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PROOF OF INSURANCE (2026), , . GATE (MMfDDIVYYY) .. .4coao LIABILITY INSURANCE �.... _CERTIFICATE OF,�� ,,.__...-.. _ ... _ ..,. _..-_ _- 01I06/2025 „ 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. NI kP"gi IANT. Bf tlxe certificate had subject Ider ir�an �A�EN�bITdOP�AL�P�1��lR�[�, the �aolicy(�ers) m�sst tOr� endorsed. i� SUBROGATION IS WAIVED, s�r<�)eck 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). KAMF The Camp Team, LLC PNsS a? "" FAX PH0'N 800 747 9573 1 (� 1, 303422 1276 __,,, ....... 9035 Wadsworth Parkway, E,M'd Suite 3820, ADDRE RrIIOCampCeSIT6 COfn Westminster, CO, 80021 ���d�a INSURED Sports Marketing Program Management Inc. INSURER A: Accelerant Specialty InSUranp! 'GOFflpad1iy 16890 City of El Segundo I � INSURER B t 350 Main Street INSURER D mm ,. El Segundo, CA, 90245 INSURER D _.. ,.m _, f-.. ..... INSURER E INSURER F: 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 ',. GENERAL LABILITY A X.. COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR INCLUDE,$ ATHLETIC PARTICIPANTS GENERAL AGGREGATE LIMIT APPLIES PER: X POLICY PROJECT AUTOMOBILE LtOti111 ANY AUTO HIRED AUTOS ALL OWNED NON -OWNED 'AUTOS AUTOS SCHEDULED AUTOS L4e OCCUR EXCESS LIAR CLAIMS -MADE L..,�.... DEDUCTIBLE N IN S0019GLOODO01-04 01/06/2025 01/06/2026 OCCURRENCE FIRE DAMAGE TO PREMISES REN'TET9 (Any.. or,* M ssusl',..... MED EXP (any one persw: nx PERSONAL BADV INJURY f'.FUM AGGREGATE PRODUCTS - COMPIOP AGO A DBIPLOVER I.IA®!fY ANY PR PRE7cww1io. EXEr. mvc C A5EREXCULDED? WardalloryinNIH) N I If yes, describe under SPECIAL PROVISIONS below A ( Abuse/Molestation I N IN COMBINED SINGLE LIMIT (Ea accident) I' BODILY INJURY (Per person) $ .rP ) BODILY INJURY (Perooddemt) $ PROPERTY DAMAGE .... IPnracx2daanal $ EAi,H OCCURRENCE $ AGGREGATE �$ Is YNP,' STATU- H• , EL EACH ACCIDENT$ 1 01910gipp.j 300,000.00 00,1_0001100 50019GL000001-04 101/06/2025 101/06/2026 1 Each Occurrence: $ 100,000.00 Aggregate: $ 500,000.00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) Liability Policy Deductible: $0.00 Deductible for Bodily Injury and $ 1000.00 per Property Damage ChArn ISO occurrence forth CG 00 01 04 13 and companys specific forms. Coverage for Participant Legal Liability requires that every participant signs a waiver/release. RE: Registered Drama partlmcigya'nts: 01/'06;202,$- 01/06/2026: 7TIFICATE HOL City of El Segundo 350 Main Street El Segundo, CA, 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. r 1 Mark Di Perno ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ©1988- 2009 ACORD CORPORATION. All rights reserved, ACORD' AGENCY The Camp Team, LLC POLICY NUM•BE.,..�......................w,. R S0019GL000001-04 CARRIER~ AGENCY CUSTOMER ID: ASPSU-25-01-06-327552 LOC# ADDITIONAL REMARKS SCHEDULE Accelerant Specialty Insurance Company 16890 ' EPPECVVE DATE: 01/06/2025 ACORD 101 (2008101) The ACORD name and logo are registered marks of ACORD Page 1 0f 1 ©2008 ACORD CORPORATION. All rights reserved. CITY OF EL SEGUNDO WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SUBJECTS AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN LABOR CODE § 3706, INTEREST, AND ATTORNEY'S FEES. I affirm under penalty of perjury under the laws of California one of the following declarations: (_) I have and will maintain a certificate of consent of self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Labor Code § 3700 for the performance of the work set forth the agreement with the City of El Segundo. Policy No. (_) I have and will maintain workers' compensation insurance as required by Labor Code § 3700 for the performance of the work for which the agreement with the City of El Segundo is executed. My workers' compensation insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance of the work set forth in the agreement with the City of El Segundo, I will not employ any person un any manner so as to become subject to the workers' compensation laws of California„ and agree that, if Ishould become subject to the workers' compensation provisions of Labor Code § 3700 1 must immediately comply with those provision or the agreement will torn tically become void. Signature of Applicant Q t Date Print Name Jam Agreement for: ave,0'Rilpy Dated: 10/28/2025 Reviewed by: