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PROOF OF INSURANCE (2026 - 2026),Y DATE (MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE nmo),,)mnin 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). LibertyCONTA United Insurance Services Inc 8187618$$ yan ....... PRODUCER Blvd Sue 204 i"„cT Sam Mura a .. C rtla.. 8882656889 704 Victory , Suite J m� Burbank, CA 91502 ADD,R S Sam !!bertyunitedinsurance.com License #: OF89841 INsuRERA: Certain Underwriters ( ) .. -. � INSURERS at Llovd's of London ING COVERAGE NAIc INSURED INSURER B.,.......... ...........�....,._- --- .... ---- ............. Elite Special Events, Inc INSURER ,. 11278 Los Alamitos Boulevard #101 INsuRER D - _ ..... Los Alamitos, CA 90720 INSURERE ................... .------ INSURER F : wwirw�wrn /C�TIL I TC \u IRaQC0- nnnnen77_o7onno Ri=vmi 1N NIIMRFR- AR5 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. ...... ...-.. ....... ..,......m...... ......... FF POLICY EXP LLTR I ... ----......----TYPE OF INSURANCE.............. ....�tODt�'SUB�R........ POLICY NUMBER MMIDD/YYYY.._.........,. MM/DD LIMITS A �X COMMERCIAL GENERAL (ABILITY Y Y ZISMB1499 04 05107►2025 051o712oz6 EACH OCCURRENCE $ 1 ¢ooOa000 CLAIMS -MADE ( OCCUR ICE RNTFp PRE91,5„.(,Ea rnCnavrg,r`+a:e,) $ 300000 MED EXP (Any one person) $ 0,000 PERSONAL & ADV INJURY $ 1,000 000 GEN'L AGGREGATE LIMITAPPLIES PE R LAGGREGATE $ 2,000,000_ PRO- POLICY LOC X ❑ JECT A PRODUCTS COMP/ OPGG 2,000I..... ......... $ $ 4�p`h1ER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY.. ., (Ea ar,iti.;Btp .... ........ _ ...... .. ._................ ANY AUTO BODILY INJURY (Per person) I $ OWNED SCHEDULED .............. ...., BODILY INJURY (Per accident) m............... 1 1$ AUTOS ONLY _ AUTOS HIRED NON -OWNED PRO'PEH rY DAMAG" l $ AUTOS ONLY AUTOS ONLY (P�r rp%oq! t ,,,,,, ---- _------ .,. I �I UMBRELLA LIAB OCCUR RENCE EACH OCCUR $ EXCESS LIAB CLAIMS -MADE AGGREGATE „$ .. -, ,,,,,,, .NT $ DED RET ENTION $ � � O7H WORKERSCOMPENSATION UTE ER, AND EMPLOYERS' LIABILITY YIN H ACCIDENT ,,,,,-- $ ANY PROPRIETOR/PARTNER/EXECUTIVE 1fVV E L EAC - OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) If yes, describe under SE -EA EMPLOYE SE LIMIT E L DISEASE $ $ DESCRIPTION OF OPERATIONS below -POLICY DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of El Segundo, its officers, officials, employees and volunteers are listed as additional insureds as respects general liability and this insurance is primary and noncontributory with any other insurance of the additional insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE SMS El Segundo, CA 90245 t l�7laisa-cu-ID r��,vrcv �.vrcr�rwl Ivn. r�u nyuw Icac�.cu. Amon 3a r9Ma/not Yk- end Inww of Amon D.,.,+-A I,,, CRAQ n9-4RDRA "0,DATE (MMIDDIYYYY) ►C7"R" CERTIFICATE OF LIABILITY INSURANCE 11 /17125 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 CONTr.CT Dave Warren NAME 805 C' Nielsen McAnany Insurance Services, Inc. (A/CPHONE No Ex't : ( ) 379-8801 � �-¢Atc (805)2204-4501 4165 E. Thousand Oaks Blvd ADDRESS. Suite 325 INSURER(Si AFFORDING COVERAGE NAIC # Westlake Village CA 91362 INSURER A11 : California Auto Insurance 38342 INSURED _ INSURER B : ELITE SPECIAL EVENTS, INC. INSURER C 11551 Weatherby Rd INSURER D : INSURER E, _ Los Alamitos CA 90720-3846 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2482810466 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 MAYBE 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. ""..... INSR ADD ICY F POLICY P .... LIMITS LTR TYPE OF INSURANCE .INS WVD POLICY NUMBER MMIDDIYYYY) MM/DD ITS COMMERCIAL GENERAL LIABILITY '.. EACH OCCURRENCE $ A A � ...... CL)MMS-MADE 1:1• OCCUR PRt°:MISES �, , rcxc:/,werrenr. r9 _ $ ......... MED EXP (Any one person) $ '..PERSONAL &ADVINJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY E LOG PRO- PRODUCTS - COMP/OP AGG $ 12THER: �JECT AUT - AUTOMOBILE LIABILITY 'COMBINED �aRhIGLE'� k.11WIIIT $ 1,000,000 (Eaaa:c{denth „�®... m'. ANYAUTO BODILY INJURY (Per person) $ A OWNED SCHEDULED BA040000023533 08/31/2025 08/31/2026 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS --••--- ••• *w,•,, . HIRED FX NON-OWNED PROPrATY DAMAGE $ .... AUTOS ONLY AUTOS ONLY (Per aa:cidern )•• UMBRELLALIAB � OCCUR EACH OCCURRENCE J. EXCESS LIAB AGGREGATE $ CLAIMS -MADE-• DE.. .RETENTION $ ER WORKERS COMPENSATION PER I STATUTE, ER AND EMPLOYERS' LIABILITY y I N E.L.EACH ACCIDENT "$ ANY PROPRIETOR/PARTNER/EXECUTIVE NIA OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT $ _T: . DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of El Segundo, its elected and appointed officals, employees, and volunteers are additional insured.. CAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE ElSegundo CA 90245 J McAnany ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CERTHOLDER COPY SP P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 08-26-2025 CITY OF EL SEGUNDO 350 MAIN ST EL SEGUNDO CA 90245-3813 SP GROUP: POLICY NUMBER: 9304403-2025 CERTIFICATE ID: 22 CERTIFICATE EXPIRES: 08-26-2028 08-26-2025/08-26-2028 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form apprdved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein.. Notwithstanding any requirement, term or condition of any contract or other document w0 respect to which this certificate of insurance may be issued or to which it may pertain, the Insurance afforded by the policy described Therein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 2024-08-26 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. NAME OF ADDITIONAL INSURED: CITY OF EL SEGUNDO .� ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08-26-2024 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ENDORSEMENT #1651 - TED HOLCOMB, P - EXCLUDED. ENDORSEMENT #1651 - JANET HOLCOMB, S,T - EXCLUDED. EMPLOYER ELITE SPECIAL EVENTS, INC 11278 LOS ALAMITOS BLVD 0101 LOS ALAMITOS CA 90720 SP [VRH,NE] (REV.7-2014) PRINTED : 11-14-2025