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PROOF OF INSURANCE (2026 - 2026)CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/23/2025 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 Next First Insurance Agency, Inc. PO Box 60787 Palo Alto, CA 94306 INSURED RK Sports LLC DBA Sportball 1379 W Park Western Dr PMB 160 San Pedro, CA 90732 CERTIFICATF' NUMBER: 189469738 F: (855) 222-5919 srApport@n�extinsurance.com n ero nsurace.com „INSURERIN AF'F9R9ENG,.COVERAGE National Specialty Insurance Company 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, EIRSXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ....... TR l ... ..... TYPE OF INSURANCE ......„. iA001L1t9'I#)i. .. ........, .... ... ........_ Y EXP LIMITS NUMBER MfDDf jl COMMERCIAL GENERAL LIABILITY ''.. EACH OCCURRENCE Is ...,. TT .. $ CLAIMS -MADE OCCUR � -r oryC.urani�cfe,$ � ....... --� ..,„ . , ED EIXP (An:a M y one person) $ ..� ..... INJURY PERSONAL &.ADV......,.. $ ...... -'------` GSN .................................. . - L A1GGRE.GATE LIMIT APPLIES PER: G,ENERAL,AGGREGATE $ POLICY PR LOC PRODUCTS COMP/OP AGG $ ---_ OT"f R $ AUTOMOBILE LIABILITY EP AW NFOSINGLE.BMBT e�wdNsrAl)m,,,,,,,,,,. jrr r . $ ANY AUTO BODILY INJURY (Per person) ,._,_. $ ...,. ,.....___ OWNED '" SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS• HIRED .....' NON -OWNED „.. 9'ROPFRTYDAIAGE.. $ .... 4., --... AUTOS ONLY ....... AUTOS ONLY pcadeavtl....„.......... .. ----.. II $ L„� '.00CUR ACH OCCURRENCE EGGREGATE...... $ _ Lr LIABAB I CLAIMSMADE'A. $ ........ . r _ - u .EXCESS . m.... I, DED 7C RETENTION $ � - $ WORKERS COMPENSATION X PER OTH STATUC A AONDC Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE � N 'NIA X NXTKTDWYPT-00-WC 06/062025 ,ER E.L EACH ACCIDENT '..06/06/2026 _ $ 1,000,000.00 R/MEMBERE CLLUD D? (Mandatory in NH) E.L. DISEASE- EA EMPLOYEE $1 00 000 00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $1,000,000„00 7-. . . ......... DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Certificate Holder is City ofEll Se undo. NEXT wolf endeavor to provide this Certificate Holder with wrtuen notice of canceltatfon 30 days in advance for any of'the following policles: Workers CorrlpemJatron A ewer of Subrogation applies in favor o,f this Cerf"rflcate Holder on the fftllowing pollcir s, Workers Cwrpensatlon, Alt Cemfloalte Holder privileges apply only if required by written agreement between the Certificate Holder and the Insured, and are subjectto policy terms and conditions. HILVIu ty of El Segundo LIVE CERTIFICATE ,0 Main St MRil SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Segundo, CA 90245 W, - THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Caw ` © 1933-2015 AGUKU GUKF'UKA I IUN. An rigims reserveo. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Ac CERTIFICATE OF LIABILITY INSURANCE .06/18/2025 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 INSURERS), 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.lf SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s). K&K Insurance Group, Inc. P.O. Box 2338 Fort Wayne, IN 46801-2338 CONTACT NAME: Mass Merchandising PHONE 1-800 426-2889 FAX 1-260 459 5105 gAdt No), E-MAIL ADDRESS info@sportsinsurance-kk.com CUSTOMER ID: INSURER(S) AFFORDING COVERAGE __INSURED: ...-. 2001... .""...... ....... 864683 CP# 3886 Specialty Company INSURER AIG S ecial Insurance Com an RK Sports LLC INSURER B . DBA: $pOrtball INSURERS ......... 1379 W Park Western Dr INSURER D Los Angeles, CA 90732 INSURER E A Member of the Sports, Leisure & Entertainment RPG INSURER F: ........................................... _ ...... r.�.i swn�c rCDT1CIr ATF tJI IMPIP-0, 9nnnA71RA7 NAIC If 26883 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DDNYYY) POLICY EXP IY (MMIDDYYY) LIMITS - A ITX COMMERCIAL GENERAL LIABILITY X _ 9YAPG00013344861 Ol 06/05/25 06/05/26 EACH OCCURRENCEmm•.... $?,000,00' _ 0 ��""y CLAIMS -MADE OCCUR 12:01AM 12:01 AM DAMAGE TO RENTED PREMISES (Ea Occurrence)mmmm $1,000,000 ......... ....... ......... MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY — $2,000,000 GENERAL AGGREGATE- $5,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOG PRODUCTS — COMP/OP AGG $2,000000 PROFESSIONAL LIABILITY $2,000,000 OTHER: ...............�..--__._.,..,-...�........ ._�,,,,... LEGAL LIAB TO PARTICIPANTS $2,000,000 A 9YAPG0001334486101 1 06/05/25 06/05/26 COMBINED SINGLE LIMIT (Eaaccident) $2,000,000 AUTOMOBILE LIABILITY I 12:01 AM 12:01 AM AUTO BODILY INJURY (Per person) OWNED AUTOS SCHEDULED BODILY INJURY (Per accident) ONLY AUTOS _ ••• ...•_-._ X Xi HIRED AUTOS NON -OWNED X PROPERTY DAMAGE (Per accident) ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE . DED RETENTION WORKERS COMPENSATION NIA PER STATUTE OTHER AND EMPLOYERS' LIABILITY Y 1 N E.L.. EACH ACCIDENT ITITITmm ••• ANY PROPRIETOR/PARTNER/ EXECUTIVE j" "A E.L. DISEASE— EA EMPLOYEE ''.. OFFICER/MEMBER EXCLUDED? ''... (Mandatory in NH) II yes, describe under E.L. DISEASE— POLICY LIMIT DESCRIPTION OF OPERATIONS below /� MEDICAL PAYMENTS FOR PARTICIPANTS 9YAPG0001334486101 06/05/25 06/05/26 PRIMARY MEDICAL 12:01 AM 12:01 AM EXCESS MEDICAL $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Sport(s): Motor Skills Development Age(s): 12 & Under The City of El Segundo, its elected and appointed officials, employees, and volunteers are added as an additional insured, but only for liability caused, in whole or in part, by the acts or omissions of the named insured Sexual Misconduct Liability - $250,000 each "Insured Event" limit/ $1,000,000 aggregate Effective: 06/06/25 Primary and Noncontributory is added via form PRG 4288 City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 350 Main Street EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH El Segundo, CA 90254 THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (� Owner/Manager/Lessor of Premises Coverage is only extended to U.S. events and activities. `" NOTICE TO TEXAS INSUREDS: The Insurer for the purchasing group may not be subject to all the insurance laws and regulations of the State of Texas. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 9YAPG0001334486101 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) The City of El Segundo, its elected and appointed officials, employees, and volunteers 350 Main Street El Segundo, CA 90254 Named Insured: RK Sports LLC DBA: Sportball CP# 3886 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; 2. If coverage provided to the additional insured whichever is less. is required by a contract or agreement, the This endorsement shall not increase the applicable insurance afforded to such additional insured will Limits of Insurance shown in the Declarations. CG 20 26 0413 © Insurance Services Office, Inc., 2012 Page 2 of 2 AC CERTIFICATE OF LIABILITY INSURANCE 06/18/2025 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 INSURERS), 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.lf SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s). K&K Insurance Group, Inc. P.O. Box 2338 Fort Wayne, IN 46801-2338 CONTACT NAME: Mass Merchandisi PHONE 1-800-426-2889 rAA 1-260-459-5105 IA1C„ No, EXt)... (ACC, No). E-MAIL ADDRESS: infOCCDSDortsinsurance-kk.com PRODUCER CUSTOMER ID: ........� .... INSURERS AFFORDING COVERAGE INSURED: 2001864683 CP# 3886 INSURER A: AIG Specialty Insurance Company RK Sports LLC INSURER B: DBA: Sportball INSURER C. 1379 W Park Western Dr wsuRER D: Los Angeles, CA 90732 INSURER E: A Member of the Sports, Leisure & Entertainment RPG I INSURER F 26883 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS ''. LTR INSD WVD (MMIDDIYYYY) (MMIDDIYYYY) CIAL GENERAL LIABILITY X 9YAPG0001334486101 06/05/25 06/05/26 EACH OCCURRENCE $2,000 000 .. 12:01AM 12:01 AM NTED PkE .. .' 691M E EMISES _a $1,000,000 CLAIMS -MADE X OCCUR Occurrence) .-.._ MED EXP (Any one person) $5,000 W PERSONAL &ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: .......... µ............. �. _. GENERAL AGGREGATE ..... ..., �... $5,000,000 POLICY E] PROJECT F LOC PRODUCTS — COMP/OP AGG $2,000,000 I PROFESSIONAL LIABILITY $2,000,000 OTHER: ,w..�.�............,....-..m .... '.. LEGAL LIAB TO PARTICIPANTS .........._. ......... $2,000,000 A 9YAPG0001334486101 06/05/25 06/05/26 COMBINED SINGLE LIMIT (Ea $2,000,000 AUTOMOBILE LIABILITY 12:01 AM 12:01 AM accent) ANY AUTO BODILY INJURY (Per person) a ........ ���� ������������������ OWNED AUTOS SCHEDULED BODILY INJURY (Per accident) ONLY AUTOS HIRED AUTOS NON -OWNED X X PROPERTY DAMAGE(Per accident) ONLY .AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE DED RETENTION WORKERS COMPENSATION N/A PER STATUTEL_J OTHER AND EMPLOYERS' LIABILITY Y C N E.L. EACH ACCIDENT ..__., ANY PROPRIETOR/PARTNER/ EXECUTIVE ITITITmm E.L. DISEASE— EA EMPLOYEE OFFICER/MEMBER EXCLUDED? _ (Mandatory in NH) If yes, describe under — E.L. DISEASE POLICY LIMIT O DESCRIPTION OF OPERATIONS below AL PAYMENTS FOR PARTICIPANTS 9YAPGO001334486101 06/05/25 06/05/26 PRIMARY MEDICAL EXCESS MEDICAL $25,000 fn 12:01 AM 12:01 AM DESCRIPTION OF OPERAVONSC LOCATIONS d VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached If more space is required) Sport(s): Motor Skills Development Age(s): 12 & Under The City of El Segundo, its elected and appointed officials, employees, and volunteers are added as an additional insured, but only for liability caused, in whole or m part, by the acts or omissions of the named insured Sexual Misconduct Liability - $250,000 each "Insured Event" limit/ $1,000,000 aggregate Effective: 06/06/25 Primary and Noncontributory is added via form PRIG 4288 CERTIFICATE HOLDER CANGELL.ATION City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 350 Main Street EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH El Segundo, CA 90254 THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Owner/Manager/Lessor of Premises © 1983-2015 ACORD CORPORA II N, An rights reserved. Coverage is only extended to U.S. events and activities. " NOTICE TO TEXAS INSUREDS: The Insurer for the purchasing group may not be subject to all the insurance laws and regulations of the State of Texas. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 9YAPG0001334486101 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) The City of El Segundo, its elected and appointed officials, employees, and volunteers 350 Main Street El Segundo, CA 90254 Named Insured: RK Sports LLC DBA: Sportball CP# 3886 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; 2. If coverage provided to the additional insured whichever is less. is required by a contract or agreement, the This endorsement shall not increase the applicable insurance afforded to such additional insured will Limits of Insurance shown in the Declarations. CG 20 26 0413 © Insurance Services Office, Inc., 2012 Page 2 of 2