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PROOF OF INSURANCE (2025 - 2026) (3)DATE (MMIDDIYYYY) CC>R"' CERTIFICATE OF LIABILITY INSURANCE 11 /1212025 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). 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. ., _-. _ _ INSI2 ... ADDL S,UBR�. ,........... POLICY EFF 06L.14Y CX j ................. ................. LTR TYPE OF INSURANCE IIN2132I POLICY NUMBER MMIDDIYYYY) (MWDC LIMITS A x I, COMMERCIAL GENERAL LIABILITY Y Y ZISMB1499 04 05/07/2025 05/07/2026 EACH OCCURRENCE $ .. 1 OOO OOO 111, ` 6r7 KLNfC5 I 0,000 CLAIMS -MADE OCCUR X �... � -PREMISES (9a ocourence) ._. (Any oneperson) $$ .. PERSONAL 8 ADV INJURY ...3..U1. $ OOO 000 d1_s-,,.._ a. E GN'L AGGREGATE LIMIT APPLIES PER: ........., .-------- .. ......... ......... OOtOOO P _ RODUCTSGCOMPAOPAGG $ 2 OOOtOOO POLICY OTHER: I $ AUTOMOBILE LIABILITY COMBINED SPNGLE LIMIT $ ANY AUTO �...... BODILY INJURY (Per person) L..._ $ OWNED S ULED ---_,------------- . ................. I 1 1111- RY (Per accident) .,_..... ......._. $ AUTOS ONLY AUTOS HIRED NON -OWNED i PROPGR Y.....^.. $ ,,,, AUTOS ONLY AUTOS ONLY ,....Y .... (.Pr"GIfiRnAMAGE ....._ ........... . ..... UMBRELLA LIAB OCCUR RENCE $ .... EXCESS LIAB CLAIMS -MADE GGREGATE .,!°!. .... _.__, _......_ $.............. ..,. RETENTION $ $ WORKERS COMPENSATION PER OTH- PER STATUTE AND EMPLOYERS' LIABILITYYIN „ ANY PROPRIETOR/PARTNER/EXECUTIVE I EL EACH AC CIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NA / m. L DISEASE EA EMPLOYEE` E........ ............_ ... $ .,.. ........ .... If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of El Segundo, its officers, officials, employees and volunteers are listed as additional insureds as respects general liability and this insurance is primary and noncontributory with any other insurance of the additional insured 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. AUTHORIZED RE.PRESE.. © 1988-2015 ACORD CORPORATION. All rights reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by SMS on 11 /12/2025 at 02:17PM -1 0 DATE (MMIDDIYYYY) A4C<>IR" CERTIFICATE OF LIABILITY INSURANCE 11/17/25 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 endorsement(s). PRODUCER CONTACT Dave Warren NAME: ...... Nielsen McAnany Insurance Services, Inc. 'PHONE (805) 379-8801 1AXNo)t (805) 204-4501 A C No �_.... — 4165 E. Thousand Oaks Blvd E4A6L ADDRESS; Suite 325 INSURER(S) AFFORDING COVERAGE NAIC # Westlake Village CA 91362 INSURERA: California Auto Insurance _ 38342 INSURED INSURER B ELITE SPECIAL EVENTS, INC. INSURER C 11551 Weatherby Rd INSURER D INSURER E Los Alamitos CA 90720-3846 INSURER F COVERAGES CFRTIFICATF NUMRFR- CL24828104bb 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 CONTRACTOR 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 _.... POLICY EFF P EXp LTR TYPE OF INSURANCE INSO WVO POLICY NUMBER MMRDM!YY MWODIYYYY LIMITS _ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ........ ..,. CLAIMS -MADE 7OCCUR PREMISES JEa occurrence) $ ..... W MED EXP (Any one Derson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY F�ht..Ct LOC J"CT PRODUCTS-COMPIOP AGG $ $ OTHER; - _.E..LIMIa ........ ...... ..�. ..._ AUTOMOBILE LIABILITY tEa ar,6de SlNGLN= G.IMIf PFa tpccad(;rrl) g 1,000,000 ANYAUTO BODILY INJURY (Per person) $ A OWNED l SCHEDULED BA040000023533 08/31/2025 08/31/2026 ................. BODILY INJURY (Per accident) $ AUTOS ONLY . AUTOSyr HIRED '. NON -OWNED PROPERT'!'DA�MAGF.. $ AUTOS ONLY AUTOS ONLY r5` Pur acdxIcni UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DF..O I RETENTION $ $ WORKERS COMPENSATION PER OTH- STATUTE ER. AND EMPLOYERS' LIABILITY YIN """"" """""""' ANY PROPRIETORIPARTNERIEXECUTIVE r --- I E..L EACH AOOIDENT S OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below I_E�Im, DISEASE - POLICY LIMIT '.. $ -- -. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ............. _.. The City of El Segundo, its elected and appointed officals, employees, and volunteers are additional insured.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE ElSegundo CA 90245 J McAnany U 19t58-LU10 A(:UKU L;UKI-UKAI IUN. All rlgms reserveu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CERTHOLDER COPY SP P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 08-26-2025 CITY OF EL SEGUNDO SP 350 MAIN ST EL SEGUNDO CA 90245-3813 GROUP: POLICY NUMBER: 9304403-2025 CERTIFICATE ID: 22 CERTIFICATE EXPIRES: 08-26-2026 08-26-2025/08-26-2026 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative President and, CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 2024-08-26 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. NAME OF ADDITIONAL INSURED: CITY OF EL SEGUNDO ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08-26-2024 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ENDORSEMENT #1651 - TED HOLCOMB, P - EXCLUDED. ENDORSEMENT #1651 - JANET HOLCOMB, S,T - EXCLUDED. EMPLOYER ELITE SPECIAL EVENTS, INC SP 11278 LOS ALAMITOS BLVD #101 LOS ALAMITOS CA 90720 [VRH,NE] (REV.7-2014), PRINTED : 11-14-2025 POLICYHOLDER COPY SP P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 08-26-2025 CITY OF EL SEGUNDO SP 350 MAIN ST EL SEGUNDO CA 90245-3813 GROUP: POLICY NUMBER: 9304403-2025 CERTIFICATE ID: 22 CERTIFICATE EXPIRES: 08-26-2026 08-26-2025/08-26-2026 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or con&icn of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE„ ENDORSEMENT #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 2024-08-26 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. NAME OF ADDITIONAL INSURED: CITY OF EL SEGUNDO ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08-26-2024 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ENDORSEMENT #1651 - TED HOLCOMB, P - EXCLUDED. ENDORSEMENT #1651 - JANET HOLCOMB, S,T - EXCLUDED. EMPLOYER ELITE SPECIAL EVENTS, INC SP 11278 LOS ALAMITOS BLVD #101 LOS ALAMITOS CA 90720 [VRH,NE] (REV.7-2014) PRINTED t 11-14-2025