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PROOF OF INSURANCE (2026 - 2026)
� CERTIFICATE OF LIABILITY INSURANCE 11/26/2025 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 INSURERS), 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.lf SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: MASS Merchandising K&K Insurance Group, Inc. .............1 800 .......... _. PHONE FAx 328 2317 1 260 459 65i)2 P.O. Box 2338 ( (A/c N) Fort Wayne, IN 46801-2338 EMAILA DDRESS: info@eventinsurance-kk,com PRO[3UCER CUSTOMER ID: INSURER(S) AFFORDING COVERAGE ,NAIC # _._. __, 0 ---.-..--..-........... ....... INSURED: 2001033029 CP# 854 e Company 38970 INSURERA: Markel Insurance Sandra Delgado INSURER B: DBA: Welcome Spanish LLC INSURERC 217 Aviation Place INSURER D. Manhattan Beach, CA 90266 INSURER E: A Member of the Sports, Leisure & Entertainment RPG INSURER F: cnvFRo['Fs _ u...... ..... CERTIFICATE NUMBER: 20007070,19 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 BYTHE 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MMTD. (MM/DDIY`" A f.X COMMERCIAL GENERAL LABILITY �. .....-0 ....,..�.....�.. .—„ ..� ....—..— .. LIABILITY X M1RPG0000000557000 12/02/25 12/02/26 EACH OCCURRENCE $1 000,000 J CLAIMS -MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOG OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS F'�SCHEDULED ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE DED RETENTION WORKERS COMPENSATION N/A AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/ EXECUTIVE q' •••••••"7 OFFICER/MEMBER EXCLUDED? i I (Mandatory in NH) If yes, descnbe under DESCRIPTION OF OPERATIONS below 12:01AM 12:01 AM DAMAGE TO RENTED PREMISES $1,000,000 (Ea Occurrence) MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY _ .....-. $1,000,000 GENERAL AGGREGATE _ $5,000,000 PRODUCTS-COMP/OPAGG $1,000,000 PROFESSONAL LIABILITY $1,000,000 LEGAL LIAB TO PARTICIPANTS .__.. $1,000,000 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE(Per accident) EACH OCCURRENCE PER STATUTE U OTHER E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICY LIMIT MEDICAL PAYMENTS FOR PARTICIPANTS .-- PR MAENCAL EXCESS MEDICAL DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 161, Add(tional Remarks Schedule, may be attached ltm-ore space is required) Instructor of: Language The certificate holder is added as an additional insured, but only for liability caused, in whole or in part, by the acts or omissions of the named insured. CERTIFICATE HOLDER CANCELLATION The City of El Segundo, its officers, officials, employees, agents, and volunteers SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 350 Main Street EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH El Segundo, CA 90245 THE POLICY PROVISIONS. Owner/Manager/Lessor of Premises AUTHORIZED REPRESENTATIVE U -I`Jaa-Aida #k%,UKU \iURrVR/Y 1 lU111. N11 11911L* l=OWN•GY. Coverage is only extended to U.S. events and activities. ** NOTICE TO TEXAS INSUREDS: The Insurer for the purchasing group may not be subject to all the insurance laws and regulations of the State of Texas. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: M1RPG0000000557000 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) The City of El Segundo, its officers, officials, employees, agents, and volunteers 350 Main Street El Segundo, CA 90245 Named Insured: Sandra Delgado DBA: Welcome Spanish LLC CP# 854 IInformation required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(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 omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; 2. If coverage provided to the additional insured whichever is less. is required by a contract or agreement, the This endorsement shall not increase the applicable insurance afforded to such additional insured will Limits of Insurance shown in the Declarations. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2 "" DATE (MMIDD/YYYY) AC61Z CERTIFICATE OF LIABILITY INSURANCE 164�. 11 /11 /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). a ency, Inc. mwlPRODUCER Automatic Data Processing Insurance Ag Agency, PH(AjE Extp ,......- Automatic Data ProcessingInsurance A enc , Inc. PHONE 1-800 524-7024 FAc Na) 1 Adp Boulevard Roseland I .... ..... INSURED Welcome Spanish! LLC 217 Aviation Place Manhattan Beach nnvener_e� NJ 07068 INSURER C : INSURER D : INSURER E c. CA 90266 INSURER F : rcz ririrnrc uiiituoco• dRF27SR INSURER(S) AFFORDING COVERAGE Technology Insurance Company, Inc, RFVI-glnN NIIMRFR- NAIC # 42376 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. ..... I.,. ......................_._._, ......... ..... AWE", o _.._..... ........... ......... --- POLICY EFF ffL ICY EXP-- - ......,..... ...m_ .... ..... .... NSR LIMITS R IN D� l!NVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY TYPE OF INSURANCE LIABILITY COMMERCIALLAIMS-MADEI GENERAL...� I EACH OCCURRENCE $ to OCCUR OAMACETN1RENTEiS . 4'REIwAISEaaE�arvracurienceJ ....r$ ...... [MED EXP An one person) (_ $ .... _.. ................ 1 .. PERSONAL,& ADV INJU„ RY $ ..... ....,, .. ... ...... GEN'L .... AGGREGATE LIMIT APPLIES PER: ._P AGGREGATE GENERAL A �, 1 $ POLICY LOG RO.... �....P.. .... COMP/OP AGG , $ ..... ..... ..... $ OTHER:COMBINED i. AUTOMOBILE LIABILITY AU hN L IM I $ ANY AUTO U RY (Per person) f $ BODILY INJURY OWNED SCHEDULED .. BODILY INJURY cadent) $ AUTO.ONLY AUTOS HIRED .... NON -OWNED - ( P R�iI�+�.�dT"Y DAMA4"af:ac'. .. h(ior AUTOS ONLY AUTOS ONLY ^rI?�ecr2 ,,,, ,$,,, .. ..... ....... .......... r . YY UMBRELLA LIAB OCCUR EACH OCCURRENCE I $ EXCESS LIAB CLAIMS -MADE AGGREGATE f $ „ $ D E D RETENTION $ WORKER COMPENSATION PER H E �ER AND EMPLOYERS' LIABILITY mm„ E L ATCH ACCIDENT � $ 1,000,000 A ANY ROPRIETOR/PARTNER/EXECUTIVE �YIN �IV �� 'OFFICERIMEMBEREXCLUDED? N N/A N TWC4666228 09/15/2025 09/15/2026 -• --- •• - 1,000,000 (Mandatory inNH) LOYEEy $ If yes, describe under DISEASE LIMIT $ 1,000,000 ,DESCRIPTION OF OPERATIONS below E.L. -POLICY DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) r�]"+a"w4,rr�1 Pr�':1 �'�r•I�l�•■y- Y.\,�IM���.��1�1.� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Welcome Spanish! LLC ACCORDANCE WITH THE POLICY PROVISIONS. 217 Aviation Place, AUTHORIZED REPRESENTATIVE Manhattan Beach CA 90266 lJ i.-/OO�LV 1.7 MlrVRIJ M1 Vd11r 5✓R✓^F#9'Vu,. rug yaa .cac..v�. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD