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PROOF OF INSURANCE (2025 - 2025)CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDNM) 03/01 /2024 THCS—c-EWTIRU-Are is Issa O AS A MA ER I F A O'N ONLY AND CO S NO -RIPTS UPONC O MEW. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMI ND, 'EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER„ AND THE CERTIFICATE HOLDER. PORTA . If t e certificate 661der is an ADDITIONAL INSUIRE15, the poll must halts I D prov stuns or --Fa endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy„ certain policies may require an endorsement. A statement on this certificate doss not confer rights to the certificate holder in lieu of such endorsement s . PROoucER I ONTACTNAMMM - Dance Instructors K&K Insurance Group, Inc. 1712 Magnavox Way Fort Wayne, IN 46804 (Ar 1-800-506-4856 A 1-260-459-5502 I"-fw1C✓r No Exn ° AIc No " ADDRESS: info@f'itnessinsurance-kk.com CUSTOM -ER I* INSURER(S) AFFORDING COVERAGE NAIO 0 INSURED INSURER A: Markel Insurance Company 38970 Thomas Hickey -INSURER B: DBA: TOmmusic DJ Services 10540 National Blvd 12 INSURER C: INSURER D: Los Angeles, CA 90034 INSURERS: A Member of the Sports, Leisure & Entertainment RPG INSURER F: COVERAGES CERTIFICATE NUMBER: 000060965 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. iL 'TRT '. TYPE OF INSURANCE INSD WVo POLICY NUMBER MIMPOD CY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY X MIRP'GOODOOD0131500 2010712024AM 03/07IW 5 EACH OCCURRENCE $1,OO'O,000 CLAIMS FX OCCUR MADE 1 12:01 AM PREPWfISImS Ea Occurrened $1,000,000 MED EXP (Any one person) -� $5.000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE 5,4)"Ut„OOO AGGREGATE LIMIT APPLIES- PER: PRODUCTS-COMPIOPAGG $1,000,000 GEN'L JECPOLICY ❑ PR!tT ❑ LOC PROFESSIONAL LIABILITY $1,000,000 OTHER: 8WILY To PARTICIPAN"r5 $1,000,000 AUTOMOBILE LIABILITY 4 Ia IM Ea aoobda aq ANY AUTO BODILY INJURY (Per person) OWNED AUTOS SCHEDULED ONLY AUTOS BODILY INJURY (Peraccidenl) .. HIRED NON -OWNED AUTOS ONLY AUTOS ONLY ,. Per a�c,adaot NOT PROVIDED WHILE IN HAWAII UMBRELLALIAB OCCUR EACH OCCURRENCE EXCESS LIAR HCLAIMS-MADE AGGREGATE w - ICED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N/A '. i PER OTHER STATUTE ANY PROPRIETORIPARTNERt Y l N E.L. EACH ACCIDENT EXECUTIVE OFFICERIMEMBER r--1 EXCLUDED? (Mandatory in NH) Y E.LDISEASE- EA EMPLOYEE E.L.DISEASE-POLICY LIMB If yes, describe under DESCRIPTION OF O6'MnONS btgow MEDICAL PAYMENTS FOR PARTICIPANTS PRIMARY MEDICAL EXCESS MEDICAL DESCRIPTION OF OPERATIONS I LOCATIONS J VEHICLES (ACORD 101, Addltfonal Remarks Schedule, may be attached if more space Is required) Non Certified Instructor of: Country Western The Certificate holder is added as an additional insured, but only for liability caused, in whole or in part, by the acts or omissions of the named insured, Cl=K II-FICAT1= FIOLDER CANCELLATION The City of El Segundo, its officers, officials, employees, a enls, and SHOUEB A Y - THE AROVE UE90RIBOOL 6EDCANCELLED BEFORE volunteers THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 339 Sheldon St ACCORDANCE WITH THE POLICY PROVISIONS. Ef Segundo, CA 90245 AUTHORIZED REPRESENTATIVE Owner/Manager/Lessor of Premises *, ` Coverage is only extended to U.S. events and aclivities. NOTICE TO TEXAS INSUREDS: The Insurer for the purchasing group may not be subject to all the insurance laws and regulations of the Slate of Texas ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD