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PROOF OF INSURANCE (2026)0 DATE (MMIDDNWY) 1 -1 CERTIFICATE OF LIABILITY INSURANCE 5/7/2025 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 NAME• Joseph Guerrero _._ .. DOXA Programs, LLC DBA R.V. Nuccio & Associates Insurance PHONE ,If ug,Iy00),64 433 _ FAX Net, Brokers E MAIL ADD,RFSS supportrvnuccio.com P,m„ 10148 RiversideDrive INSURER(S) AFFORDING COVER AGE ry AIC # Ca 91602 Toluca pany Fireman's Fund Insurance Company INSURER A _v 21873 )) .-.- ,, . � INSURED INSURER B . Axis Insurance Company 137273 Gundo Pride INSURER c .A...... 136 Concord Street #201 INSURER D „ El Segundo, CA 90245 wsuRERE INSURER F nnVFRAnFR CFRTIFICOTF 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. — � .... . IN i-........'Ak.t}'OL'S Oi C )) i F F POLICY EXPO LIMITS TYPE OF INSURANCE POLICY R I Y NUMBER MMIDONY Y AtA�u4GmrYY UST021 A � ✓ UST021822240 GENERALCOMMERCIAL 6129/2025 6/29/2026 i EACH OCCURRENCE 1 $ 1 000 I]oo ✓ � oAN1AV Tl/ r1r=YV Y`I"7'F 100 000 $ GENERAL LIABILITY — 044406 PR�MIS�Sm � ✓ I ) CLAIMS -MADE OCCUR MEDICAL EXPENSE $ 5,000 I{ PERSONAL &ADV INJURY { $ 1,000.000 $ 000 000 ...., GEN'L...AGGREGATE LI MIT APPLIES PER: _2 — AGG h $-.-.-.- 2,000.000 COMP/ PRODUCTS GAOP POLICY i PR+;. ...I LOC $ f AUTOMOBILE LIABILITY ] COMBINED SINGLE LIMIT $ .. ......... „„..., .-.-.-._ I .... _._._._._._._.........-------------------- BODILY INJURY (Per $ ANY AUTO P person) .. ALL OWNED SCHEDULED I _ BODILY INJURY (Per accident) $ AUTOS AUTOS I NON -OWNED f PROPERTY DAMAGE � " HIRED AUTOS AUTOS r $ I �e�r a��ent) ,,,..... r 1 J, $ UMBRELLA LIAB IOCCUR i j EACH OCCURRENCE _ $ EXCESS LIAR I J CLAIMS-MADEi ,. �. i AGGREGATE ;$ „ ........., _ ......... -.- w j DED r I RETENTION $ i $ WORKERS COMPENSATION � 1 W1,SrA¢fU (cmI I 1 LQFiY.L WD' L r AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORWARTNER/EXECUTIVE --- , ..,_ ,1' E L.. EACH ACCIDENT j $ '.... N I A _ OFFICER/MEMBER EXCLUDED? . ' in NH) EDISEAS EA EMPLOYErJ $ (Mandatory ,E .L. If un es, describe under I DESCRIPTION OPERATIONS below EL DISEASE POLICY LIMIT $ I I I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Additional Insured Wording: (City of El Segundo) Start Date: 06/29/2025 End Date: 06/29/2025 Event Description: LGBTQ+ Pride celebrating in the park. RTIFICA'TE HOLDER El Segundo Recreation Park SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 401 Sheldon Street AUTHORIZED REPRESENTATIVE "_... El Segundo ,CA 90245 Joseph Guerrero i I © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: UST021822240 EFFECTIVE DATES: 06/29/2025 to 06/29/2025 CERTIFICATE NUMBER: NA 000044406 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • . , A This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organization El Segundo Recreation Park 401 Sheldon Street El Segundo ,CA 90245 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zations) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 SCHOOL SUPPORT GROUP/NONPROFIT ORGANIZATION COMMERCIAL PACKAGE INSURANCE POLICY MEMORANDUM OF INSURANCE Master Policy Number: UST021822240 Memorandum Number: NAA000044406 Issuing Company: National Program Administrator: Fireman's Fund Insurance Company DOXA Programs, LLC DBA 225 W. Washington Street, Suite 1900 R.V. Nuccio & Associates Insurance Brokers Chicago, IL 60606 10148 Riverside Drive, Nationwide Claims: 1-888-347-3428 Toluca Lake, CA 91602 01. MEMORANDUM HOLDER NAME AND ADDRESS (MEMORANDUM HOLDER MEANS NAMED INSURED) a. Memorandum Holder: Gundo Pride b. Street Address: 136 Concord Street #201 C. City: ElSegundo d. State: CA e. Zip Code: 90245 02. COVERAGE PERIOD Inception Date 6/29/2025 12:01A.M. to Expiration Date 6/29/2026 12:01A.M. Standard Time at the Named Insured's address as stated above. 03. BUSINESS TYPE []PTA ❑PTO ❑Booster Club ❑Educational Foundation ❑✓ Nonprofit Organization 04. COVERAGE PART LIMIT OF INSURANCE DEDUCTIBLE PREMIUM a. INLAND MARINE PROPERTY COVERAGE PART $ 0.00 Business Personal Property/Equipment $ Not Covered $ Not Covered b. INLAND MARINE CRIME COVERAGE PART $ 0.00 (O1)Employee Dishonesty $ Not Covered $ Not Covered (02)Forgery Or Alteration $ Not Covered $ Not Covered (03)Theft, Disappearance And Destruction Of Money (a)Inside The Premises $ Not Covered $ Not Covered (b)Outside The Premises $ Not Covered $ Not Covered c. GENERAL AND AUTOMOBILE LIABILITY COVERAGE PART $ 136.00 (0])General Aggregate $ 2,000,000 $ 0 (02)Products/Completed Operations Aggregate$ 2,000,000 (03)Personal And Advertising Injury $ 1,000,000 (04)Each Occurrence $ 1,000,000 (05)Damage To Premises Rented To You $ $100,000 (06)Medical Expense $ 5,000 (07)Non-Owned And Hired Automobiles $ Not Covered State Guarantee Fund $ 0.00 _ 05. TOTAL PREMIUM Due At Inception $ 136.00 06. FORMS AND ENDORSEMENTS ATTACHED AT INCEPTION Date Issued: 5/7/2025 Form Number: NPOUWS001 By-` .. __. Joseph Guerrero 3/20/2008 NPOUWS001 © Copyright 2008. All rights reserved. DOXA Programs, LLC DBA R.V. Nuccio & Associates Insurance Brokers DATE (MMIDD/YYYY) A'�""�'" CERTIFICATE OF LIABILITY INSURANCE �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. 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 NAME' Joseph Guerrero DOXA Programs, LLC DBA R.V. Nuccio & Associates Insurance Brokers 10148 Riverside Drive Toluca Lake, CA 91602 INSURED Gundo Pride 136 Concord Street #201 EI Segundo , CA 90245 com INSURER A: Fireman's Fund Insurance Company Axis Insurance .. INSURER B : ICompany F CAVFRAr_PC RFRTIFIrATF NI IMRFR• RFVI R10W NUMBER' NAIC # 1873 37273 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. IN � .-..--..- ,,,...---._ .. f�ODL iiiVa ......... .......... ................. TYPE OF INSURANCE J POLICY NUMBER ,,...... P'I�LICY E'EF � pOIaCY EXP LIMITS ,.,.,. .. ----- f f .. Md11PDDAY'YYY I MMIDDIXXYY I GENERAL LIABILITY A ' UST021822240 6/29/2025 j EACH OCCURRENCE 1 $ 1,000,000 6/29/2026 1. .--__ , 1 � COMMERCIAL GENERA L LIABILITY �..., NAA000044406 ° AMAG� TO Nf U ..,..... �. ,,,,,, , t PREMISFs 100 000 1 CLAIMS -MADE ✓ i OCCUR L MEDICAL EXPENSE $ 51000 m .......... ..... .. PERSONAL 8 ADV INJURY $ 1 000 000. ] "GENERAL AGGREGATE $ 2,000,000 ................ ...,..,,,...,.. , ......... ........ .. ., GEN'L AGGREGATE LIMIT APPLIES PER: ,....a PRODUCTS - COMP/OP AGG $ 2,000,000 - ......-.-......... ,,,�,,,,,, _._.._._ .............. ✓ POLICY (PICu1OT- .� LOC I �..... ......,.._.... $ AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED a SCHEDULED d I BODILY INJURY (Per accident)! $ AUTOS _- AUTOS �,.. -._ ._ .. .. ...... NON -OWNED f.PROPERTYDAMAGE I $ HIRED AUTOS . { „ AUTOS Per alr,udwre 1 1 $ UMBRELLA LIAB OCCUR j j_EACH OCCURRENCE $ .,. EXCESS LIAB I CLAIMS MADE' AGGREGATE --- .. ,,,....,..,. $ , ..... ......... �. .., ........... ..... _..,............ .....,... DED 1 RETENTION $ 1 ! ) Is 1 WORKERS COMPENSATION f j t WC STATU- i OTH-AND TOR, OMITS � EMPLOYERS' YIN ' ANY PROPRIETOR/P RBTNER/EXECUTIVE ACCIDENT LE L EACH A - $ f OFFICER/MEMBER EXCLUDED? N / A (Mandatory m NH I LOYEE1 E L DISEASE EA EMP $ If yes, describe under j DESCRIPTION OF OPERATIONS below i E.L DISEASE -POLICY LIMIT , $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Evidence of Insurance Only no] W will Iii LW-11I--a 111VIIIII ■U a Evidence of Insurance Only 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 ..,._.. Joseph Guerrero ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD DATE IY CERTIFICATE OF LIABILITY INSURANCE 6/23/2023/2025 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 AMJoseph Guerrero DOXA Programs, LLC DBA R.V. Nuccio &Associates Insurance 1 PP 0 4 2433 ! AAec N_0 (818) 980 1 95 Brokers E MAIL .. ADDRESS su cart rvnuccio.com 10148 Riverside Drive INSURER(Sl AFFORDING COVERAGE NAIC # Toluca Lake, CA 91602 INSURER A: Fireman's Fund Insurance Company 21873 ........ ----- ®a INSURER B ...,AXIS Insurance .... .. ... .......... ......,..,. ----- INSURED ce Company 137273 Gundo Pride ........ INSURER C : 136 Concord Street #201 INSURER D El Segundo, CA 90245 ruci i000 o COVERAGES CFRTIFICATF NI IMRFR• RFVICInti kit IlUIRIPIP- 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..... ............ ...... ... ...m IAi1'LiO� LTR i TYPE OF INSURANCEINSO WvpI POLICY NUMBER MM/DD/YYYY MMIDiCY YXP_...... .....-.- POLICY ��F POLICY LIMITS GENERAL LIABILITY A i � ✓ UST021822240 1 ��."EACH OCCURRENCE $ 1.000.000 -G ... ✓ ( COMMERCIAL GENERAL LIABILITY NAA000044406 6/29/2025 6/29/2026 OAMAbE Tii RI=NTED 100 000 I PREMI�SF$ , $ � l 1 CLAIMS -MADE ✓ "�................................................ MEDICAL $ 5,000 -OCCUR a PERSONAPENSE L&ADVINJURY �$ 1,000,000 - " ... ......... .. .... ., 2,000,000 IMGENERAL AGGREGATE I $---- "" GEN L AGGREGATE EGATE LIMIT APFLMS PER. l ... 000 I PRODUCTS COMP/OP AGG $ PRO � I I ---p2 I$ POLICY � I LOC I AUTOMOBILE LIABILITY I COMBINED SINGLE, LIMIT $ �.. , ANY AUTO = BODILY INJURY (Per person) $. ALL OWNED j SCHEDULED AUTOS AUTOS BODILY INJURY Per accident $ ( ) , ........ ... " NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE -._ .. [ '� I I UMBRELLA LIAB 1 1 OCCUR I I �.. EACHOCCURRENCE J$ EXCESS LIAB ` CLAIMS MADE ,AGGREGATE I DED RETENTION $ I Is WORKERS COMPENSATION '" I � WC `a'TA'TU' I IOTH J AND EMPLOYERS' LIABILITY YIN 1' TQRY LIiMI� S FR """`" NY PIROPrRIE TOMPAril"r�IER/EXECUTIVE � E L EACH ACCIDENT $ OFP�ICFRVMrMMiLIt EXCLUDED? N / A (MandptM In NH) A f -- ..., E:L. DISEASE EA EMPLOYEE, $ Syye9 desc2a under D£SCRIPI ON OF ORE,RRATIONS below .. 7 1 „_._ ,,,,,.. ,, ,,,,,,,,,,,,, ----- I ' E.L. DISEASE - POLICY LIMIT $ I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Additional Insured Wording: Start Date: 06/29/2025 End Date: 06/29/2025 Event Description: LGTBQ+ Pride Celebration in the Park. %orc.I trn,rt t r- nyLUCR t;ANUtLL.A I IUN Mindy Labayen (DJ Mindy Mars) 12040 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 Joseph Guerrero © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: UST021822240 EFFECTIVE DATES: 06/29/2025 to 06/29/2025 CERTIFICATE NUMBER: NAA000044406 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FAI i ! • IL IM&LM This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Or anization s Mindy Labayen (DJ Mindy Mars) Information required to complete this Schedule„ if not shown above, will be shown in the Declarations. C Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(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 in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 DDIY "�`� CERTIFICATE OF LIABILITY INSURANCE DA6/23/2O225 ) 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 NAME..PH I ONE . AX DOXA Programs, LLC DBA R.V. Nuccio & Associates Insurance, elflw (840) 364 2433N qA�,)-1595 Brokers E MAILADDRES. sufrtrvnuccic cm 10148 Riverside Drive INSURER(S) AFFORDING COVERAGE 1 NAIC # Toluca Lake, CA 91602 INSURERA: Company 121873 _._ INSURED Fireman's Fund Insurance INSURER B : Axis Insurance Company 137273 ..,.. ,,,.,.,... Gundo Pride Rc 136 Concord Street #201 INSURER D El Segundo, CA 90245 INSURER E: COVFRAGFS d"FRTIFICATF 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. e,.... .. ......TYPE OF INSURANC�.,_,,,,�.... ,,,,,, ," ......... ,. _ ILN tit DLr ).FFrSf _._ '. ... -_, R _ E 1 POLICY NUMBER POLICY EFF T POLICY.....— .... ...., .. ............... ..__.., - ! MM/DDIYXYY I MM/DD/YYYY I LIMITS ✓ A GENERALCOMMERCIAL 6/29/2025 6/29/2026 .$. 1,000.000 ✓ GENERAL LIABILITY I HI=NTL-U 100,000B NAA000044406 I PREMISES - T CLAIMS -MADE ✓ OCCUR f MEDICAL EXPENSE $ 5 00 f ------ ...... ON 1,000,000 & ADV INJURY $ ., _ 1 _PERSONAL � AGGREGATE $ 2-000,000 GENERAL ,,. ." _ ___ T- GEN°L AGGREGATE LIMIT APPLIES PER: I � � COMP/OP AGG 1 $ 2,000,000 ..$ POLICYP'R✓^,! " L.,OC ,PRODUCTS ,,.,.,.,. . AUTOMOBILE LIABILITY , COMBINED SINGLE LIMIT Is ANY AUTO � � ) ,.._.------ ..-------........ I BODILY INJURY (Per person) ... ......... ... ......... $ ALL OWNED "� SCHEDULED BODILY INJURY (Per accident) -'PROI�LR $ l , AUTOS �.._ ,., AUTOS ` NON-OWNED .,„... C"W DAMFIGE I i HIRED AUTOS AUTOS 1 � otfb? ., .. _ ... ... ®.. ,.. I UMBRELLA LIAR- OCCUR ) i EACH OCCURRENCE 1 $ - EXCESS LIAB ....., . CLAIMS -MADE. _.. i REGATE I AGG........ ........- .. .... r........... , DED i RETENTION $ t I I Is 1 WORKERS COMPENSATION ! WC STATU- 4'.YT' 'F9- �•... AND EMPLOYERS' LIABILITY YIN T,RX IIRNT,$ .�" ,,,� ANY PROPRIETOR/PARTNER/EXECUTIVE i E L EACH ACCIDENT $ . OFFICER/MEMBER EXCLUDED? ;NIA j (Mandatory in NH) I' E L DISEASE EA EMPLOYEE $ € If yes, describe under r- """ DESCRIPTION OF OPERATIONS hetouv f EL. DISEASE - POLICY LIMIT i I � i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, � if more space is required) Additional Insured Wording: Start Date: 06/29/2025 End Date: 06/29/2025 Event Description: LGBTQ+ Pride Celebration in the Park CERTIFICATE HOLDER CANCELLATION Sarah Burress (SOUTH BAY BIRTHDAYS) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 4836 Guerrero - © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: usT021822240 EFFECTIVE DATES: 06/29/2025 to 06i29i2025 CERTIFICATE NUMBER: NAA000044406 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(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 in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 {'S' DATE (MMIDDIYYYY) ACCW�''" CERTIFICATE OF LIABILITY INSURANCE 6/23/2025 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 Joseph Guerrero DOXA Programs, LLC DBA R.V. Nuccio &Associates Insurance PHON (NC,Np FxtY (800) 364-2433 J , No 980-1595 Brokers ADDRIESS: suppoq@rvnuccio.com 10148 Riverside Drive INSURER(S� AFFORDING COVERAGE NAIC # ,a _ _ , Toluca Lake, CA 91602 INSURER Firemans Fund Insurance Company 121873 INSURED A ,...,- INsuRERB: Axis Insurance Company I37273 Gundo Pride INsuRERc. 136 Concord Street #201 EI Segundo , CA 90245 wsuRER E INSURER F : rnVFRAn9A rFRTIFIrATF NIIMRFR• RFVI..1;10N NHMRFR• 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. INSIt_............. ...................... ......... ......,.,..... ADOi.;.SgJ'iI°. LTR� TYPE OF INSURANCE ._..--- ------........ ,... POLIOY IEFF POLICY EXP -......... POLICY NUMBER I MMdDDBY'YYY 1 MMIONVYIY LIMITS GENERAL LIABILITY A ;.---.-. ✓ UST021822240 1 EACH OCCURRENCE $ 1,000,000 6129/2025 6/29/2026-100 ✓� COMMERCIAL GENERAL LIABILITY 000 CLAIMS -MADE OCCUR I J ✓� 1 NAA000044406 PREI$E$ ,,,,,,,,, D5 000 MEDICAL EXPENSE I $ $_ ... PERSONAL & ADV INJURY 1 1,000,000 .2,000,000 I GEN'L AGGREGATE LIMIT APP_L__I__E_S PER: PRODUCTS COMP/OP AGG� $ 000.. POLICY PI. 1 ! LOC 1 � �............... ..... AUTOMOBILE LIABILITY J �. - COMBINED SINGLE LIMIT �. i ANY AUTO 1 BODILY INJURY (Per person) ) $ ALL OWNED AUTOS ILY INJURY Y accident), $ BODILY AUTOS NONOWNED RTYDANGE. $ HIRED AUTOS AUTOS (,OD I I UMBRELLA LIAR I ,� OCCUR EACH OCCURRENCE Is _ EXCESS LIAB I `' CLAIMS -MADE AGGREGATE _ f DED RETENTION $ i I 1 $ WORKERS COMPENSATIONY WC STATU- I OTH- FR�_� AND PEROPPRI EMPLOYERS'f N ANY NEER/EXECUTIVE N I A OFFICER/MEMBER EXCLUDED? El i I �.. E _ EACHACCIDE ACCIDENT $ ,. (Mandatory I i ON OFd OPERATIONS below LIMITEMPLOYEE! E L. DISEASE - POLICY $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Additional Insured Wording: Start Date: 06/29/2025 End Date: 06/29/2025 Event Description: LGBTQ+ Pride Celebration T'E HOLDER Karina Ballon ( OnTheGOPhotoBOoths) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2232 Guerrero © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: UST021822240 EFFECTIVE DATES: 06/29/2025 to 06/29/2025 CERTIFICATE NUMBER: NAA000044406 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE .............._ Name Of Additional Insured Persons Or Or anization s Karina Bailon ( OnTheGoPhotoBooths) Information required to complete this Schedule,. if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(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 in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 ACDATE'MMIDD/YYYY) ' CERTIFICATE OF LIABILITY INSURANCE 6/23/2025 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 NAME=.... ..Joseph Guerrero CAP. N� 8p18 90. DOXA Programs, LLC DBA R.V. Nuccio &Associates Insurance 4a"/ Noyxti (8,00) 364-2433 FAx ) ( ) 195 Brokers EMAIL ADDRESS: S U ppo rtd@rvn U CCIO,,, CO m . ,...........,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 10148 Riverside Drive INSURERIS) AFFORDING COVERAGE ( NAIL # 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. IN.....�,,, �A INLSU B • LTR� TYPE OF INSURANCE Lugo WVDR� POLICY NUMBER .•,,,,...,,,... ..,.�.,e ,,,,,,,, . "� MMMWYYYY f MMI_DDIYYXY LIMITS ,,..... I GENERAL LIABILITY A -__ ... ✓ UST021822240 16/29/2025 1 6/29/2026 EACH OCCURRENCE $ 1,000,000 -„ ' ✓ COMMERCIAL GENERAL LIABILITY -. NAA000044406 PREM SESO ItFt7T EI1 $ ---- — 100,000 i CLAIMS -MADE OCCUR f MEDICAL EXPENSE I $ 5,000 - PERSONAL&ADVINJURY $ ---------------------------- 1,000,000" "GEN GENERAL AGGREGATE $ 000000 " L AGGREGATE LIMIT APPLIES PER. it �PRO UCTS - COMP OAGG $ P 2 000 000 i POLICYI IRI:J" LOC ... $ AUTOMOBILE LIABILITY " COMBINED SINGLE LIMIT $ j =ANY AUTO BODILY INJURY (Per person) f $ ALL OWNED ,. AUTOS1 1 �f AUTOS f - -- BODILY INJURY (Per accident) f $ f „ . ,.... I _ n.. ....... f NON -OWNED ! ) HIRED AUTOS ,...... � AUTOS � V'4.'II'FRT,a""OFkMAG�.. E$ ,(yPcr au,clrlra.rhl,L 1 1 UMBRELLA LIAB i U OCCUR EACH OCCURRENCE $ # EXCESS LIAB CLAIMS -MADE ' AGGREGATE ) $ DED RETENTION $ f ) $ ? a I WORKERS COMPENSATION I WC STATU OTH AND EMPLOYERS' LIABILITY ' YINI ' j i •• !TO,RX d�I.I)TG•--.... ANY PROPRIETOR/PARTNER/EXECUTIVE [ E L EACH ACCIDENT i $ OFFICERIMEMBER EXCLUDED? N / A' I (Mandatory in NH) 1 DISEASE E L - EA EMPLOYEE $ - If yes, describe under J `'-- -- -- ` DESCRIPTION OF OPERATIONS below 1 j i EL DISEASE - POLICY LIMIT $ i i DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Additional Insured Wording: Start Date: 06/29/2025 End Date: 06/29/2025 Event Description: LGBTQ+ Pride Celebration ,d��7tnll�I�ti��:faT�MH�:7 Joseph Faragher (Pickle Drag Queen, LLC) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1909 N Beachwood AUTHORIZED ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: UST021822240 EFFECTIVE DATES: 06129/2025 to 06/29/2025 CERTIFICATE NUMBER: NAA000044406 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ' • �" I ! Iw � III • • • • This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(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 in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 11 SCHOOL SUPPORT GROUPINONPROFIT ORGANIZATION COMMERCIAL PACKAGE INSURANCE POLICY GENERAL CHANGE ENDORSEMENT Master Policy Number: UST021822240 Memorandum Number: NAA000044406 Endorsement Date: 6/29/2025 Endorsement Sequential Number: 2 Issuing Company: Fireman's Fund Insurance Company 225 W. Washington Street, Suite 1900 Chicago, IL 60606 Nationwide Claims: 1-800-567-2685 National Program Administrator: DOXA Programs, LLC DBA R.V. Nuccio & Associates Insurance Brokers 10148 Riverside Drive, Toluca Lake, CA 91602 01. MEMORANDUM HOLDER NAME AND ADDRESS (MEMORANDUM HOLDER MEANS NAMED INSURED) a. Memorandum Holder: Gundo Pride b. Street Address: 136 Concord Street #201 C. City: ElSegundo d. State: CA e. Zip Code: 90245 02. COVERAGE PERIOD Inception Date 6/29/2025 12:01A.M. to Expiration Date 6/29/2026 12:01A.M. Standard Time at the Named Insured's address as stated above. 03. BUSINESS TYPE [:]PTA ❑PTO ❑Booster Club ❑Educational Foundation ❑✓ Nonprofit Organization 04. TYPE OF ENDORSEMENT a. Addition b. Deletion c. Change 05. TOTAL AMOUNT DUE OR PAYABLE New/Changed Coverages and Premiums Total Premium Detailed Policy changes are listed on the following page. Date Issued: 6/23/2025 Form Number: NPOUWS001 $0.00 Additional Amount Due Return Amount Due $0.00 By r "°......................� horizcd Representative 3/20/2008 NPOUWS00l 0 Copyright 2008. All rights reserved. DOXA Programs, LLC DBA R.V. Nuccio & Associates Insurance Brokers GENERAL CHANGE ENDORSEMENT # of Additional Insureds Additional Insured Name Additional Insured Street Additional Insured City Additional Insured State Additional Insured Zip Code Email Address Phone Number Event Start Date Event End Date Event Description Marker to determine to close or delete RCard Additional Insured Number Additional Insured Name Additional Insured Street Additional Insured City Additional Insured State Additional Insured Zip Code Email Address Phone Number Event Start Date Event End Date Event Description Marker to determine to close or delete RCard Additional Insured Number Additional Insured Name Additional Insured Street Additional Insured City Additional Insured State Additional Insured Zip Code Email Address Phone Number Event Start Date Event End Date Event Description Marker to determine to close or delete RCard Additional Insured Number Additional Insured Name Additional Insured Street Additional Insured City Additional Insured State Additional Insured Zip Code Email Address Phone Number Event Start Date Event End Date Event Description Marker to determine to close or delete RCard Additional Insured Number Continued From Previous Page Changes to Policy (Endorsements) 6 Mindy Labayen (DJ Mindy Mars) 06/29/2025 06/29/2025 LGTBQ+ Pride Celebration in the Park. TRUE 3 Sarah Burress (SOUTH BAY BIRTHDAYS) 06/29/2025 06/29/2025 LGBTQ+ Pride Celebration in the Park TRUE 4 Karina Bailon ( OnTheGoPhotoBooths) 06/29/2025 06/29/2025 LGBTQ+ Pride Celebration TRUE 5 Joseph Faragher (Pickle Drag Queen, LLC) 06/29/2025 06/29/2025 LGBTQ+ Pride Celebration TRUE 6