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PROOF OF INSURANCE (2022) CLOSED
USAPICK-01 .._. ACORN CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) _44/ 3/28/2022 THIS CERTIFICATE ISSUED AS A" -�A TE 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 " hC9RQACT Lori Georlge,,,,,. ..... ..... Loomis & LaPann, Inc. PHONE FAX 518-792-6561 (Arc No, Ext)" (518) 792-6561 (Arc No�,f518) 792 3426 E-MAIL 9 MAIL I eor a IovmiS)ap nn.Com Glens Glen Street, PO Box 2158 ADDRESS; Glens Falls, NY 12801 .-.�.., INSURED USA Pickleball Association 5350 East Marriott Dr. Phoenix, AZ 85054 INSURER PI; INSURER E :. COVERAGES CERTIFICATE NUMBER: 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 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. INSR TYPE OF INSURANCE IANSD ,5 D POLICY NUMBER M"MfoC F POLICY EXP LIMITS _ ( TSR,",,,,,,," Q YY! IMMADOIYYXYI A X COMMERCIAL GENERAL LIABILITY '... EACH OCCURRENCE S 2,000,000 CLAIMS -MADE. X OCCUR HDGL003700499 7/1/2021 7/1/2022 DAMAGE 1'r0REN7E0, 300,000 X ', G N I. AGGRLO,A'TE T. MI I APPLIES PE.R PRO - POLICY JECT PRO- LOC X OTHER Event AUTOMOBILE LIABILITY ANY AUTO ..... ',.... OWNED ...... ;.. SCHEDULED _... ''.... AUTOS ONLY AUTOS HIRED NON44!"P,9(mL# ... 1 AUTOS ONLY A4ATT).. I�ISaLw' UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE DED RETENTION a" WORKERS COMPENSATION AND EMPLOYERS" LIABILITY Y f N ANY PROPRIE'TOFCPAR'TNT RPE4EC1,U71VE i"� INp��RCERfl10EMB5R EXC4..UDED'y , N I A (gdlandatory is NH) 0 YA:.5.. da?.Scmbe. under '.. IVIED EXP (Anyone person) ",S PERSONAL& ADV INJURY S PRODUCTS - COMP/OP AGG .. S. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EVENT NAME: APP LA Open EVENT DATE: June 23-26, 2022 EVENT LOCATION: El Segundo Tennis Center Certificate Holder and City of El Segundo are named as additional insureds, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE El Segundo Tennis Center THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 ACCORDANCE WITH THE POLICY PROVISIONS. 401 Sheldon St. El Segundo, CA 90245 AUTHORIZE\-D` REPRESENTATIVE .CORD 25 (2016/03)©1988-2015 ACORD CORPORATION. All rights reser ved. The ACORD name and logo are registered marks of ACORD