PROOF OF INSURANCE (2025 - 2026)t$a DATE (MM/DDNYYY)
C"R " CERTIFICATE OF LIABILITY INSURANCE
�, 6/24/2025
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 CONTACT
NAME Christina Hernandez, CIC m _
EdgeWood Partners Insurance Center PHONE FAX
425 California Street, Suite 2400 (ArC.Na..Elpt 6t 45 1374 I (Add "
EMAIL
San Francisco CA 94105 ADDRESS hrihherrla e csITdea icbroke'rs' com
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INSURERS) AFFORDING COVERAGE NAIC #
INSURERA Atlantic Specialty Insurance Company 27154
.......... ...... . .M ,� a .,�W.., .,�.,.,, ,,, ........ --
INSURED BELLEVE-01 INSURERS CompWest Insurance Company 12177
Bell Event Services, Inc. "" ""'
531 Main St. #228 In(suRrtc
El Segundo CA 90245 iNsuRER D
INSURER E ....
INSURER F
^013 1I71/1ATC RFVISIIZ'N N11111VI ":
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.
..
OLICY LIMITS
ILTR TYPE OF INSURANCE w .m � 46MC61JU _ POLICY NUMBER 1 IIPiYMkOOdYYVY MOMIDD E%no
A X
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COMMERCIAL GENERAL LIABILITY
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8750003550000
9/2512024
9/25/2025 EACHOCCURRENCE$1,000000
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.,.,...., .
CLAIMS MADE OCCUR
X..,�
PR('MIiL,a t sscrlrrmemcua ,)
$ 500,000
MED EXP Any one person)
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$ 15 000
PERSONAL & ADV INJURY
$ 1 000 000.
GE
N'L AGGREGATE LIMIT APPLIES PER: -
GENERAL AGGREGATE
.........
,PRODUCTS
$ 2,000,000,
...,.
POLICY X
JPEt T LOC
COPA
M
-.......I...OP GG
$ 2,,000,000 ...
_
i uJT9(E.It:
$
A
i AUTOMOBILE LIABILITY
I
7100396780004 9125/2024 9125/2025 ( - tT $ 1,000 000
Ee sea idani
1 ANY AUTO
BODILY I J RY ( person)
f INJURY (Per person) $
OWNED SCHEDULED
X....
INJURY $
X..� AUTOS ONLYHIRED NON -OWNED
I X„.,
�P'CD7RTYDRY(Peraecident)
AI,AAGE. !}
AUTOS ONLY AUTOS ONLY
1 ' „ HP„el�wdLedC,) $ Included
i 'redAutoPhs cial Dm eluded I ACV
A
X i UMBRELLA X I O
8730004880000
9I25I2024 9/25/2025
ACH OCCURRENCE $ 3 000 000
1
EXCESS gBAB
CLAIMCCUSR
-MADE
1 f
AGGREGATE $ 3 000 000
$�
DED RETENTION $
B
WORKERS COMPENSATION
CWWCP100094052
5/2512025 5125/2026
X STATUTE 1 ER
AND EMPLOYERS' LIABILITYY/N
I
... j
ACCIDENT 1 $ 1,000,000
ANYPROPRIETOR/PARTNER/EXECUTIVE 0
OFFICER/MEMBEREXCLUDED?
' NIA ^
E,L EACH
.""". '.... ....... ....... "..,...."""..""'.... .,..._
DISEASE EA EMPLOYEE $ 1 000,000
(Mandatory in NH)
E.L,
_...,.. ,.._._._._ .. ..........,__ ---. ...
IF yes, describe under
DESCRIPTION OF OPERATIONS below
EL DISEASE -POLICY LIMIT $ 1,000,000
A
Misc. Equipment
7100396780004
912512024
9/25/2025
Limit
Deductible
$310.000
$5,000
Rented/Owned
I i
1
DESCRIPTION OF OPERATIONS,! LOCATIONS 1 VEHICLES (ACORD 101„ Additional Romado Schaifula may be aitacbad if more space is raqulrad)
The certificate holder is included as Additional Insured oil the General Liability, on a Primary & Contributory basis„ as required by a written contract or
agreement. Waiver of Subrogation in favor of the Additional Insureds applies to the General LiabilUty & Auto Liability policies, as required by a written contract or
agreement.
The certificate holder is included as Additional Insuredand Loss Payee an the Auto Liability regard#n1 any/all leased/rented vehicles, as required by a written
contract or agreement, and as their interest may appear, Coverage is subject to $1,000 Comprehensive & Collision Deductibles.
The certificate holder is included as Additional Insured and Loss Payee regarding leased/rented equipment, as required by written contract or agreement, and
See Attached...
ULK I IFIt:A 1 t MULLD tK 5rrna a 4rc1_> r 1 Ivn
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
The City of El Segundo its officers, officials, employees, ACCORDANCE WITH THE POLICY PROVISIONS.
agents, and volunteers
3501 Main St. AUTHORIZED REPRESENTATIVE
El Segundo CA 90425°
U litt$15-,dUlO AL,UKU L,UKrUKAI Ivry. AIR nyncs FVbVI VI;U.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: BELLEVE-01
LOC #:
AMITIONAL REMARKS SCHEDULE Page 1 of 1
AGENCY NAMEDINSURED
e Center Bell Event Services, Inc.
Edgewood Partners Insurance 531 Main St. #228
POLICY NUMBER I El Segundo CA 90245
CARRIER I NAIC CODE
EFFECTIVE DATE:
knnITIn NIA1 RFMARKR
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE:, CERTIFICATE OF LIABILITY INSURANCE
as their Interest may appear.
y pp ar. Coverage is included worldwide and in transit.
Umbrella is following form; $2,000,000 Umbrella limit effective 9/25/24 - 10/26/24 and $3,000,000 Umbrella limit effective 10/27/24 - 9/24/25.
ACORD 101 (2008101) U ZUUts AL;UKU UUKI'UKA I IUn. AD rlgnis reserves,
The ACORD name and logo are registered marks of ACORD