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PROOF OF INSURANCE (2027)
CERTIFICATE OF INSURANCE PRINT DATE:'; 2/4/2026 AGENCY: Edgewood Partners Insurance Center 5909 Peachtree Dunwoody Road, Suite 800 Atlanta, GA 30328 678-324-3300 (Phone), 678-324-3303 (Fax) NAMED INSURED: USA Swimming, Inc. 1 Olympic Plaza Colorado Springs CO 80909 CERTIFICATE NUMBER: 202602041188976 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE: INSURER A: Accredited Surety and Casualty Company, Inc. NAIL# 26379 INSURER B: United States Fire Insurance Company NAIC#: 21113 EVENT INFORMATION: Sanctioned Swimming Competition (- ) POLICY/COVERAGE INFORMATION : 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE. POLICY NUMBER(S). EFFECTIVE: EXPIRES: LIMITS: A GENERAL LIABILITY X Occurrence X Participant Legal Liability X Sexual Abuse & Molestation A UMBRELLA/EXCESS LIABILITY X Occurrence B PARTICIPANT ACCIDENT 1-RSL-CO-17-01538639-01 1 /1 /2026 1 /1 /2027 12:01 AM 12:01 AM 1-RSL-CO-17-01538640-01 1 /1 /2026 1 /1 /2027 12:01 AM 12:01 AM General Aggregate (Policy Aggregate Cap) $20,000,000 General Aggregate (Per Event) $4,000,000 Each Occurrence $2,000,000 Damage to Rented Premises (Each Occ.) $2,000,000 Medical Expense (Any one person) Excluded Personal & Advertising Injury $2,000,000 Products-Comp/Op Agg $2,000,000 Abuse -Molestation (Each Occurrence) $2,000,000 Abuse -Molestation (Annual Aggregate) $'4,000„000, Each Occurrence $3,000,000 Aggregate $3,000,000 X EXCESS MEDICAL US2166905 1/1/2026 1/1/2027 Excess Medical $50,000 12:01 AM 12:01 AM DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL. m..m.....P PROVISIONS. Certificate holder is additional insured as required by written contract as per CG2026 (12-19) Additional Insured - Designated Person or Organization. Verification of General Liability and Excess Liability coverage for COVERED ACTIVITIES (see attached). 30 Day Notice of cancellation applies per policy provisions. The General Liability policy is primary and non-contributory as per Form CG2001 - Primary and Noncontributory - Other Insurance Condition. Other Insureds include the following: USA Swimming individual members (including but not limited to member athletes, coaches, officials, and other members), group members (including member clubs and organizational members), and volunteers; but only while such parties are acting in their capacity as such with respect to events and related activities organized, operated, sanctioned, or approved by USA Swimming, Inc. or any of its Local Swimming Committees (LSCs). CERTIFICATE HOLDER: NOTICE OF CANCELLATION: .............. — City ofEl Segundo, its elected and appointed officials, employees, and volunteers Should any of the above described policies be cancelled before the expiration date thereof, 350 Main Street notice will be delivered in accordance with the policy provisions. El Segundo CA 90245 AUTHORIZED REPRESENTATIVE: DESCRIPTIONS OF OPERATIONS (CONTINUED) Covered activities include events and related activities organized, operated, sanctioned, or approved by USA Swimming, Inc. or any of its Local Swimming Committees (LSCs): Swim Meets [Competitive pool swimming events, including world, national, regional, and local swimming competitions.] Open Water Competitions [Competitive open water swimming events, including national, regional, and local open water swimming competitions.] Observed Swim Meets [Coverage is limited to the activities of the USA Swimming official acting in their capacity while assigned to observe the event for compliance with USA Swimmingio is technical rules] Swim Practices and Dryland Training Activities [Swimming practices (pool and open water), dry land training activities, camps, and learn to swim programs where participants are USA Swimming members or U.S. Masters Swimming members and under the direct and active supervision of a USA Swimming member coach.] Organized Practices [Recreational swim meets hosted by a USA Swimming member club with local swim teams that are not USA Swimming member clubs. Coverage is subject to underwriting review, approval, and payment of additional premium] Swim Tryouts [Swim practices where a swimmer who is NOT and has NEVER been a USA Swimming member participates in swimming activities with a USA Swimming member club for up to a maximum of thirty (30) days from the first day of practice. Tryout swimmers may not participate in more than one tryout period within the same twelve month span.] Swim -A Thons [Swim -A -Than fundraising events sponsored by or registered with USA Swimming, Inc. ] Educational & Safety Training Programs (for member coaches) [Safety Training for Swim Coaches, including in -water training, CPR & AED training, and Lifeguard Certifications (all the prior training activities through approved agencies): all training conducted by USA Swimming member coaches who are member representatives of one of the approved agencies and providing training to member coaches or members completing the requirements to become a member coach.] Approved Social Events & Fundraising Activities [Approved social events and fundraising activities for member clubs or organizational members, including beginning/end of season parties, awards banquets, meetings, retreats, car washes, concession stand work, bake sales, parades (walking only, no riding/driving), info booth at community events, etc.] POLICY NUMBER: 1-RSL-CO-17-01538639-01 COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • . L This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): City of El Segundo, its elected and appointed officials, employees, and volunteers 350 Main Street El Segundo CA 90245 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 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 26 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: 1-RSL-CO-17-01538639-01 COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1