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PROOF OF INSURANCE (2026 - 2026)' a DATE (MM/DD/YYYY) C<W? " CERTIFICATE OF LIABILITY INSURANCE 9/30/2025 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 pollcy(les) 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 ....",. .......� ........ ... AX 818.-246-4.....„ p NAME, Ca$18 246-2800 l 69- CONTACT TIB Transportation Insurance Brokers, LLC PHONE 0 425 W. Broadway, Suite 300M1°�¢)^ — e) Glendale CA 91204-1269 apRgg� Sahq@pprlsure.corra INSURERS" AFFORDING COVERAGE " NAIC # (NsuRERA Republic Indemnity Company ofAmenca 22179 ........... __ ....,,,,, „-_ ..... ----..... IN ..... .. .. INSURED INSURER B Inland Empire Stages, LTD --------- 9567 Eighth Street INStIRERc Rancho Cucamonga CA 91730 INsuRERo INSURER E . INSURER F : COVERAGES CERTIFICATE NUMBER: 1090332334 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„ . ,.......... ...,. .... ...... �..... ......,.� ... ...... .EE'F J......,..,, .............. llNSR.`..... ... ,,,,......P6LZ _6p'j LIMITSDOLPZLNCY F . LTR TINSURANCE.. 1 POLICYNUMBER MVIDD/Y YY MMIDD . COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ._-------� RENTED _ $$ -MADE OCCUR M%4UEFi CLAIMS .,....., , , . ...,,... prenpe) EDEXP An one erson.! .....$ ---- ,,,, ..... PERSONAL & $ �.GEN'L„ .. ............... ........... AGGRE..,.,. GATE LIMIT APPLIES PER. �GENERALADVINJURY AGGREGATE GATE .„,.. _ $ ........,,,,,, .. , ........... _ ._.. P' CPj POLICY ❑.yEO;•p LOC PRODUCTS - COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINLOSINGLE1.IMI1 t%cr ed� nO $ --• .. ANY AUTO BODILY INJURY (Per person) -... ............... .. $ ......,..,..,,. ..... ""'•" OWNED SCHEDULED BODILY INJURY (Per accident) $ _ AUTOS ONLY AUTOS HIRED NON -OWNED P,i'tpF�ERrY'L7A/M@AGr ........ $ _ --- AUTOS ONLY ........ AUTOS ONLY (f R Ac idgnlj. ,,...........- _ .....,, .......... i. $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE —..... ....".... .... ..".. $ .......... I ... .". ----------------_. ..... DED RETENTION $ $ A WORKERS COMPENSATION y 15669024 1011/2025 10/1I2026 X PER " OTH (STATUTE E R AN D EMPLOYERS' LIABILITY Y 1 N ANYPROPRIETORIPARTNER/EXECUTIVEY ,L EACH ACCIDENT E, $1 000000 ..OFFICER/MEMBEREXCLUE I F '(Mandatoryin NH) ( NIA' 11 EMPLOYEE DISEASE EA EMPL $ 1,000 000 yes, describe under "'EL E.L. DISEASE POLICY LIMIT $ 1,000 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Officer Exclusion Applies - Curtis Basey, Nicole Basey City of El Segundo 350 Main Street El Segundo CA 90245 ACORD 25 (2016/03) 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 ©1988-201��,._._ 5 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 8/25/2025 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 TIB Transportation Insurance Brokers, LLC 425 W. Broadway, Suite 300 Glendale CA 91204-1269 INSURED Inland Empire Stages, LTD 9567 Eighth Street Rancho Cucamonga CA 91730 INLAN-1 INSURER E ; INSURER F INSURER(S� AFFORDING COVERAGE NAIC,# Lancer Insurance Comoanv 26077 COVERAGES CERTIFICATE NUMBER: 120n150108 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. .......r ....... .. ....... ......__hODLs--_ .. ..... UBR POLICY EXP INSR9 .TYPE j'. ........ { LIMITS OF INSURANCE POLICY NUMBER dMAO,MBIF.IdDfYYYM' MMID tTR ( D 9 A X COMMERCIAL GENERAL LIABILITY Y GL156 100#23 8I31I2025 B131/2026 �, � EACH OCCURRENCE 1$ s 000.000 cM .....m,. ..., I %< 1c $1..... 0,000 CLAIMS -MADE ...1 OCCUR i PR1mMk „E, qus�.cxurrer�c a�... ...�.. [ l . MED EXP (Any one person) .$.5_ 000 - .................-._.___-._ __............ PERSONAL & ADV INJURY $ 5,000 000 .. .... GEN. .....................-- L AGGREGATE LIMIT APPLIES PER: ...... .. ,,. GENERAL AGGREGATE I $ 5,000 000 ..... ... ...........�.,.�._. ... ... ..,,., X PRO- POLICY ❑PRO- LOC PRODUCTS........_ ....... - --_,. ____ -COMP/OPAGG $ -.. OTHER„ A AUTOMOBILE LIABILITY Y BA157040#23 8/31/2025 8/31/2026 COMBINEt IT JY 00,000 $5,.-0. ANY AUTO BODILY INJURY $ OWNED ..X SCHEDULED BODILY INJURY (Per accident) $ X... AUTOS ONLY AUTOS HIRED NON -OWNED — P'ROPERTYI;IAMAGE $ AUTOS ONLY AUTOS ONLY (kr gr,.pudum-{ m $ UMBRELOCCUR LI OCCURRENCE EGGREGATE I $ ..... .. ... ., EXCESS LIAB CLAIMS -MADE EACH .. I. $ ....... ...... ....... .. .. $ lDEO REBENTION $ WORKERS COMPENSATION PER 1 OTH- STATUTE L�m....... ER ..... AND EMPLOYERS' LIABILITY Y /� N ........ ...... ............... $ ANYPROPRI ETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED. NIA _CCIDENT E.L.L EACH ��- b NH) SE-EAEMPLOYEE . --- $ .........- If yes, describe under If DESCRIPTION OF OPERATIONS below E.L.ISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of El Segundo, its officers, officials„ employees, agents, and volunteer's are added as Additional Insured, but only as respects the operations of the named Insured and only to the extent Lhe additionai insured is held liable for the conduct of the named insured. l;tK 1 I 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 REPRESENTATIVE V l`tfJU-LUID P1l.UKU L,UKrUrW l Ivry. AD mynas reat:1 VVU. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD