREBY UNDERSTOOD AND
AGREED THAT THE FOLLOWING EXCLUSIONS AND LIMITATIONS APPLY UNLESS
SPECIFICALLY DECLARED AND A PREMIUM CHARGE IS MADE.
PYROTECHNICS & EXPLOSIVES EXCLUSION
IT IS AGREED THAT COVERAGE UNDER THIS POLICY SPECIFICALLY EXCLUDES ANY
LIABILITY ARISING OUT OF, OR RESULTING FROM, THE USE OF ANY EXPLOSIVE,
.. F~REW.QRKS,.OR_P)'J~,QIECRNJCDEYICES.EXCEPI~FLASHBOXES:AFLASHBQXJS. A DEVICE
THAT IS USED TO CREATE A VISUAL EFFECT ALONG WITH AN EXPLOSIVE NOISE, IT IS
INDUCED ELECTRICALLY IN A CYLINDER WITH NO PROJECTILE, WADDING OR WRAPPING.
IT IS FURTHER AGREED THAT SQUIBS ARE NOT CONSIDERED AS EXCLUSIONS UNDER
THIS EXCLUSION.
AUTOMOBILE STUNT EXCLUSION
THIS INSURANCE DOES NOT APPLY TO ANY BODILY INJURY, PROPERTY DAMAGE OR
AUTOMOBILE PHYSICAL DAMAGE ARISING OUT OF (1) THE OWNERSHIP, MAINTENANCE,
OPERATION, USE, WADING OR UNLOADING OF ANY AUTOMOBILE WHILE BEING USED
IN ANY PRE-ARRANGED OR ORGANIZED RACING, SPEED OR DEMOLITION CONTEST OR
IN ANY STUNTING ACTIVITY OR IN PRACTICE OR PREPARATION OF ANY SUCH CONTEST
OR ACTIVITY.
ALL OTHERS TERMS AND CONDmONS REMAIN UNCHANGED.
...~ .... ......
AUTHO IZED REPR IVE
TRUMAN VAN DYKE, JR., CPCU
EN S-2
(
'c