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PROOF OF INSURANCE (2014) CLOSEDSep 1413 11:44a JUMP FOR JOY 3103168769 p.2 1 DATE CMM/ODffy'M SURANCE 9113/13 Ic ICATE HOLDER. THIS A ERTIFICATE OF LIABILITY IN THE CERTIF Ej:tS No SHE ' THE pOLICIES ER OF INFORM ION ONLY AND t FORDED 0 ASA MA END 611 ALTER THE CVERAGE AF THORiZED :I'RS CER11FICATEISISSU FIRMATIVELY OR NEGATIVAEND, )CT' I TVYIEEN ISSUING INSURERIS). AU CERTIFICATE DOES NOT A�' OFINSURANCr=DoFsNoTC,,)r4STITU'TEACONTRAC BE IELOVV. THIS CERTIFICATE, : HOLDER. i — �Ct to UcER, AND THE CERTIFICAT Allat"SWAIVED.-IJ140 REPRESENTATIVE OR PR hold r is an ADDITIONAL IN URIED, the pollcyjj7..) �mqst be ondors'ed. G' confer FightS to the yv�a require ariondomenrient A statement on this certificate does not c policy certain Policies 0�3 IF the the terms and conditions ol the ""'T'" " cer-firicate holder In lieu of such chdor5emO110 PRODUCER T Thom pr '.. hompson InSU'ranceEnt TPdsesLLC 'has 100 3380 Chastain Meadows kwY, Ste Kennesaw, GA 30144 INSURED Ron lacopucci Q3A- Jumv For 530 S, Francisca Ave Redondo Beach, CA 902;7 CERTIFICATE NUMts' OVERAGES NSU"NCE L 15 THIS IS TO CERTIFY THAT E POLICIES Of i iNDICATIED, NO'T"01TIISTA ING, ANY REQUIREMENT, TERM CEIRTIFICAIE MAY BE IsSU 0 OR MAY PERTAIN, THE tNSUR EXCLUSIONS AKIO) DITs NS OF SUCH POLICIES- LIMIT TYPE OF 114 SL" CE GENERAL LIABILITY LIABILITY .. X COMMERCIAL GENERA ' OCCUR X FPG2 A GSN,L *CGREGNTE- LINIn' 'PENES PER: - K)LICV PRO- — LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED H AUTOS AUTOS NOM -OWNED HIRED AUTOS a AUTOS UMBIRELLALIAS OCCUR EXCESSUAR WORKERS COMPEN!j1,' 10 AND UNV1-0V0nQ'L IN I U NE 0 NIA ANy pR0PWETOWPA;7 It , XECU7NE OfMCERMEMOFA EXCLU , F-1 * —111SUMRFM.;.— �REVISION NUMBER: 46'04 BELOW CEI� BY PAID CLAIhiIS... H ONDITI AFFO R WN MAY PMICy1NUMUxN 'N(�E 3 1 EAPoCCUkRr M "Es PR MED EXP (AnY V-221 9114/13 9114/14 002450-01 PERSONAL & ADV INJUFty GENERAL FR DUCTS - COMP, Ca t -DSINGLELIM.IT. 8013ILY NJURY (PerVwslkn) j;3URy Fer accid;W)' BODILY pRc)p DAMAGE EACH URRENCE. AGGRE WE h 51111� 111252-A-2651-00 1,9/14/13 19/14/14 5 Accident and Hea t- DESCRIPTI ON OF 0 PE RATIONSILOCA71ONVVEHICLES Inflatable Rentals& Party Rental, Services tor. The CIty of El Segundo, 16 oificers, officials, employees, agents :(d volunteers CERTIFICATE HOLDER City of El Segundo 350 Main St. Ell Segundo, CA 90245 ACORD 25 (2010(05) F L E-a' E t SEA-9E -�Ell IIIYIPL21�-1 r LIMIT Po�j� F,,L DISEASE EAsr - POLICY LIMIT Plan A SHO LO ANY OF THE ABOVE DES THE Xp$RAJION DATETHEREOF, ACCORDANCE MOTH THE POLICY LIM01 ILZED REPRESENTATIVE 01968 -2010 ACORD The ACORD �narno and logo are regisIterad marks of ACORD ) POLICIES BE CANCELLED BEFORE E WILL BE DELIVERED IN (IONS. Ail rights reserved. Sep 1413 11:45a JUMP FOR JOY POLICY NUMBER: FPG20002450 -01 THIS ENDORSEMENT CHAI ADDITON) ERS This endorsement modifies insurance COMMERCIAL GENERAL LIABI 3103168769 p.3 COMMERCIAL GEN'J_ AL LI 26107 04 ES THE POLICY. B PLEASE READ IT C1 . INSURED - DESIGN N OR ORG IZTIO'I ,vided under the following: Y COVERAGE PAR SCHEDULE Name of Additional Insured Pars n(s) or prgantaton (s) City of El Segundo, its officers, officials, employees, a ants and volunteers. 350 Main St. El Segundo, CA 90245 REFULLY FD Declarations- his Information required to complete this ch�eule, If not sho n above, wrll be shown �r the Decla - section II —Who is An Insured is amen cI to include as an additional Insured the one Or orgaliiat n? rV1 11 2ne" or "Personal and snowri In inC ouliauulc, Dut only with p + •� � missions or the is or missl ns o nOS auut1Y advertising injury caused, in whole or i pa, y y on your behalf: i A. In the performance of your ongoing operations„ or B. In connection with your premises coed by or rented to o Endorsement Name Insured: Ron lacopucci - urn For Joy Effective Date: 9!1412013 — 91114�201t4 Additional Premi>urn: 0.00 CG 20 26 07 04 © Thompson Insurance Ente�rpriseslFunPro Page 2 of 2 Sep 1413 11:44a JUMP FORJOY tl v. smi .0 joy 'R 3103168769 P.1 jump FOR 30� 530S ' Ftwicisca Ave, R,,dotldoPCWh!CaqO277 f ril q 0- 1 q- /�- �www.Jumff odoy.Com