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PROOF OF INSURANCE (2026 - 2026)� .... - _. ------------------ DATE (MMIDDYYYV) aco CERTIFICATE OF LIABILITY INSURANCE 06I11I2025 - - 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. _ is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVE IMPORTANT. �If the certificate hpldr"ar-��� � � � ��� � � D, 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 .....�. .....mw_ Myers -Stevens & Toohe & Co., Inc. PHDNiE .xt) 800-827 4695 Mc) 48-2630 EMAIL 26101 Marguerite Parkway, RDRraDJCErr rrttrro)1ey nlyerS sleuenI'll 11111-s CORttW Mission Viejo, CA, 92692 417 __ IN SURER S AFORD NG COVERAGE INSURED Sorts Marketing Program Management Inc. .. 1fi543exasnyuranPan.. Champ INSURERS 5301 Beethoven Street #UNIT 160 INSURER C. Los Angeles, CA, 90066 INSURER..° .—„ ..... INSURER E : INSURER F : I VERAGES ITIT ..........._. CERTIFICATE NUMBER,. A-SP-SU-25.05 0 342336 385783 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. ..... QA..,.._ ..,,... _... .......................... AODL SiPOLICYffF NrOL'1CNE%P L— .........,_,.. GENERALCOMMERCIAL GENERAL ......... EACH A Y N BESGLPTNV011301_170012_02 06/11/2025 06/11/2026 „ OCCURRENCE $ 1 ppQ.000.00 ENERAL LIABILITY FIRE DAMAGE TO PREMISES $ 300 OOO.00 RENTED (Any one premises) .. .... CLAIMS -MADE - OCCUR IVIED EXP (any one person) $ 5 000 QO X INC-LUDFSATHLETIC PARTICIPANTS PERSONAL-B ADV INJURY �$1 000,000 OO -„ U ,GENERAL AGGREGATE GENERAL AGGREGATE LIMIT APPLIES PER: -COMP/OPAGG �$2,,000,00000 PRODUCTS (�� POLICY n PROJECT LOC ,,;,,,,,, ,,,,^^^ _-.................... ..._. I_. 1 1 ...uu.. .... ............._ ..........._ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 ANY AUTO HIRED AUTOS (Ea accident) ' 5 ...............I AUTOS OWNED NON -OWNED AUTO=.. BODILY INJURY (Per accident $ ALL NJURY Per erson $ BODILY I ( ) ,. _ ----------------- ....... SCHEDULED PROPERTY DAMAGE $ AUTOS ._(Per acciden.(L .....„ _......... ,,.,„„„„ ....... _- .... .. ............ .............-._................ UMBRELLA LIAB X OCCUR Y N BESGLXTNV011301_170012,02 06/11/2025 06/11/2026 /j EACH OCCURRENCE EXCESS LU1B ..........,:$ QQQ,pQ„„OO ,,,,,,,,, ,,,,,,,,, ......'...... CLAIMS -MADE ''.... X AGGREGATE $ 1,00..... 0 DEDUCTIBLE ..,.. $ C., ISLE RETENTION $ .... $ ... .. ..._.... __............ ........_.........__ _........._.� - �...... .... WOPo� : TION Y WC 5 ATi U ADEMPLOYERSUABILITY m.. .....I._TD YJJMtTS k ..........EFL.-..... ,..., ... .. ..- - --- ANYPROPRIE'T'AR'TNF.. '",Fi;,.]��a',7UTf^Ai OFFICERMEMBERIXCLLpED? E.L. EACH ACCIDENT S (NtadaAnyi *o N I A If yes, describe under SPECIAL PROVISIONS below E L.. DISEASE.- EA EMPLOYEE $ 'EL DISEASE -POLICY LIMIT LS _ .................. ............. ............... ....�. _. �.W....u...._. ...............�... OTHER A Abuse/Molestation Y N BESGLPTNVO11301_I70012_02 06/11/2025 06/11/2026 Each Occurrence: $ 25,000 00 Aggregate: $ 50,000.00 DESCRIPTION OF._��......� ........... .......... . .............. .......__.. ___.....,._._ OPERATIONS / LOCATIONS ( VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Liability Policy Deductible: $0.00 Deductible for Bodily Injury and $ 1000.00 per Property Damage Claim. ISO Occurrence form CG 00 01 04 13 and company's specific forms. Coverage for Participant Legal Liability requires that every participant signs a waiver/release,. The certificate holder is named as Additional Insured with respect to (continued on next page) CERTIFICATE HOLDER ........ CANCELLATION City of El Segundo. its officers, officials, employees, agents and volunteers SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 350 Main Street DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. El Segundo, CA, 90245 AUTHORIZED REPRESENTpATIVE 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 25 (2016/03) The ACORD name and logo are registered marks of ACORD ©1988- 2009 ACORD CORPORATION. All rights reserved. 19P DATE (MM/DD/YYYY) A °C)R" CERTIFICATE OF LIABILITY INSURANCE 06/12/2025 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). PRODUCER CONTACT .... - .. .... Next First Insurance Agency, Inc.PHONE H No _FXt)r (855) 222 5919 t 1Cu Niel PO Box 60787 Palo Alto, CA 94306 ADDRIE,SS: support@nextinsurance.com INSURER A: National Specialty Insurance CompanyI'll ......-.- 22608 INSURED INSURERB Champ Carnp LLC 12655 Bluff Creek Dr INSURER c Playa Vista, CA 90094 [INSURERD: rnvoonnoc !`PDT11=19%AT'C; KlIllitARPD• 669417981 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 TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ......................CLAIMS. _ .... ,._ INSRj ........-ADOLJSUBft. ........... .. POLICY EFF POLY'CY EX!P µ LTR �. TYPE OF INSURANCE INSD wvo POLICYNUMBER " fMM0DffYyY LIMITS COMMERCIAL LIABILITY CO� EACH OCCURRENCE $ CLAIMS -MADE OCCUR C,4WIAGi=Yl1.fYNi ..... PREMISES(Ea occurrence l $ MED EXP (Any one person) $ .G. --- '... -.. ...- PERSONAL 8 ADV INJURY � $ EN'L AGGREGATE LIMIT APPLIES PER. --- GENERAL AGGREGATE .,. $ f POLICY LOC _ PRODUCTS COMPIOPAGG $ �. JE�CT � � $ OTHER:°. J AUTOMOBILE LIABILITY COMBINED SINGLE LIMP fB 'A ac IlNerMB,. .....µ. $ ............... ....... ANY AUTO ( person) $ OWNED � i SCHEDULED cadent} BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED f NON -OWNED PROPERTYDAMAGE$ �,,,(Pe,r accud.wr.,, - AUTOS ONLY �.., .. AUTOS ONLY ....... ................. .... UMBRE LA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE ....,,...._.. .. $.......... --- —""" �.......,, m .,.-... DED RETENTION $ WORKERS COMPENSATION X SST TE 1 ERH p .._ AND EMPLOYERS' LIABILITY N _ ...... EACH ACCIDENT $ 1,000 000 00 A ANYPROPRIETOR/PARTNER/EXECUTIVE � oFFICER/MEMBEREXCLUE Y N /A NXTKL93HFV-01-WC 06/12/2025 06/12/2026�I_E,L ,,,,,,,,,,,_, „„„ ,,,,, .... , (Mandatory in NH) E.L DISEASE EA EMPLOYEE $ 1 000 000.00 If yes, describe under DESCRIPTION OF OPERATIONS below E .L, DISEASE- POLICY LIMIT $1,000,000.00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Proof of Insurance. Champ Camp LLC 12655 Muff Creek Dr Playa Vista, CA 90094 LIVE CERTIFICATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Click or scan to view (/ O lyt$U-ZU9O AGUMU L,UKI-UKA I IUIv. All ngmLs reserves. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD H aa¢e l t ' CALIFORNIA INSURANCE ,rir`i� 'riCi CARD ,,,, , IT 11 •' k • � � 11 1