Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
PROOF OF INSURANCE (2025) CLOSEDDATE (MM/DD/YYYY)
ACOI V CERTIFICATE OF LIABILITY INSURANCE
7/17/2024
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 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 CONTACT
NAME: Shelby Mocnik
Marsh & McLennan Agency LLC PHONE ........ FAX
Wg
Marsh & McLennan Ins. Agency LLC E Ir"° 949 601 w1227 No)
AG oPolaris y Viejo CA 92656 AD0REss: oo Shelby Mnikt mar hmma.com
INSURER(S)AFFOF'R'DIN;G COVERAGE NAIC # mm
�mmw .......... ......____ License#: OH1 8131 wwINSURER A;Great Divide Insurance Company 25224 mmmm
INSURED CHARGFOOTB INSURER13Berkley Regional Insurance mCom an v 29580
Chargers Football Company, LLC
3333 S Susan Street Ir�suaw rx c ........ 6,_ m...._...... _....
Costa Mesa CA 92626 INSURER D
LNSURER. E
INSURER F
rnvCoer_ee /`CCTICI('ATC kitIURFR- OnGRAlOn) RFVISInN NI.IMRFR-
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.
ILTR TYPE OF INSURANCE ... ............ AD �� POLICY NUMBER POLICY FF� POLICY EXP �� ��
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
CLA750185316
5/1/2024
5/1/2025
EACH OCCURRENCE
$1,000,000
�X �
$1,000,000
CLAIMS -MADE OCCUR
PR,E,AAISImS L9aq„rMrrenceJ
_...._...._..... ................_
MED EXP (An one person)
$ EXCLUDED
PERSONAL & ADN INJURY ....
$ 1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER: �.
.GATE
GENERAL AGGRE mm�
$ 2,000,000 _�........ �..�
X
PRO-
POLICY JECT LOC
_R
PRODUCTS - COMP/OP AGG
- .......
$ 2.000,000 ........ .....
$
OTHER
B
AUTOMOBILE LIABILITY
CAA750188516
5/1/2024
5/1/2025
CCa OMBINED INOLE LIMIr
tacc)Kkeull) mm
$ 1,000,000
....._..-. _.-.
X ANY AUTO
BODILY INJURY (Per person)
$
OWNED SCHEDULED
BODILY INJURY Per accident)
(
$
AUTOS ONLY AUTOS
HIRED NON -OWNED
6 ik Doi MAGE
AUTOS ONLY AUTOS ONLY
k
f a codenl
. w-.•.
A
X
UMBRELLA LIAB X OCCUR
�
CUA750190316
51112024
5/1/2025
EACH OCCURRENCE
m.W
$ 5,000,000
EXCESS LIAB CLAIMS -MADE
.AGGREGATE
REGATE
$ 5,000,000mm.
DED RETENTION $
$
WORKERSCOMPENSATION
PER OTN-
U7E ER
AND EMPLOYERS' LIABILITYY
,,_,......,„_ ............._..... __
ANYPROPRIETOR/PARTNER/EXECUTIVE
0FFICER/MEMBEREXCLUDED?
N/A
E.L. EACH ACCIDENT
°"""""
$�
----
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE---_-...
...--
I $
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: The City of Ell Segundo and Its officials, officers, employees, agents, and representatives are included as additional insured as respects to General Liability
per attached endorsement. Primary and Non -Contributory Wording applies to General Liability per attached endorsement. Waiver of Subrogation applies to
General Liability per attached endorsement. 30 Day Notice of Cancellation provided to the City of El Segundo per attached endorsement.
City of El Segundo
350 Main Street
El Segundo CA 90245
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
b4* Alt"
U 19BU-ZUI5 AGUKU GUKYUKA I IUN. All rlgnis reservea.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
INSURED:
POLICY #: POLICY PERIOD: TO:
COMMERCIAL GENERAL LIABILITY
CG E25 AS 08 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY INSURANCE - NON! CONTRIBUTORY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, paragraph 4. Other In-
surance, subparagraph a., Primary Insurance is amended as follows:
a. Primary Insurance
This insurance is primary except when b. below applies. If this insurance is primary,
our obligations are not affected unless any of the other insurance is also primary.
Then we will share with all that other insurance by the method described in c. below.
If the Named Insured has entered into an "insured contract" requiring that this insur-
ance be primary and non-contributory, we will abide by that contract requirement.
CG E25 AS 08 04 Includes copyrighted material of ISO Properties, Inc., Page 1 of 1 ❑
with its permission.
INSURED: Chargers Football Company, LLC
POLICYM CLA750185316
POLICY PERIOD: 11/01/2024
TO: 05/01/2025
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
SCHEDULE
Name of Person or Organization:
Blanket as required by written contract executed prior to loss.
CG 24 04 05 09
Information required to complete this Schedule, if not shown above, will be shown in
the Declarations.
The following is added to Paragraph 8. Transfer of Rights of Recovery Against Others
To Us of Section IV -Conditions:
We waive any right of recovery we may have against the person or organization shown
in the Schedule above because of payments we make for injury or damage arising out of
your ongoing operations or "your work" done under a contract with that person or
organization and included in the "products -completed operations hazard". This waiver
applies only to the person or organization shown in the Schedule above.
CG 24 04 05 09 Copyright, Insurance Services Office, Inc., 2008 Page 1
INSURED;ChargersFootb.11Conpany,LLC
POLICY #: CLA750185316
POLICY PERIOD: 01/01/2024 TO 05/01/2025
COMMERCIAL GENERAL LIABILITY
CG 20 26 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
�" •
W� l • • 140901 •
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s):
Any person or organization whom you have agreed to include as an additional insured under a written
contract, provided such contract was executed prior to the date of loss.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 1
A. Section II — Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by your acts or
omissions or the acts or omissions of those acting
on your behalf:
1. In the performance of your ongoing operations;
or
2. In connection with your premises owned by or
rented to you.
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
CG 20 26 1219 © Insurance Services Office, Inc., 2018 Page 1 of 1
COMMERCIAL GENERAL LIABILITY
CG 02 2410 93
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Number of Days' Notice 30
(If no entry appears above, information required to complete this Schedule will be shown in the Declarations as
applicable to this endorsement.)
For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of
cancellation, as provided in paragraph 2. of either the CANCELLATION Common Policy Condition or as amended
by an applicable state cancellation endorsement, is increased to the number of days shown in the Schedule above.
CG 02 2410 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1