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PROOF OF INSURANCE (2026 - 2026)�1 S&SLA-1 ACORN` CERTIFICATE OF LIABILITY INSURANCE DATE (M1/20 11 /2P205 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 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 endorsements . PRODUCER 877-242-9600 CONTACT ACT Central Insurance Agency Central Insurance Agency, Inc. PHONE 87 -242 9600 FAX 87 243 8995 PO Box 1047 AIrr E Cerxi(iaCes Cralnsaaj es.Co I!c HMI .......... Smithtown, NY 11787 �_ a �, m George Gavaris Alaf�R s. Force„ Inc DBA JRM ty - NY, Inc IT Rd.. #413 3 INSURER E INSURER F ;. Starstone ,..S pedal insurance .. 76 Co-ePolnt Insurance Company 104 99 Sentinel tnsurannce Copan .... ...... y 11000 Mliford Casualty Insurance Co.. 26662 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 m ,,...,,_ � ,__ INSR TYPE OF INSURANCE ADDL SUER' POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACHOC..LURRENCE $ 1,000,000 ",.. CLAIMS -MADE _X] OCCUR X IWSGL002106 08l3012025 08/3012026 DAMAGE 1O RENTED i�E�I$I•al'�1oa,ceir,tprgrw�� 5........ 300000 Assault & Battery MED EX6� Ada pie p�Rrr s 5,000 li ProfessionalWLiab _ Y 1„000„000 X {,?EN L AG GREOAiE LIMIT APPLIES PER: Rs NAI_ AOVIIYJI ErI RAL .ACi,+d R�EG"ATE, S .., _ 3..flflti 0t10, .._....,� POLICY X P&P' I1 LOC I PRODUCTS,•CO'MPIOP.Arr, $ � 00,000 PHEW A COMBINED SINGLE LJMIr " 1,000 000 AUTOMOBILE LIABILITY WSGL002106 08/30/2025 08/30/2026 IIs,1 acceslwro9l.. _ i60 m _. ANY Auro ILI.N I� RY gPnr p rrrl OWNED - SCHEDULED I AUTOS BODILY UN„NURY (Per ...... , AUTOS ONLY ...... X �W AR�IRFD ONLY X ANOJi �DN OY OPc b a�nrA, Atr�WAf"P . . NV ONLY A X A,CH O�CIJRRENCE 5,000,00 0 EXCESS uaBAe CI -AIMS -MADE WSG0000490 08/30/2025 08/30/2026 1,. GGRECA7E 5,000,000 - DED X RETENTION $ B WORKERS COMPENSATION X fCR�T4I'"I.I;. OTIi AND EMPL YIN, N D L LACk,9 e1 CIDfwPur 1,.000 000' FCCER/MEMBER EXCLUDED N / A I� dERIM "tory In NHR/PXCLUDE/EXECUTIVE MWC1039850 -.,, .., 08/2$12025, 06125/2026 L DUSEASB. EA EMPLOYEE 5 1,.000„000 f yyes, describe under DESCRIPTION OF gPERATIONS below E-L.. DL ASE -POLICY LIMIT 1,000,000 C BPP I12SBAF0808 04/22/2025 04122/2026 Contents 200,000 i Leas/rent 20,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of El Segundo Department of Recreation Parks and Library are included as an additional insured under the general liability with respect to the liability by the ac�ks, errors and omissions' of the named created negligent insured herein as require by Written contract. CITYSEG City of El Segundo Department of Recreation Parks and Library 401 Sheldon 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. AUTHORIZED REPRESENTATIVE all ACORD 25 (2016/03) 9 19SS-2U15 AGUKU GUKIIUKA I IUN. All rignis re5erveu. The ACORD name and logo are registered marks of ACORD S&SLA-1 ACOR R CERTIFICATE OF LIABILITY INSURANCE DATE (M1 11B2/20 YYY) /20'2 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 PRODUCER 877-242-9600 CONTACT Central! Insurance Agency Central Insurance Agency, Inc. PHONE Est 0 FAX 877.24 899 PO Box 1047 ANR!ADDRNss .I _ �"?±!c. N9 . r Smithtown, NY 1178E-k+NAIL ucert9'i6 tes Bci�Ansiires.com George Gavaris THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE M 9 NS .. I _ ..,__.._..... URANCE 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 INSR TYPE OF INSURANCE w ADDL SUBR� POLICY NUMBER POLICY EFF POLICY EXPLis LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE :�X] OCCUR X WSGL002106 08/30/2025 08/30/2026 DAMAGE T RESREt,TEU 300,000 X.m� Assault 8: Battery MED EXP {Any one person) _$ 5,000 X Professional Liab 1,000,000 ,,,,,,,, O 1, IT APPLIES PER: .,. 3,000,000 POLICYI"EOT❑LOC UGTSCC1PIOPAG$PLI 3,000,000 A AUTOMOBILE LIABILITY COMMNk.0 SINGLE UMI'T tEe mOdantp,. S ........ 1,000,000 ANY AUTO IWSGL002106 08/30/2025 08/30/20261 BODILY INJURY (Perperson) .,� .�.�� OWNED 1 SCHEDULED AUTOS ONLY I �,BODILY INJURY (Per accident) ,._,,,,,,.1AUTOS X I HIRED X NON- VqN O Y .$ , Pa�sdni ROPERTY MACE (... ,...., ....... a AUTOS ONLY n_.. n_ AUTO ON i NV ONLY N ,,,,,. „m . ,"�,".. .... .... ..... A X UMBRELLA LIAB X OCCUR � CCURRENCE $ 5,000,000, EXCESS LIAB CLAIMS -MADE WSG0000490 08/30I2025108/3012026 A GGRE $ d GATE 5,000 000 .... ,A.......... .� I DED % X RETENTIONS 10,0001 B WORKERS COMPENSATION ANY EMPLOYERS'LJABILJTY � O CPW1003192 I 1 X ���T9„uT(= �PTN"w 01/0512025 01/05/2026 E EACHACgIDENT 1,000000 ANY R ARTNERiEXECUTIVE EXCLUDED? �08125120261 anda{� n y .; .N NIA! MWC1039850 08/25/2025 0812512026 ; E; L. DISEASE - EA EMPLOYEE S 1,000„000 If yye deszoibetjwrdf 1,000,000 I' ...E.S{,F2iP I N OF OPERATIONS below E..L. DISEASE - POLICY LIMIT C BPP 12SBAF0808 04/22/2025 04/22/2026!Contents 200,000 Leas/rent 20,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of El Segundo Department of Recreation Perks and Library are included as an additional insured under the ggeneral lialbility' With respect to the liability created by the ne ligent acts, errors and omissions of the named insured herein as required by written contract. City of El Segundo Department of Recreation Parks and Library 401 Sheldon Street El Segundo, CA 90245 ACORD 25 (2016/03) CITYSEG 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 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD