PROOF OF INSURANCE (2027)CERTIFICATE OF LIABILITY INSURANCE 13'ArE, vioNxIlwyyyy)
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PRODUCER
P,O, IDox 2338
K&K Insurance Groupi, tric.
I INSURER(SI AFFORMING COVERAGE
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INSURED INSURER k Markel insurance Conspainy
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389110
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Ma LawWr INSURER W
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INSURER Cr
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A Member of the Sports, Leisure & Entedainiment RPG INSORIER l
INSURER E.,
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N�COiRER
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COVERAGES CERTIFICATE NUMFIEW U00188671 REVISION NUMBEW
CERTiFY711ATTIHE POLICIES OF INSURANCE LISTED BELOW HAVE REE IISSIDED TO, THE INSURED NAMED, ABOVE FOR THE POUCY FIER$00 INDICATED,
IN lNG ANY REQUiREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER M.,UMENTWITH RESPECT rO WHfCH THKI; CERTIFICATE MAY BF,
PERTAM, TIME INSURANCIF AFFORDED BY'll-IlE i1U1LI(;IF,`S DESCRIBED IIEhTEEN IS SUBJECT TO ALL THIETERMS, EXCLUSIONS AND CONDITIONS OF
LIMITS SHOWN MAY'' HAVE BEEN REDUCED BY FIX0 CLAIMS
CKSK TYPE OF UNSURANCE ADDL 'SUIW K)MT tPP
LT'IR INSD wV0 POLICY NUMBER I
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X COMMERCIAL OEMERAL L4ASILITY X M IRP(.;000NiiW7118001 04AMOW26 04%2027
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$1,00,01,00n
CLAM& IZ011 AM EDT 12�01 AM 77)A--p-,oA7jrjw7rM, q,lrn ...............
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MALE
WIFE) EXP (Arwyana persoo)
F41"'RSONAL & ADV V4,dUR'(
$1,0100,0100
GEINERIM, ;G, F>;;,7CoA1EF
$5,000,0100
-A1X)Gl4LGATr,'UM1T AFPWqS PE-R: PIROIDUCFS . COMOP LTG
$1,000,0100
POLICY E PA"O I,Oc PROr1 RSIONA1 11 [AiNjUn'
T7 ITIP377r
011 lot; PX,'rT CWANT S
$1,0D0,0,00
AD 01100841.9(LIABILITY 7 7M, Mrn MFUT, E V7
Ad it AlLf R U DOCALY 0NJJ"v Iper ppmwnt
GIANCE) AU10r.
ONLY AUTOS LICC)LY INA inY
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HIRIED NOW)WNF: D
AUTOS ONL AUTOS ONIN
NOTPROVVEL) W'1411RL IN HAMA
UMIRRIELLAiJAM 0CCUR EACH OCCURM',,NCE
4AMWSWADE' AGURFGATE
DED RETEN10N
PER
WORKERS COMUM PENSATAND C) I H IER
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ENPLOVERS'LIABILITY SIATUT117
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R.R."NSLASE FACNIPLOYEE
EXCLUDIF.D? tI amwJ AMV Iuw bItY1
0 yes, describe uncer OrSCR PT 6ON E1 n0ASE-, f1(A.J(.'YLJP47
OF OPERAT01NIS bek)w
MEDICAL PAYMPNITS FOR PARTICIPANTS PROVARY M(DUCAL
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VESCRIP'"ON OF OPERATIONS , LOCA'1101143 I VEHICLES (ACORID 101, Addiftional ftnarts Schedule, may he attached if mom spaco is roquired)
Non Ceirtified ins( actor of Ap,iabc Exercise
The Cerfiqcate holder is added as an addihonall 01 Cired, but only for hahlity caused, In whole or In part,, by the acls or, ornss� iuns of the named
irisurpd.
CEIRTIFtil HOLDER CANCELLATION
Gly of Ell Segundo, its elecied and appohled OffiGiall employees, SHOULly MlRf —A66-V-#—(FERW1lNOPOLICIESMOF MUE
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Ind vcAunteensin 'THE EXPIRA'"OIN DATE THEREOF, -IlLL E
O�
7ACCORDANCE
DELI VERED IN
350 Ma�Street CCO ITT II THE POLICY PROVISIONS. ......
ED Segundo, CA ID0245 At REPRESENTATIVE
(awner/ManageiNLeSS'Dr of Preirnses,
C avisrage is only extandod fjoi U13, twients anti aKlivides,
NOTICE TO TEXAS INSURED& the Insurer fol'O'le purchaisinn group may not be sub�w to W the insuranw laws end roquiaUats cO tfw Stase of Texas
Al RD 2!!5 (20116103)1 91190�S�-20,15�ACORDCORPO,RAIIION.
AlIlirightsresorvad,
The ACORID name and logo are registered rnark!s of ACORD
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This endorsement modifies insurance provided under the followingi:
SCHEDULE
oil
3501 Malin Street
Ell Seg"ll CA 9;0245
this Schedule, if not s,h
X Section III — Who Is An Insured is amended to include
as an additional insured the person(s), or organizations)
shown, in the Schedule, but only with: resplect to liability
fair "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, nor
2. In connection with your premises owned by or
rented to you.
However:
I. 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
all to such additional insured wifl not be
broader than that which you are required by the
contract or agreernent to providIe for such, additional
insured.
TITO
III With respect to the insurance affordedl to these
additional insureds, the foHolwing is added to Section IIII
— Limits Of Insurance:
If coverage provided to the additional Insured is required
by a contract or agreeimenit, the most we wiii pay on
behalf of the additionall insu,uiredl 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;
whichever is, less.
This endorsement shall not increase the applicable
Limits of Insurance shown in the Declarations.
CG 20 26,04 13 @ Insurance Services Office, Inc., 20112 Page 1 of 1