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PROOF OF INSURANCE (2023) CLOSED (2)- ` CERTIFICATE OF LIABILITY INSURANCE ___..� CER ...............� DATE 6(222� 23 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. 1...___.........__ ............_ -..............tif............................ .......... .....DD...............NAL.............the _olic ies must be endorsed. If SUBROGATION IS WAIVED subject to the IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,p y( ) � 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 -- — CONTACT ONTACT NAME The CampTeam, LLC NE -F WCc) 7 I/AFXC .rI 9035 Wadsworth h Parkway„ E-MAIL YnFoCampteaTCOm Suite 3820, .... Westminster, CO, 80021 �TIIL3l� ..............__„_.........---- .. .... ......_ ---- ............... .. .. G COVERAGE NAIL # 9 9 ............. ......... INSURER A: Texas insurance Company ...�... �...1 ......_ l mm y INSURED Sports Marketing Program Management Inc. 16543 Cityof El Segundo INSURER ..............__._...................___.......__._.------------...-_.—........__.........---.....___._._____...__._.______.....----�. INSURER C : NI 350 Main Street El Segundo, CA, 90245 INSURER D c INSURER E .............................m.........._.„................................................ .........._............ ......... I ............,. INSURER F : .-.�...W. ................ _....... COVERAGES CERTIFICATE NUMBER: A-SP-SU-23-06-22-280308 REVISION NUMBER: _._........ .................................................................................................................... ............._...... THIS IS TO CERTIFY THAT THE POUCIES 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.. LTR, TYPE OF I „', ,,.. „�'Q„► :'y F'CiP.14;Y it FC�M.1L"YE'%F' LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1yQOQ 000 0Q A N N BESGLPTNV011201,_,170M-01 06/22/2023 08/21/2023 X COMMERICAL GENERAL LIABILITY DAMAGE TO PREMISES $ 300,000.00 RENTED Am1 one remises) . CLAIMS -MADE OCCUR MED EXP (any one person) Y R 5.,.000 00 X YNCL49DES ATHLETIC PARTICIPANTS PERSONAL 8 ADV INJURY..,.,.,.,. N $ 3..Q,.Q� �Q GENERAL AGGREGATE Q XGENE POLICY AGGREGATE LIMIT APPLIES PER: LOC PRODUCTS COMP/OP AGG $ 2�0,00 000.00 _..__._..._ m...__ AUTOMOBILE L. INLAY ... � N COMBINED SINGLE LIMIT ANY AUTO HIRED AUTOS (Ea accident) $ .....--- Y INJURY (Per erson .. ALL OWNED ,.W., ccide))$ BODILY INJURY BODILY p $ AUTOS AUTOS GOWNED (Per a, nt........�..................... ----- .". ...._� PROPERTY DAMAGE SCHEDULED AUTOS (Peracddent)$ UMBRELLA LIAB OCCUR EACH OCCURRENCE .... .... ... ..... ................m_.'.. EXCESS LIAB CLAIMS -MADE AGG REGATE DEDUCTIBLE $ RETENTION $ $ .....�..... ............�... .... ......... ........ yr0( PSCONFENSATION I -VVC STATU- i/` ��. ............ ADEM LOYEFSLIPELl1Y J T�Otai.Y LIMIT ....� ....... ,... ,,..... ANY PROPRIEfOR�PARTNEREXECUTIVE UFFICERAAEMBEREitCLlIDED7 M E.L. EACH ACCIDENT S (MandamrynNH N I A If yes, describe under ----------------- SPECIAL PROVISIONS below E,L,DISEASE-EA EMPLOYEE S ...,F..._..��.. ---- ..............� E..L DISEASE -POLICY LIMIT $ ww............._ OTHER _.._.._.. �_ .... A Abuse/Molestation N BESGLPTNVO11201,_170012_01 06/22/2023 08/21/2023 Each Occurrence:$ 100,000,00 Aggregate:$ 500,000.00 W..... ...................... .___....... DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Liability Policy Deductible: $0..00 Deductible for Bodily Injury and $ 1000.00 per Property Damage Claim. ISO Occurrence form CG 00 01 04 13 and company's specific fors, Coverage for Participant Legal Liability requires that every participant signs a waiver/release. RE: Registered Theatre participants: 06/22/2023 - 08121 /2023. ...�.�........................ .......... ..W.._...... .................................. CERTIFICATE HOLDER CANCELLATION City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE El Segundo, CA, 90245 1, Mark Di Perno j—r ACORD 25 (2016/03) The ACORD name and logo are registered, marks of ACORD ©1988- 2009 ACORD CORPORATION. All rights reserved. ©2008 ACORD CORPORATION. All rights reserved. ACORD 101 (2008/01 ) The ACORD name and logo are registered marks of ACORD