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PROOF OF INSURANCE (2025)CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 09/09/2025 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 , NoJk)x!1„.„_. .-.(80Q) 747-9573 _ AaC,ITnlu 30: ' The Camp Team PHONE FAx 9035 WADSWORTH PKWY STE 3820 �A,rc rb ( ) 422-1276 WESTMINSTER, CO 80021-4541 E"'MAIL rhl rdcam team com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA Great American Insurance Company 16691 ........ .............. ..... .""""._.,. ._._ _ ... INSURED SPORTSAND RECREATION PROVIDERS ASSOCIATION (PURCHASING GROUP) AND INSURERB: ITS PARTICIPATING MEMBERS: """"""""" '"""" "' ""' Tech Breakfast Club LLC wsuR... _m . ... 50 MURRAY ST APT 513 INSURER D NEW YORK, NY 10007 INSURERE: INSURER F :. COVERAGES CERTIFICATE NUMBER: GAS170423 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 ANDOF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TERMS, EXCLUSIONS AND CONDITIONS .. . _ INS INSR WV'o POLICYNUMBER POLICYEFF G^fDLNCYEDgP LIMITS TYPE CE La'R INsaa wwvtp axMrDla,h^lavv MnlaDtrrr'vYY EACH OCCURRENCE $1,000000 GENERAL LIABILITY .... IT .... DAMAGE 'YO RI,147ED $300 000 X COMMEF2CIAI GENERAL.. I_IABId.ITv wGdL hql' E,G IEu1 ro rt Y L�Y(IT -., ... ITIT. MED EXP (Any one person) $ t0 000 CLAIMS -MADE [ X] CbCC1I:1 X PAC 4725038 09/09/20M 12/09/ 'mIT'PER a ADV INJURY ... $1,000 000 A 12:00 AM AM 12:01 AM __ ----- •- •••-- ..........- �........._ _._............._. GENERAL AGGREGATE $2,000,000 .....�,.. ........ _ .................... ......_ Gr N Y Arr,REGAn IMI Y APPLIES PER: ....._.._�COMP/OP AGG PRODUCTS ., mm, $2.(; l) 000 _. ITITITITITITIT mmX POLICY PECr LOG RO r CIMd ININE;D SINGLE Ill, WT1111111 AUTOMOBILE LIABILITY Etr mw:rdxrtrt. _...._.... . ,,, ,,,,,„ ANY AU10 BODILY INJURY (Per person) AI..I..DWNED Si:l ICI7UI.r:.D . aGDILY IN�JgJR;Y (P�*P AUTu3 AUTos ZQnq . ............... __ .............. .,�... tSG. IRF..DA 10 N..-0.NI:::DAUYOS RCX 4 6t1'Y Dnw A F7 rc ieMaSaAy UMBRELLA LIAB OCCUR E WEACHOCCURRENC ............. EXCESS LIAB CLAIMS -MADE AGGREGATE DEP.) CtFILNTI $: $ 09/09/2025 12/09/2025 EACH OCCURRENCE $1,000,000 A Professional Liability X PAC 4725038 12:00 AM 12:01 AM AGGREGATE LIMIT $1,0001000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Covered Activities: Production - Networking The City of El Segundo, it's elected and appointed officials, employees, and volunteers is added as an additional insured but only with respect to liability arising out of the named insured during the policy period. Scheduled Activities Exclusion Applies -Please Refer to Named Insured Member Certificate of Coverage CERTIFICATE HOLDER CANCELLATION The City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 350 Main Street BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN El Segundo, CA 90250 ACCORDANCE WITH THE POLICY PROVISIONS. ''... AUTHORIZED REPRESENTATIVE Tln-& Ca 1�1 }� Tea vw ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A, �' DATE (MMIDDMYY) ADDITIONAL INTEREST SCHEDULE 09/09/2025 AGENCY CARRIER NAIC CODE Great American Insurance Company 16691 POLICY NUMBER EFFECTIVE DATE NAMED INSURED(S) GAS170423/PAC 4725038 09/09/2025 12:00 AM Tech Breakfast Club LLC ADDITIONAL INTEREST (Not all fields apply to all scenarios — provide only the necessary data) INTEREST NAME AND ADDRESS RANK: EVIDENCE: CERTIFICATE '.. POLICY WSEND BILL INTEREST IN ITEM NUMBER.. „mmmmmmmmIT, X ADDITIONAL LOSS PAYEE LOCATION: BUILDING: INSURED The Cityof El Segundo 9 BOAT: BEACH OF WARRANTY MORTGAGEE 350 Main Street VEHICLE. ''. CO-OWNER OWNER AIRPORT: AIRCRAFT: El Segundo, CA 90250 ITEM ......... ITEM: .- EMPLOYEE AS LESSOR REGISTRANT CLASS: LEASEBACK TRUSTEE ITEM DESCRIPTION OWNER LIENHOLDER REFERENCE I LOAN #: INTEREST END DATE: .............. ..... ....,. .... ......... ... ....... INAMOUNT: PHONE PJC,No, Ex): .....�.-.... FA)AIC, N�o): X .........,...........,....,- ..... .... REASON FOR INTEREST: E-MAIL ADDRESS: The above are added as additional insured but only with respect to liability arising out of operations of the named insured during the policy period. Page 1 of 1 ACORD 45 (2009104) © 1993-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD