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PROOF OF INSURANCE (2025 - 2026)
l0 DATE (MMIDDIYYYY) C"" CERTIFICATE OF LIABILITY INSURANCE 4%�" 05/29/2025 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 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 Valerie Kenned _ NAME....... iF___________________ ...�. ,,,,�,�, - Insuraide Insurance Agency, Inc. (AXNo.FM gAIC N«�l 310 208 3548 310 208 1084 17337 Ventura Blvd Suite 314 E-MAIL valeriek@insuraide.com -ADDRESS._�.._.a,�.,,- ----------------------- ...m............ .............. .. Encino, CA 91316 INSURER(SI AFFORDING COVERAGE NAIC,# .......... License No: 0497374 INSURERA:Hiscox Insurance CompanyInc 10200 INSURERS . .... California8342 ®. A� Automobile L.,P,, Yy INSURED � Autom Insurance Com an 3® CREAMY BOYZ WORLDWIDE LLC INSURERc Sirius America Insurance Company 38776 DBA CREAMY BOYS ICE CREAM INsuRER D„ 808 Pacific Avenue (NS4RERE. Venice CA 90291 INSURER F: f rnW=DAn=Q I^970TICfr"AT' IUIIMRF=P. RFVISION 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� TYPE OF INSURANCE ,,, ,,,,,, IdShtjS&Iti POLICY..NUMBER....... .... .. .L..MMIDOIYMYY MMd"DDI'YWXP I LIMITS LT OMMERCIALGENERALLIABILITY COMMERCIAL �09/01/2024�09/01/2025��-�Rp J EACH OCCURRENCE $ 1, 000, 000 """" .� CLAIMS -MADE ©OCCUR P101.721.333.3 N(} � 1 $ 00,000 ,m. "Y.one Person) $ 5 , 0 0 0 ......,,. Contr„PER: x + A ibuto ]t PERSONAL t: ADV INJURY $ 1,000,000 GEN'LPAGGRE ATE MIT LIMIT APPLIES GENERAL AGGREGATE $ 2,000,000 f POLICY IJ CTO. LOC f PRODUCTS-COMP/OPAGG 1 $ 2,000,000 .DTiHER° I 2 I $ AUTOMOBILE LIABILITY BA040000093784 os/le/z0zs COMBINEI',SINGLE LIMIT 1$ 1,000,000 os/ls/2ozeo„W _ �� acr�cdon() . , ,.,.....„ ANY AUTO BODILY INJURY (Per person) 1 $ „ B ALL OWNED SCHEDULEDccident) AUTOS AUTOS BODILY INJURY (Per a $ .... . ,. . ,. -PROPFR ..... ,. NON-OWNED HIRED AUTOS AUTOS . ,...,.�.._... I � aY OAhtAGE $ � �4���"i�pl��n4'�N . .., .�.. $ _----- " UMBRELLA LIAB OCCUR "s 1 ( EACH OCCURRENCE EXCESS L IAB E! A CLAIMS -MADE AGGREGATE $ _...-S _. DED RETENTION $ h.. .... .. .. „�.., ----------- $ WORKERS COMPENSATION Y AND EMPLOYERS'LIABILITY 172WECBAOGEE JOB/25/2024 ,P" PER ER 08/25/2025,... �STAT,IJ �., ,Er!?. .......... .......... YIN: T $ 1 000 000 E L. EACH ACCIDENT ANY PROPRIETORIPARTNER/EXECUTIVE f 1 C OFFICER/MEMBER EXCLUDED? Y NIA l " L DISEASE EA EMP_L_OYEEI $ 1,000,000 (Mandatory in NH) -.......... ....� ' If yes, describe under f 1,000,000 I IDESCRIPTIONOFOPERATIONSbeloW E L DISEASE $ � I � A 1Property f 1 P101.721.333.3 f09/01/2024 I 09/01/2025 BPP: $10, 000 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of E1 Segundo, its elected and appointed officials, employees, and volunteers are included as additional insureds. Coverage is primary and non-contributory such that any other insurance that may be carried by the City will be excess thereto. City of E1 Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. E1 Segundo, CA 90245 AUTHORIZED REPRESENTATIVE VQ ^� i (0 19B8-ZU14 AGUKU GUKI'UKA I IUN. All rlgnis reserveo. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Am H I'. V COX.. Policy Number: Named Insured: Endorsement Number: Endorsement Effective: P101.721.333.3 Creamy Boyz Worldwide LLC 17 09/01 /2024 Hiscox Insurance Company Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CALIFORNIA CHANGES - CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Paragraphs 2. and 3. of the Cancellation Com- mon Policy Condition are replaced by the follow- ing: 2. All Policies In Effect For 60 Days Or Less If this policy has been in effect for 60 days or less, and is not a renewal of a policy we have previously issued, we may cancel this policy by mailing or delivering to the first Named Insured at the mailing address shown in the policy and to the producer of record, advance written no- tice of cancellation, stating the reason for can- cellation, at least: a. 10 days before the effective date of cancel- lation if we cancel for: (1) Nonpayment of premium; or (2) Discovery of fraud by: (a) Any insured or his or her representa- tive in obtaining this insurance; or (b) You or your representative in pur- suing a claim under this policy. b. 30 days before the effective date of cancel- lation if we cancel for any other reason. 3. All Policies In Effect For More Than 60 Days a. If this policy has been in effect for more than 60 days, or is a renewal of a policy we issued, we may cancel this policy only upon the occurrence, after the effective date of the policy, of one or more of the following: (1) Nonpayment of premium, including payment due on a prior policy we issued and due during the current policy term covering the same risks. (2) Discovery of fraud or material misrepre- sentation by: (a) Any insured or his or her representa- tive in obtaining this insurance; or (b) You or your representative in pur- suing a claim under this policy. (3) A judgment by a court or an administra- tive tribunal that you have violated a California or Federal law, having as one of its necessary elements an act which materially increases any of the risks in- sured against. IL 02 70 09 08 © ISO Properties, Inc., 2007 Page 1 of 4 (4) Discovery of willful or grossly negligent acts or omissions, or of any violations of state laws or regulations establishing safety standards, by you or your repre- sentative, which materially increase any of the risks insured against. (5) Failure by you or your representative to implement reasonable loss control re- quirements, agreed to by you as a con- dition of policy issuance, or which were conditions precedent to our use of a par- ticular rate or rating plan, if that failure materially increases any of the risks in- sured against. (6) A determination by the Commissioner of Insurance that the: (a) Loss of, or changes in, our reinsur- ance covering all or part of the risk would threaten our financial integrity or solvency; or (b) Continuation of the policy coverage would: (i) Place us in violation of California law or the laws of the state where we are domiciled; or (ii) Threaten our solvency. (7) A change by you or your representative in the activities or property of the com- mercial or industrial enterprise, which results in a materially added, increased or changed risk, unless the added, in- creased or changed risk is included in the policy. b. We will mail or deliver advance written notice of cancellation, stating the reason for cancellation, to the first Named Insured, at the mailing address shown in the policy, and to the producer of record, at least: (1) 10 days before the effective date of cancellation if we cancel for nonpay- ment of premium or discovery of fraud; or (2) 30 days before the effective date of cancellation if we cancel for any other reason listed in Paragraph 3.a. B. The following provision is added to the Cancella- tion Common Policy Condition: 7. Residential Property This provision applies to coverage on real property which is used predominantly for resi- dential purposes and consisting of not more than four dwelling units, and to coverage on tenants' household personal property in a resi- dential unit, if such coverage is written under one of the following: Commercial Property Coverage Part Farm Coverage Part — Farm Property — Farm Dwellings, Appurtenant Structures And House- hold Personal Property Coverage Form a. If such coverage has been in effect for 60 days or less, and is not a renewal of cover- age we previously issued, we may cancel this coverage for any reason, except as provided in b. and c. below. b. We may not cancel this policy solely be- cause the first Named Insured has: (1) Accepted an offer of earthquake cover- age; or (2) Cancelled or did not renew a policy issued by the California Earthquake Au- thority (CEA) that included an earth- quake policy premium surcharge. However, we shall cancel this policy if the first Named Insured has accepted a new or renewal policy issued by the CEA that in- cludes an earthquake policy premium sur- charge but fails to pay the earthquake poli- cy premium surcharge authorized by the CEA. c. We may not cancel such coverage solely because corrosive soil conditions exist on the premises. This Restriction (c.) applies only if coverage is subject to one of the fol- lowing, which exclude loss or damage caused by or resulting from corrosive soil conditions: (1) Capital Assets Program Coverage Form (Output Policy); (2) Commercial Property Coverage Part — Causes Of Loss — Special Form; or (3) Farm Coverage Part — Causes Of Loss Form — Farm Property, Paragraph D. Covered Causes Of Loss — Special. Page 2 of 4 © ISO Properties, Inc., 2007 IL 02 70 09 08 C. The following is added and supersedes any provi- sions to the contrary: NONRENEWAL Subject to the provisions of Paragraphs C.2. and C.3. below, if we elect not to renew this policy, we will mail or deliver written notice stat- ing the reason for nonrenewal to the first Named Insured shown in the Declarations and to the producer of record, at least 60 days, but not more than 120 days, before the expiration or anniversary date. We will mail or deliver our notice to the first Named Insured, and to the producer of record, at the mailing address shown in the policy. 2. Residential Property This provision applies to coverage on real property used predominantly for residential purposes and consisting of not more than four dwelling units, and to coverage on tenants' household property contained in a residential unit, if such coverage is written under one of the following: Capital Assets Program (Output Policy) Cover- age Part Commercial Property Coverage Part Farm Coverage Part — Farm Property — Farm Dwellings, Appurtenant Structures And House- hold Personal Property Coverage Form a. We may elect not to renew such coverage for any reason, except as provided in b., c. and d. below: b. We will not refuse to renew such coverage solely because the first Named Insured has accepted an offer of earthquake coverage. However, the following applies only to in- surers who are associate participating in- surers as established by Cal. Ins. Code Section 10089.16. We may elect not to re- new such coverage after the first Named Insured has accepted an offer of earth- quake coverage, if one or more of the fol- lowing reasons applies: (1) The nonrenewal is based on sound underwriting principles that relate to the coverages provided by this policy and that are consistent with the approved rating plan and related documents filed with the Department of Insurance as re- quired by existing law; (2) The Commissioner of Insurance finds that the exposure to potential losses will threaten our solvency or place us in a hazardous condition. A hazardous con- dition includes, but is not limited to, a condition in which we make claims payments for losses resulting from an earthquake that occurred within the pre- ceding two years and that required a re- duction in policyholder surplus of at least 25% for payment of those claims; or (3) We have: (a) Lost or experienced a substantial reduction in the availability or scope of reinsurance coverage; or (b) Experienced a substantial increase in the premium charged for reinsur- ance coverage of our residential property insurance policies; and the Commissioner has approved a plan for the nonrenewals that is fair and equitable, and that is responsive to the changes in our reinsurance position. c. We will not refuse to renew such coverage solely because the first Named Insured has cancelled or did not renew a policy, issued by the California Earthquake Authority that included an earthquake policy premium surcharge. d. We will not refuse to renew such coverage solely because corrosive soil conditions ex- ist on the premises. This Restriction (d.) applies only if coverage is subject to one of the following, which exclude loss or dam- age caused by or resulting from corrosive soil conditions: (1) Capital Assets Program Coverage Form (Output Policy); (2) Commercial Property Coverage Part — Causes Of Loss — Special Form; or (3) Farm Coverage Part — Causes Of Loss Form — Farm Property, Paragraph D. Covered Causes Of Loss — Special. 3. We are not required to send notice of nonre- newal in the following situations: a. If the transfer or renewal of a policy, without any changes in terms, conditions, or rates, is between us and a member of our insur- ance group. IL 02 70 09 08 © ISO Properties, Inc., 2007 Page 3 of 4 b. If the policy has been extended for 90 days or less, provided that notice has been given in accordance with Paragraph C.1. c. If you have obtained replacement coverage, or if the first Named Insured has agreed, in writing, within 60 days of the termination of the policy, to obtain that coverage. d. If the policy is for a period of no more than 60 days and you are notified at the time of issuance that it will not be renewed. e. If the first Named Insured requests a change in the terms or conditions or risks covered by the policy within 60 days of the end of the policy period. f. If we have made a written offer to the first Named Insured, in accordance with the timeframes shown in Paragraph CA., to re- new the policy under changed terms or conditions or at an increased premium rate, when the increase exceeds 25%. Page 4 of 4 © ISO Properties, Inc., 2007 IL 02 70 09 08 AM H I J CO. Policy Number: P101.721.333.3 Named Insured: Creamy Boyz Worldwide LLC Endorsement Number: 20 Endorsement Effective: 09/01/2024 Hiscox Insurance Company Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. *�- i I�J� IN I I Is 0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy, pro- vided: 1. you have agreed in a written contract or agreement to add such additional insured to a policy providing the type of coverage af- forded by this policy; and 2. you have agreed in a written contract or agreement with such additional insured that this insurance would be primary and would not seek contribution from any other insur- ance available to the additional insured. CGL E5581 CW (03/16) Includes copyrighted material of Page 1 of 1 Insurance Services Office, Inc., with its permission DATE (MMIDDIYYYY) '�`40R " CERTIFICATE OF LIABILITY INSURANCE �- 05/13/2025 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 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 CONTANAMF CT Valerie Kennedy Insuraide Insurance Agency, Inc. PHONE 310 208-3548 rAaf 310 208-1084 (Afo, No. 910, ,........ - _.� (AdC„ No) 17337 Ventura Blvd Suite 314 E-MAIL SSvaleriek@insuraide.com n .,.....-.. .... .......... ... RER(. RAGE .w.._, _ NAIC# Encino, CA 91316 INSURERS AFFORDING COVE License No: 0497374 INSURERA:Hiscox Insurance Company Inc 10200 INSURED CREAMY BOYZ WORLDWIDE LLC DBA CREAMY BOYS ICE CREAM 808 Pacific Avenue Venice CA 90291 /-f1VCDAnce r`I=DTIC'IfY"ATP IUIIMRPD- IN11 SURER B. United Fi y . o 7 0 sualt Co 1 INSURERC: Sirius AmericaaI surance Company 38776 - eee mm INSURER D : L.. ......... ..-.. RFVIRION 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 TYPE OF INSURANCE A97€71.r'9�1� ....,,, POLICY NUMBER �. MM qCY/YYYY PdOgCf67Y EXP LIMITS DdY'yYY COMMERCIAL GENERAL LIABILITY 1 I EACH OCCURRENCE $ 000 000 CLAIMS -MADE -, %f NA6=Y6 REg-t ..............P101.721.333.3 09/01/2024109/01/2025DAJ •jj, 10r0OCCUR MED EXPAn oneperson $ 5000 / n Contributory Primary & oAPPLIESPER: PERSONALBADVINJURY $ 1,000,000 A V Y GEN'L AGGREGATE LIMIT I E $ „ 2,000,000 + POLICY ❑ LOG ( PRODUCTSGCOMPAOP AGG I $ 2,000,000 , I I $ OTHER AUTOMOBILE LIABILITY j '' !COMBINEDSINGLEL.IMP jll/18/2024 05/18/2025_ �$ 1,000,000 - Y AUTO �981098705 ! BODILY INJURY (Per person) �I $ -T ALIL OWNED SCHEDULED B .f/ i BODILY INJURY (Per accident) $ AUTOS Y� AUT06 NON -OWNED j 1 OPEP?" DAMAGE $ HIRED AUTOS , I AUTOS $ UMBRELLA LIAR I OCCUR EACH OCCURRENCE $ j EXCESS LIAR CLAIMS MAD AGGREGATE .............. .,,,,,, ,,,,,, ,.,---..... ..._,,.,. w ,.................o DED I RETENTION $ - ! ( I $ WORKERS COMPENSATION j PER � � OTH ' 08/25/2024�08/25/20251.�! STATUTE AND EMPLOYERS' LIABILITY MINI ANY PROPRIETOR/PARTNER/EXECUTIVE qq""""""" ,72WECBAOGEE ( EL, EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE EA EMPLOYEEY $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I� EL, DISEASE POLICY LIMIT $ 1,000,000 A Property P101.721.333.3 09/01/2024,09/01/20251BPP: $10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) e City of E1 Segundo, its elected and appointed officials, employees, and volunteers are included as additional insureds. Coverage is primary and non-contributory such that any other insurance that may be carried by the City will be excess thereto. CERTIFICATE HOLDER GAIVGLLLAItUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of E1 Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y g ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo, CA 90245 AUTHORIZED V&u/e REPRESENTATIVE R^mae4 V 1988-ZU14 AGURU GUKVURAI IUN. Ali rignis reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Aes IJCOX Policy Number: Named Insured: Endorsement Number: Endorsement Effective: P101.721.333.3 Creamy Boyz Worldwide LLC 20 09/01/2024 Hiscox Insurance Company Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRI UITORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy, pro- vided: 1. you have agreed in a written contract or agreement to add such additional insured to a policy providing the type of coverage af- forded by this policy; and 2. you have agreed in a written contract or agreement with such additional insured that this insurance would be primary and would not seek contribution from any other insur- ance available to the additional insured. CGL E5581 CW (03/16) Includes copyrighted material of Page 1 of 1 Insurance Services Office, Inc., with its permission c o c >- u lC C. 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