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PROOF OF INSURANCE (2025 - 2026)M! DATE (MM/DDIYYYY) 4C"Rf> CERTIFICATE OF LIABILITY INSURANCE ►..»- 04/ 12/2025 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 NTA T Commercial Insurance Agency 386-775-1781 Nc AME, First Somme 14 First Commercial Insurance Agency E Ib1AdL 2220 Saragossa Ave Insuu-anoeguycg.rr.com INSURED Cal Jump, Inc. 4825 Rosecrans Ave INSURER B : INSURER C INSURER,D INSURER E t INSURER(S) AFFORDING COVERAGE NAIC BEAZLEY / CERTAIN UNDERWRITERS Ai 37540 CnVPRAnPA CERTIFICATE NIIMRFR• 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. INSR. ..,,,�.., ...--- -- ADDL,SUIBR .. „- ,,,. ,. POLNCY E�6'F POLICY EXP LT.TYPE OF INSURANCE I POLICY NUMBER �. PAMw18d1 ,PYYYY MM9 -.... ........................... -. ., LIMITS ✓ COMMERCIALGENERALLIABILITY ✓ EACH OCCURRENCE $ 1- OOO OOO A ✓ OCCUR i C)AMAU� Y RI=NiC1 REMISES Ea occurrence) $ 300 000 PED 3 v eXlep"pdPd P 3 y re ZISMB2345 02 04/09/2025 ` 04/09/2026 EXP (Any one person) $ 25 000 ✓ Retroactive 04/09/2023 l PERSONAL & ADV INJURY $ 1,000,000 .......... .... .... ., .. .......-. GEN L AGGREGATE LIMIT APPLIES PER: ..,-.-. GENERAL AGGREGATE $ 2,000,000 .� POLICY ECG:. El LOC° PRODUCTS ......-..... COMP/OP AGG $ 2 OOO OOO I I I $ OTHER: AUTOMOBILE LIABILITY I COMBINED SINGLE LW&k'6IT $ I ) .... .......... .... ..... ... ........- �--BODILY�INJI ... .-------- ANY AUTO ( I f . INJURY (Per person) $ {I OWNED INJURY (Per accident) $ AUTOS ONLY ,. AUTOSULED _BODILY.... A HIRED OS ONLY I AU010 D TOS ONLY P'Oi�ERPY i'1ARtC"E $ f�e� �c rtgnW.1 ,,, .....,... .. is UMBRELLA LIAB I OCCURRENCE Is EXCESS LIAB CLAIMS -MADE ARCH -, AGGREGATE I �,,,,,,,.. - -.,...S---DE D E D RETENTION $ - ......... pp $ I WORKERS COMPENSATION 1, t PER OTH 1 STATUTE 1,,,,,,, („ ER ,AND EMPLOYERS' LIABILITY Y / N ,,„„. I E .L EACH ACCIDENT $ .. _ ... (Mandatory y in NHREXCLUDED?ECUTIVE NIA, I EL. DISEASE EA EMPLOYEE( $ If es, describe under DESCRIPTION OF OPERATIONS beIDW ( i I E.L.. DISEASE - POLICY LIMIT 1 $ i DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is listed as additional insured in regards to General Liability, within respect to the named insured operation. City of El Segundo, it's officers, employees, agents and volunteers 350 Main Street El Segundo, CA 90245 tLVJ C I 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AC"R" DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/14/2025 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 ----.- IMPORTANT: ......._......� DDI R ".p..�... on o ' 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 �aa_ .....�.. .... ement s . this _ e holder in lieu o such endors PRovcertificategdoe� not confer ri hts to the certificate ... "" �.....__ ������� NAML. Prr.ro r0tn51 's Moja e Insurance ,, ,, ... .. 'W�I"�In'N'1" d?wIB� LIt1 t; C.IJS'fGYMf1 f and A� - i .m..,.,. DUCER CONTACT __. t�, 4 Sefr+id,intg_ PHONE FAX 2410 DECATUR BLVD, LAS VEGAS, NV 89108 JA/G Mo�Kxt1-j-880q— 44-4G87 (A/„C Nol. — AnnF.g%. twrcar seessivec�robts7krrai 8 ea�i aq,sria prc uwc. ar AFFORDING COVERAGE INSURER A NSURED INSURER B r, CALJUMPINC 4825 W ROSECRANS AVE INSURER C : HAWTHORNE, CA 90250 INSURER D : INSURER F COVERAGES CERTIFICATE_ NUMBER: 586763918701901975DOI1425T011651 REVISION NUMBER: ....��.........��...��........._ _ .._ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR Y PERIOD THE POLIO 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. ........... .........� INSR - ............. AODL SUBR w .-, POLICY EFF _....._.._ POLICY EXP LTR rraE OF INSURANCE .... ... ... .... ......w_. INSD WVD POLICY NUMBER .,-._.,.... .___... ....... .MMIDDIYYYY) (MMIDD/YYYY) LIMITS _.... ..............................� - ....,. _.� ....-,.,.. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE OCCUR A. ";..:..N( AM�.i3 n�9, MR ..�..... ..._ .�.._.. MED EXP (Any one person}.. ._._.... 5..�._.... - _ PERSONAL 8 ADV .INJURY ......._ S .....�. GENERAL AGGREGATE G EN"L AGGREGATE LIMIT APPLIES PER: PRO, ❑ PRODUCTS - COMP/OP AGG "... Pt'b9.,ICY' ,NFCT LOC ....... ...._.. ...w,..w.....-........._.�.__,� 5 ..........._.............. .... ...,,OTHER. AUTOMOBILE ..w.n�...w....-.__-..--. LIABILITY ...-.... .,.....-. -... ..... A,,,, —, COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY (Perpersonl ,100000 ,. A OWNED 'SCHEDULED AUTOS ONLY + AUTOS N N 04285933 12118/2024 06/18/2025 BODILY INJURY (Per accident) $300000 , AUTOS AUUTOS ONLY AM�GE S 50, 000 ONLY "_ gPe a CIC1@ tg UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS -MADE AGGREGATE ............ S .................... _. DED '..... RETENTION S S WORKERS COMPENSATION �.... AND EMPLOYERS' LIABILITY YIN '..... ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N / A EL EACH ACCIDENT S OFFICER/MEMBEREXCLUDED? (Mandatory in NH) E,L DISEASE EA. EMPLOYE If yes, describe under DESCRIPTION OF OR below ..,,...,.,.�...... .........m .... ...,.....,_........-,,,� E.L. DISEASE POLICY LIMIT ........__. g .,,.. ...._,.�...... ,. ............... See ACORD 101 for additional coverage details. S A N N 04285933 12/18/2024 '.. 06118/2025 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CAL JUMP INC ACCORDANCE WITH THE POLICY PROVISIONS. 4825 W ROSECRANS AVE HAWTHORNE, CA 90250 .....................m. .._._ .... ........ AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY Mojave Insurance Agency POLICY NUMBER......A„............. 04285933 CARRIER United Financial Casualty Company ADDITIONAL REMARKS AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE NAMED INSURED CALJUMPINC 4825 W ROSECRANS AVE HAWTHORNE, CA 90250 NAIC 117CODE I70F EFFECTIVE DATE: 12/18/2024 Page 1 of 1 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACO ® DATE (MM/DDNYYY) ,,. CERTIFICATE OF LIABILITY INSURANCE 12/20/2024 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'. Next First Insurance Agency, Inc. PHONE 9 FAX Box 60787 Paolo Alto, CA 94306 E-MAIL , S8 PP rt@ne,%. 1 tlnsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURED Cal jump Inc 15705 Condon Ave D3 Lawndale, CA 90260 INSURER A : National Specialty Insurance Company 22608 INSURER B INSURER C ......_._ INSURER D : INSURER E , CU''VEKAUt:5 CERTIFICATE NUMBER: /b/2U9b38 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, iNSR _.. _... ADk4L';ae.at ... „ .. .C' POLICY EFF POLICY EXP .................. ....................... ..... ...........,... LTR , TYPE OF INSURANCE l POLICY NUMBER MMIDD.. MM/DDIYYYY i LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _._ 1 OAMAdE TO i�EN[TLD . s CLAIMS -MADE OCCUR J PREMISES (Ea occurrenn ) $ J MED EXP (Any one Person) 1 $ PERSONAL& ADV INJURY $ ........ ......... ...... ... ....... .......... GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ PRO - POLICY i ECT LOC I $ PRODUCTS - COMP/OP AGG � OTHER: $ AUTOMOBILE LIABILITY i COMBINED SWGI,E UPOIT , $ f ANY AUTO INJURY (Per person) pe BODILY NJrson) � $ JOWNED - � SCHEDULED AUTOS ONLY l AUTOS l f ODILY INJURY (Per accident) -- $ Ib f4dAY�R? $ AUTOS ONLHIRED Y fdqOie aiDAi 1p 1$ UMBRELLA LIAR OCCUR 11 ,,.EACH OCCURRENCE ...E �___ $ EXCESS LIAB CLAIMS MADE ..... n .. AGGREGATE $ DED RETENTION $ j� .. .. . ....................... ........... ......... $ WORKERS COMPENSATION x PER ORH AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE STATUTE 1,000,000.00 A OFFICER/MEMBER EXCLUDED? N / A I (Mandatory in m NH NXTYFVVR39-00-WC 12/30/2024 E L EACH ACCIDENT $ 12/30/2025 1,000,000.00 E� �IDESCRIPTION OF OPERATIONS below 1 e EL. DISEASE POLICY LIMIT $1 .000 000A0 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Proof of Insurance. I -CM I Ir11aA.I M r1UM. lJ K L;ANL;t_LLA I IUN Cal Jump Inc LIVE CERTIFICATE 15705 Condon Ave D3 IV t�I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Lawndale, CA 90260 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD