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PROOF OF INSURANCE (2023 - 2024) CLOSEDCERTIFICATE OF LIABILITY INSURANCE - _— . — 23 DATEO6/11 /20 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). _....... _.._._.. __,_..._ _....._ __ ._,...,_.. _. C9•rYI�M'T,r�.:.................� .......,..� ... .... ............. PRODUCER NAMiE; Myers -Stevens & Toohey & Co., Inc. PHONE TAN 800-827-4695 (-v 949-348 2630 E-MAIL ohe n1 ers SteVefis Com ps:�. yC ....... ........---................ ................. 26101 Marguerite Parkway, mto PROS Mission Viejo, CA, 92692_G9Ta7M��Yl�....n._...................."�"............................ INSURERS) AFFORDING COVERAGE. NAIL iJ INSURED Sports Marketing Program Management Inc. INSURER A: Texas Insurance Company 16543 ChampCamp LLC ....._._.. ......... .............. ................ .......... INSURER B INSURER C : 12655 Bluff Creek Drive #120...... ........................ __................................ --------- ------------ .. Playa Vista, CA, 90094 INSURER D INSURER E p INSURER F : ..... .............. ....................._........ ._ ... ................ ................................................................................................... COVERAGES CERTIFICATE NUMBER: A-SP-SU-23-05-12-276834 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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„ NSR P F.f N....., ADDL SUER POUCYEFF POLICYEXP VIM POLICY NUMBER LIMITS A G'ENERALLtAB'NLIiTY Y N BESGLPTNV011201_17001201 06/11/2023 06/11/2024 EACH OCCURRENCE IX. COMMERICAL GENERAL LIABILITY DAMAGE TO PREMISES $ 300 000.00 RENTED (Any one premises) EFCLAIMS -MADE �X� OCCUR MED EXP (any one. person) $ 5, 00(j 00 _ 111CLUDES ATHLETIC PARTICIPANTS PERSONAL & ADV INJURY $ 1,000,000.00 GENERAL AGGREGATE $ 3, 000 0. GENERAL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,,000.00 "_ POLICY""""µPROJECT"""...."u LOC $ ................................................................... ................. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO HIRED AUTOS (Ea accident) $ ALL OWNED NON -OWNED AUTOBODILY INJURY (Per person) 8 AUTOS.................. ...BODILY. INJURY (Per accident) $.........................................����� SCHEDULED (Per accident) .................. AUTOS $ .......................................................... ..................................................................... UMBRELLA UAB OCCUR EACH •------- EXCESS LIAR-------- AGGREGATE $ .,.CLAIMS -MADE �.. OCCURRENCE................................................................................�.��.�............................................................................. ...... .,w.w,.,.,..m,.mm,m..ww...�.,m ....... ..�.._ .... DEDUCTIBLE $ RETENTION $ $ —------VICSTATU ANDENPLOYERSLIABI.IIY _ 1-Si7€3X.A,tImILTS..! ,........ »„ .. .... ........ .................. ANY PROPRIETOPoPAR TNEREXECUM OFFICERMIEMBEREXCLUDED? (Mardahaynrl" N / A E,L. EACH ACCIDENT s If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE- EA EMPLOYEE "�$ E.L., DISEASE -POLICY LIMIT ...................._ OTHER...-...."._ .. ................_.............. A Abuse/Molestation '.. Y BESGLPTNV011201_170012_01 06/11/2023 06/11/2024 Each Occurrence: $ 25,000.00 Aggregate: $ 50,000.00 .._._..._.._.._.._................_._...................................._.�._......_.._.._..........._. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) j Liability Policy Deduclible: $0.00 Deductible for Bodily Injury and $ 1000,00 per Property Damage Claim. ISO Occurrence form CG 00 01 04 13 and company's speck forms. Coverage for Particpant Legal Liability requires that every participant signs a waiver/release. The certificate holder is named as Additional Insured with respect to (continued on next page) CERTIFICATE HOLDER CANCELLATION City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 350 Main Street DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA, 90245 AUTHORIZED REPRESENTATIVE -� -� Mark Di Perno ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD ©1988- 2009 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD ©1988- 2009 ACORD CORPORATION. All rights reserved. l ' lat 'to; m