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PROOF OF INSURANCE (2024 - 2025) CLOSEDDATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/06/2024 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 Justine Bellevue NAME: Kulchin Ross Insurance Services, LLC PHONE, GEwt (818) 996-0900 FaJc No (818) 279-6999 18757 Burbank Blvd. AC7MFESS,r Justine@kulchinross.com Suite 320 INSURER(S) AFFORDING COVERAGE NAIC # Tarzana CA 91356 INSURERA: Amwins Group Inc INSURED INSURER B : y LLO ds of London WW_ Geekopolis, LLC, DBA: GameTruck LA South Bay INSURER C 2748 Pacific Coast Hwy INSURER D : Unit 1010 INSURER E :. .......................... Torrance CA 90505 INSURER F : COVERAGES CERTIFICATE NUMBER: 24-25 CGL/24-25 SAM 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. R TYPE OF INSURANCE INSD POLICY POLL XP 4YVD POLICY NUMBER MMIDD (IYYYY) LIMITS A B COMMERCIAL GENERAL LIABILITY1,000,000 OCCURRENCE $ CLAIMS -MADE ] OCCUR [EACH EMISES (Ea occurrence $ 100,000 !1 Y 11 1 CPS8047342 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY PRO- LOC �' JECT OTHER: AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED — AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS DED_J_JI RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETOR/PARTNER/EXECUTIVE ""...... OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below General Liability 08/01 /2024 1 08/01 /2025 MED EXP (Any one person) PERSONAL &ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OPAGG COMB RNO SBNGLE LIMPr (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPEAFY DAMAGE (Per aucideiL�h EACH OCCURRENCE E.L.. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEI E.L„ DISEASE - POLICY LIMIT SEXUALABUSE B0621PGEEK000124 05/28/2024 05/28/2025 SEXUALABUSE DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Full certificate holder name: The City of El Segundo, its officers, officials, employees, agents, and volunteers Certificate Holder is included as an additional insured where required by written contract under the general liability. $ 5,000 $ 1,000,000 $ 2,000,000 $ 2,000,000 $ $1,000,000 $1,000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of El Segundo" ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main St. AUTHORIZED REPRESENTATIVE ElSegundo CA 90245 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD A� SCOTTSDALE INSURANCE COMPANY" ATTACHED TO AND I ENDORSEMENT EFFECTIVE DATE FORMING APART OF (12:01 A.M. STANDARD TIME) POLICY NUMBER CPS7840103 1 08/01/2023 ENDORSEMENT NO. NAMED INSURED GEEKOPOLIS, LLC, DBA: GAME TRUCK SOUTHBAY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY., BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART With respect to this endorsement, SECTION II —WHO IS AN INSURED is amended to include as an additional in- sured any person or organization whom you are required to add as an additional insured on this policy under a written contract, written agreement or written permit which must be: a. Currently in effect or becoming effective during the term of the policy; and b. Executed prior to the "bodily injury," "property damage," or "personal and advertising injury." The insurance provided to these additional insureds is lim- ited as follows: 1. That person or organization is an additional insured only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf. A person's or organization's status as an addi- tional insured under this endorsement ends when your operations for that additional insured are completed. 2. With respect to the insurance afforded to these additional insureds, the following exclusions are added to item 2. Exclusions of SECTION (— COVERAGES: This insurance does not apply to "bodily injury," "property damage" or "personal and advertising injury" occurring after: AGENT NO. 040BM a. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, mainte- nance or repairs) to be performed by or on behalf of the additional insured(s) at the loca- tion of the covered operations has been com- pleted; or b. That portion of "your work" out of which the in- jury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontrac- tor engaged in performing operations for a principal as a part of the same project. 3. The limits of insurance applicable to the additional insured are those specified in the written contract, written agreement or written permit or in the Decla- rations for this policy, whichever is less. These lim- its of insurance are inclusive of, and not in addition to, the Limits of Insurance shown in the Declara- tions for this policy. 4. Coverage is not provided for "bodily injury," "property damage," or "personal and advertising injury" arising out of the sole negligence of the additional insured. 5. The insurance provided to the additional insured does not apply to "bodily injury," "property damage," or "personal and advertising injury" arising out of an architect's, engineer's or surveyor's rendering of or failure to render any professional services including: Includes copyrighted material of ISO Properties, Inc., with its permission. Copyright, ISO Properties, Inc., 2004 GLS-150s (7-06) Page 1 of 2 a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, re- ports, surveys, field orders, change orders or drawings and specifications; and b. Supervisory, inspection, architectural or engi- neering activities. 6. Any coverage provided hereunder will be excess over any other valid and collectible insurance avail- able to the additional insured whether primary, ex- cess, contingent or on any other basis unless a written contract specifically requires that this insur- ance be primary. When this insurance is excess, we will have no du- ty under SECTION I —COVERAGES to defend the additional insured against any "suit" if any other in- surer has a duty to defend the additional insured against that "suit." If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured's rights against all those other insurers. AUTHORIZED REPRESENTATIVE DATE Includes copyrighted material of ISO Properties, Inc., with its permission. Copyright, ISO Properties, Inc., 2004 GLS-150s (7-06) Page 2 of 2 rZD DATE (MMlDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE AA 1131l)n)A 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 CT Diamond Valley Insurance Services, Inc. PHONE 0r stal Escanuela rAX 41856 Ivy Street # 108sl (1)5.400 _ AAA, No (1)s 6s� EMAIL MURRIETA, CA 92562 cstalfdiamondvalleyins.com License #: OH94716 INSURERS) AFFORDING,COVERAGE 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. ( „ �- .-AOG 04UORb . POLICY EFF POLICY C LIMITS )_TR TYPE OF INSURANCE POLICY NUMBER D MMMOPYYYY I COMMERCIAL GENERAL LIABILITY '.. EACH OCCURRENCE -. . I't,o CLAIMS -MADE OCCUR _ � � PRAEMP ,( v�t�tv!1�4en � (Fa n�r�{nerLPa1.,._ ...._., ,,, _. ..... ...,. ....... MED EXP (Any one person) °G ',. PERSONAL & ADV INJURY S GEN°L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE r POLICY PRO- LOC JECT PRODUCTS - COMPIOP AGG OTHER 9 AUTOMOBILE LIABILITY A 01095918 04l06l2024 ` 10/06l2024 T':OMBBhIEE,r SiCIC7LE L..9MYi $ C�u,acci�rrr�,Ip 1,OQOaOQp. . ANY AUTO BODILY INJURY (Per person) S OWNED SCHEDULED INJURY (Per accident) $ HIRED T S ONLY " '„ AUTOS , TY DrAtudAGE $ PROPERTY r'�u'JPER7'r" .. AUTOS ONLY AUTOS ONLY ..., PeOP $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ '.. EXCESS LIAB CLAWtw15 P�IAfJE... AGGREGATE ........ $ ...,,,, .... .., raED REI'ENTIONa $ WORKERS COMPENSATION PER H STATUTE AND EMPLOYERS' LIABILITY Y / N .. ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT... $ " OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) EL DISEASE,- EA EMPLOYEE„ '$ ........ '..Ifyes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) 10 Day Cancellation Notice See attached endorsement schedule for reference. i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of El Segundo, its officers, Officials, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN employees, agents and Volunteers ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main St. El Segundo, CA 90245 AUTHOR¢EDRSPRssENrA•IIV�.... CE1) ©198 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks f AC D Printed by CE1 on 04/23/2024 at 03:37PM DATE (MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 04/24124/20242024 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 Automatic Data Processing Insurance Agency, Inc. Agency, _PHn. �.. ...... ......... ......... ..... Automatic Data ProcessingInsurance A enc ,Inc. PHON . 1-800-524-7024 fA/C T,t, raaC. No): 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-.....--- .. ..L UL.S.OS.P---- ....... ....... P.- ......_._ ---- .................... LIMITS PE OF INSURANCE POLICY NUMBER MMn)D/YYYY MM/DD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAi"CE"T0 RtxNTF't5 -... PREMISES Ea occu rence� _ - - $ ... . ........... .. MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ � PRO, POLICY LOC �) JECT .... PRODUCTS COMP/OP AGG PRODUC $ ... OTHER: AUTOMOBILE LIABILITY CO BIN' D SIN .I II Gu91 ` $ ANY AUTO BODILY INJURY (Per person) $ ._ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED PR/7iiti IAMAI $ AUTOS ONLY AUTOS ONLY (F�er a`c4enl)....._._ _ __ ff UMBRELLA LIAB OCCUR �E EACH OCCURRENCE',,, $ _ EXCESS LIAR AGGREGATE GA — --- ...-. DE RETENTION $ $ WORKERS COMPENSATION TA H STA„ TUTEmm I ER"„"" L YER LIABILITY AND EMP O S Y / N E L EACH ACCIDENT c --- $ 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE Y L-m... N /A N SWC1487827 04/14/2024 04/14/2025 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E L DISEASE EA EMPLOYE $ 1 000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000-000 I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION The City of El Segundo, its officers, officials, employees, agents, and volunteers 350 Main St ElSegundo 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 n 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD