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PROOF OF INSURANCE (2026)0,DATE (MM/DDNYYY) ! " " CERTIFICATE OF LIABILITY INSURANCE 01/31/2025 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 DMITRIY GLAZER PAPERLESS INSURANCE SERVICES, INC. PHONE 877).. 239-0067 _ ---__ NAME __. FAX 625 46TH AVE GG.atq,_FxO, (... Via). SAN FRANCISCO CA 94121 INSURED CHESS WIZARDS INC 4450 N CENTRAL AVE CHICAGO IL 60630 (224) 217-2569 PAPERLESSGROUP.COM INSURER(S� AFFORDING COVERAGE i NAIL .. ..........._ -- - ... "I I - .. ,,,,.--- ..i.... . W....,. UNITED STATES LIABILITY IN CO 25895 a..9..... SCOTTSDALE INS CO 1.12 7 INSURER F : en f`CQTICl/`ATC hlll\AQCQ• r+e�+ Tn 17191 107% RFVICIAIV NIIMRFR- 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. --- L.T.YPE.O.F.INSUR.A.NCE POLICY NUMBER MMIDD ..... _,.__.. ITRI iAOD1. suaR� POL&V'kFF "{.i 0bQd bA_T . .... MMTno"Y I LIMITS A X COMMERCIAL GENERAL LIABILITY OCCURRENCE $ 1 000 000 mp CLAIMS -MADE X OCCUR Y GL1133689C 02/01/2025 02/01/2026 PACH OREMISES,(Fa ocourrenael $ 100 000 L . ED EXP (Any one person) $ 5 000 ...... ........_....... , PERSONAL&ADVINJURY $ 1,000,000 GEN'LAGGREGATELIMIT APPLIES PER: GENERAL AGGREGATE $ 2 00,0,000 .,. PRO- .... POLICY � I LG7C PRODUCTSCOMP/OPAGG � $ INCLUDED___ „m, .CF.C.d ..... OTHER: PROF. LIAR. [$ INCLUDED AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ja araatl nf)._ $ INCLUDED .. A ........._. ANY AUTO GL1133689C 02/01/2025 02/01/2026 BODILY INJURY (Per person) $ ... � OWNED I SCHEDULED ... BODILY INJURY (Per accident) $ I I AUTOS ONLY I^ AHIREDUTOS f 0epAM.r'tG..E` $ ,..XWNED„f AUTOS ONLY (_X-�... AUUTOOS ONLY I Aq; k 11! $ ......... g UMBRELLALIAB X � CXS4093256 02/O1/2025 02/O1/2026 EACHOCCU RENCE $ 5 r 00 t 000 0 X EXCESS LIAR f OLAIMS-MADE AGGREGATE $ 51000,001101 I DED 4 J RETENTION $ $ . WORKERS COMPENSATION I I P R f OTH l STATl1,T„E, EF2 AND EMPLOYERS' LIABILITY Y/N ......,.,.,, µf„ EACH ACCIDENT 7 $ E,L OF ICER/M EMBER EXCLUDED?ECUTIVE N/A E E.L.LIMIT Iry� Ifyes,u) nder ����������� ..,.w. DESCRIPTION OF OPERATIONS below E.L. DISEASE POLICY $ A MOLESTATION OR ABUSE GL1133684C 02/01/2025',02/01/2026EACH CLAIM $ 1,000,000 AGGREGATE $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) WITH REGARD TO GENERAL LIABILITY, WHEN REQUIRED BY A WRITTEN CONTRACT, THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED PER BLANKET ADDITIONAL INSURED ENDORSEMENT L-723 (02/09) ATTACHED TO THE POLICY. WHEN REQUIRED BY A WRITTEN CONTRACT, THIS INSURANCE IS PRIMARY AND NON—CONTRIBUTORY PER FORM L-723 ATTACHED TO THE POLICY. EDGARC@CHESSWIZARDS.COM CITY OF EL SEGUNDO, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS.. 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 REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserveaw ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1 POLICY NUMBER: GL1133684C UNITED STATES LIABILITY INSURANCE GROUP WAYNE, PENNSYLVANIA This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM BLANKET ADDITIONAL INSURED ENDORSEMENT Section II — Who Is An Insured is amended to include as an insured any person(s) or organization(s) who you are required to add as an additional insured under written contract(s), written permit(s) or written agreement(s), that require such person(s) or organization(s) to be added as an additional insured on your policy. Such person(s) or organization(s) is an insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" occurring after the effective date of such written contract(s), written permit(s) or written agreement(s) that is caused, in whole or in part by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; EXCLUSIONS There is no coverage under this endorsement for loss or expense, including but not limited to the cost of defense for "bodily injury", "property damage" or "personal and advertising injury' occurring: (1) After all of "your work", including materials, parts or equipment furnished in connection with "your work" and performed under the above referenced written contract(s), written permit(s) or written agreement(s) has ended; or (2) When that portion of "your work" out ofAuhich the "bodily injury", "property damage" or "personal and advertising injury" arises and performed under the above referenced written contract(s), written permit(s) or written agreement(s) has been put to its intended use by any person(s) or organization(s); whichever occurs first. Coverage is not provided for "bodily injury", "property damage" or "personal and advertising injury" arising out of the sole negligence of an additional insured under this endorsement. Coverage provided by this endorsement will be excess over any insurance available to any additional insured under this endorsement unless a written contract(s), written permit(s) or written agreement(s) specifically requires that coverage under this endorsement is primary. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy unless another effective date is shown. L 723 (02-09) Page 1 of 1 �I a DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 04/16/2325 THIS C11 ERTIFICATE IS;I 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(es)I 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)• CON I PRODUCER NAME, DIIANA 23MOTSENIAT' PAPERLESS INSURANCE SERVICES, INC. PHONE 625 46TH AVE (A!0>Fla„„D 1 (..... 9 0067 �(A1C NoD„ .... E-MAIL ANA@PAPERLESSGROUP' COM SAN FRANCISCO CA 94121IPpslm. D� .-..-., .... ., a�r�encao«e�r tr hr:Arrvvml tr-r raAr.r NANC# STATE COMPENSATION INSURANCE F 135076 INSURED INSUR_E_R.B _....."------------ _,------ _ CHESS WIZARDS INC, APOLLO AFTER SCHOOL, INC ..,_mm......... ....... INSURER C .............. ....-.. 4450 N CENTRAL AVE INSURER 0 ....-....... CHICAGO IL 60630 INSURER E ... ........ --- ..... _ (855) 543-7277 INSURERF: ......� w r -e ..•� I+C�TICIf�ATC \IIIAADCO•r * Tn 17119 1AQ1 RFVISION 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 BEEN REDUCED BY PAID CLAIMS .........- ... .... ����_.-.- .. ......TYPE OF INSURANCE .. ...... ADtla.'Sult"It"... _..... POt.IC NINMBERVE tl41PM��C Y'Y .� .......... x pd]LICY EXP LIMITS IL TR MM7 - h'YYY CO MMERCIAL GENERAL LIABILITY EACH OCCURRENCE '$ .(71A7uWAGE-`i4" l l~fYED ._ m CLAIMS -MADE �... J OCCUR & ,B N1„*u ".( d„ gcurraaw°,rel ....... .... ... _._, _ MED EXP (Any one pa*sOn} > .... , $ .. ���� .� jj - PERSONAL _ _ q GENLAGGREGATELIMITAPPLIES� PER _GGF%L,QaA1l±RY " ... PRO ^ _ LOC POLICY '.,., r�ENERALA COMPIOPAGG ROOUCTS..',. .. � $ .." ...$..........., _....... .....! OTHER AUTOMOBILE LIABILITY('.F slenljINr"LE tlMl f" ^".... $ ... ...,. . ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED I BODILY INJU RY (Per accident) $ AUTOS ONLY , „m AUTOSHIRED -OWNED NON �..... _. AUTOS ONLY �....... AUTOS ONLY I ..5"a.9+R)AMA4.r.E............. ..„ $..,_ ..... ....,. LA LIAB„IMS EACH OCUiJRRLNCF, I $ --- .. ...- OCCUR OC .� ... EXCESS LIAB MAl'I'E AGGREGATE $ - ........ DED I RETENTIONS S A WORKERS COMPENSATION 9374511-2025 �02/Ol/202�5 02/01/202 X I PERFI ..m_. S"P4YUT"L.. »�. ....� ... ... AND EMPLOYERS LIABILITY YIN ANYPROPRIETORlPARTNER/EXECUTIVE E L EACH ACCIDENT S 1, 000 fyty0 .., OFFICER/MEMBER EXCLUDED? Y ..... NIA C L DISEASE EA k`M... $ , 000 (Mandatory In NH) describe II yes under1,000,000 y DGSCRIPT1ON OF OPERATIONS bdowr E'.L DISEASE -POLICY LIMIT $' S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) PROOF OF WORKERS COMP- INSURANCE IN THE STATE OF CALIFORNIA. THIS INSURANCE COVERS EMPLOYEES WORKING IN THE STATE OF CALIFORNIA. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of El Segundo AUTHORIZED REPRESENTATIVE 350 Main Street El Segundo CA 90245 w IDOO'LV I M••y.•w •_.+_. .....• ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1