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PROOF OF INSURANCE (2026)CERTIFICATE OF LIABILITY INSURANCE DATE o6robro�s{MM/210205 ^O 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 WANED, 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 RIPS Bollinger 200 Jefferson Park NAME: Whippany, NJ 07981 PHONE FAX PHONE: 1-80044$-5311 FAX: 973-921-8474 (Atc. No_ Fs4:80 r-5311 lAtG. Na-I: 973-921-8474 E-ML ADDRESS: INSURE S AFFORDING COVERAGENAIC 0 INSURER A: SiriusPoint America Insurance Company 38770 INSURED IN SURER IS: USA. Softball- Inc_ INSURER c_ 2801 NE 50th Street INSURER D' Oklahoma City, OK 73111 msLIRER E: INSURER F: COVERAGES CERTIFICATE NUMBER:IR0202486156 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. E)(CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE ADDL INSR SUBR POLICY NUMBER POUCYEFF POUCY WVD INN66DiWWl tMWD1NYffet LIMITS GENERAL LIABILITY X 9f1r224 9f1P2025 - Ups $.T. A X COP JMERCIALGENERAL LIABILITY CLAIMS -MADE CUR PLHO_GL000021_1 I DAh TO P� rya r 1 Sl: tD i `- $i0, 000 SExual Abuse 8 Molestation Bab per omurrance: 51, rER.,'0hA& 8 ADV BP�dAJRY S1 ixo.000 Sexual Abuse S Molestation Aogregate limit: 52,0DD,DM GENEFOL Ae,CREC:ATE uENL Pa "pant S L -I Liability per renoe: SZODO,OM Participant S Laal Liability Aggregate limit: SZ a ^ Applies to non-pamimpants only PRomcrS-COI,p, Ac- '. AGGREGATE LIMIT APPLIES PER: POLICY PRO- X LOC' JECT ..._ AUTOMOBILE LIABILITY ODWAB;F-@3':rNOtaeLOAM frsa b k S ANY AUTO ,�E§:.YYY1L'd' 04�iu^Y.Y wer crsuum 5 BOOLY u,,uu ;Y jPer xc 'ri $ ALL OWNED ' SCHEDULED AUTOS AUTOS PROPERTY DMA S HI RED AUTOS NON -OWNED verb AUTOS S EXCESSfUMBRELL.ALIABILITY a 9RSti S OCCUR C Ail i - 1 'An AGGREGATE S DED RETENTION S" WORKERS COMPENSATION Y I N AND EMPLOYERS' LIABILITY ANY PROPRiETORVART%E„R'EX'E,V,.,r"V! OrrICERVerSER E(CLUDED2 N I A as R sTAruTE H $ c L. EAt.'„ 'i AdCCCEN7 EI DISEASE EA EMPLOY m ,,. s..P_.'i:1V1."Mk:E.-Pa,,.6C'Y LkL1fV'I" $ (Mandatory in NH) ryes, desense a -oar CESGRSPTmON OF OPERATIONS below A JAccidentInsurance PHSA-BAMH-10537-24 9/112024 9/1/2025 Aexwlwraxroaa $250,000 Full Excess 5500 DESCRIPTION OF OP'ERATIOIiSI LOCATIONS I VEHICLES )Attach ACORD 101. Additional Remarks Schedule, if more space is required) OVERAGE' UNDER THIS POLICY SHALL APPLY TO THE INSURED ARISING OUT OF THE ADMINISTRATION, PLAY OR PRACTICE OF AMATEUR SOFTBALLJBASEBALL, BUT ONLY FOR INCIDENTS INVOLVING BODILY INJURY. PERSONAL INJURY OR PROPERTY E_ CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED. THIS CERTIFICATE IS ISSUED ON BEHALF OF; EL SEGUNDO GIRLS SOFTBALL r-corand-ATr uni nro CANCELLATION The City of El Segundo, its elected and appointed officials, employees, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN and volunteers are included as additional insureds ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street, F1 Segundo, CA 90245 AUTHORED REPRESENTATIVE 1988-2023 ACORD CORPORATION All rights riess4ved ACORD 25 (201Od03) The ACORD name and logo are registered mairls of ACORD POLICY NUMBER: PLH02GL00002121 EFFECTIVE DATES: 6/9/2025 - 9/1/2025 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL NOTICE OF CANCELLATION (AMENDMENT ENT OF CANCELLATION CONDITION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS / COMPLETED OPERATIONS COVERAGE PART SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS and/or SECTION IV — PRODUCTS/COMPLETED OPERATIONS LIABILITY CONDITIONS is amended to include the following additional condition: In the event that we cancel this policy for any reason, other than for the nonpayment of premium, we will provide advance written notice of such cancellation to the entity(ies) or individual(s) shown in the Schedule below in accordance with the number of days stated. Entity or Individual: City of El Segundo SCHEDULE Address: 350 Main Street El Segundo, CA 90245 Number of Days Advance Written Notice of Cancellation (Other Than Nonpayment of Premium): 30 CG-GL-CW-0031 (12/20) Includes material copyrighted by ISO Properties, Inc., with its permission. Page 1 of 1 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: PLH02GL00002121 EFFECTIVE DATES: 6/9/2025 - 9/1/2025 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization(s) The City of El Segundo, its elected and appointed officials, employees and volunteers are included as additional insureds 350 Main Street El Segundo, CA 90245 This endorsement is issued on behalf of El Segundo Girls Softball. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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 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 by 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. CG 20 26 04 13 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 shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: PLH02GL00002121 COMMERCIAL GENERAL LIABILITY EFFECTIVE DATES: 9/1/2024 - 9/1/2025 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - WHERE REQUIRED UNDER WRITTEN CONTRACT OR WRITTENAGREEMENT (PRIMARY AND NON-CONTRIBUTORY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS / COMPLETED OPERATIONS COVERAGE PART SECTION 11 - WHO IS AN INSURED is amended to include any person or organization to whom you become obligated to include as an additional insured under this policy, as a result of any written contract or written agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of your operations or premises owned by or rented to you. However, the insurance provided will not exceed the lesser of: a. The coverage and/or limits of this policy; or b.. The coverage and/or limits required by said contract or agreement. Coverage afforded to these additional insured parties will be primary to, and non-contributory with, any other insurance available to that person or organization. PH-GL-CW-0058 (04/22) Includes copyrighted material of Insurance Services Office, Page 1 of 1 Inc., with its permission. 02022 SiriusPoint America Insurance Company All Rights Reserved. May not be copied without permission.