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PROOF OF INSURANCE (2026 - 2026)
COU N&AS-01 S1K A CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 6110120'25 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. www 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 right's to the certificate holder in lieu of such endorsement(s). PRODUCER AssuredPartners 4436 Main St., 4th Floor Kansas City, MO 64111 Danna Porter 1I (913 359-8213 L..: Danna.Port rCo).ae ured'partner .eom wsuREo IrrsalRER a M#qnwide Mutual ITlns_Ct m,q _..__ ... Counsilman-Hunsaker & Associates, Inc. ante Corn an 35289 12851 Manchester Road IP6N18ERC Confilr�enl lnsr P Suite 120 MSURERD Pacific Insurance Com ny�,mLt�I„ .._.__. 10046 St. Louis, MO 63131 1 I uRERE Kinsale Insurance C1gM? y ,8929 .._.... P.NSURER F. COVERAGES CERTIFICATE NUMBERS _ REVISION It UMBER: 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 CONDITIONS OF SUCH AND CON POLICIES MAY HAVE BEEN LIMITS SHOWNov R EDUCED BY PAID CLAIMS. y �m _ I INSURANCE TYPE of IN AD6]L SUBR NUMBH� POLICY EFF POLICY E'XN ITS LIMITS JJBL A GENERAL X COMMERCIAL GENE EAR ,O,CLUIEtENCE .. _1,000,000 CLAIMS -MADE X OCCUR ACPBP013201965504 611/2025 6l1/2026 MAGE TO RENTED1 ... 005,000 000 MED EXP3Arppei . _......,, .. ...... vnnY _tea R slu, � „AOV INJURY..... ..., .._ ,000 rv..... 2,000,000 GEN'L AG`aG^RtGATr LIMIT APP 1E PER. �,ENCR'AL A4;jgR!MATE 000 PRO- POLICY � � PRO-JECT �� LOC PRODU 1 S„ Ci7MF PC P /x4�G µ — ..... ...... OTHER: e711NCLE LIMIT 1 000 .,000 AUTOMOBILE LIABILITY Au _ m ANY AUTO ACPBP0,13201965504 6l1/2025 6/1/2026 aqp! XXM49R_y(Ewpers.r1.A.._ ... �.._ . OWNED SCHEDULED AUTOS ONLY AUTOS A31w1f%IL�"' IN9118Y.�Ed accid�Kat) • °5,.•° DD Xm AM7,x X AU ....... ONLY fO�IV'�PJreIAMAG'E ,.,.,,, .,. S X UMBRELLA LIAB X OCCUR EA QCCU fRE�.��. � 5,000 000 EXCESS LIAB tWLAtlMS•MADE ACPCU013201965504 6/1/2025 6/1/2026 ACwCro9?.P:E'61. 5„000 000 S " _. ,...�11g '0.A_. $ + 00 S H C NSATIOION SATION WORKDEDERS COMPENSATION � TCkT(1 AND EMPLOYERS' LIABILITY Y / N 7014879520 611/2025 6l1/2026 E. EACH AC 10ER 10.. 000 S, ,00 " ANY PROPRIETOR/PARTNER/EXECUTIVE 1='gP`ER/MEMBER EXCLUDED N/A m I" L DIs.Ary EAM07uY 1,000 000 in (ID�ECR1PTgON C?T)C4PERATIONS Ire1ovr df describe underLiab. , �r .,.„ 1,000,000 p Professional -� ro 13 OH 0440098-25 3/21/2025 312112026 Agg. $5,000 00 510001000 E Professional Liabili 0100358016-0 3/21/2025 3/21/2026 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD101, Additional Remarks Schedule, may be attached If more space is required) Project Name: El Segundo, CA - CHAMP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main St. El Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD