BEGINNERS EDGE SPORTS TRAINING, LLC (3)

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A� RL P CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 /27/2026 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 Phone: (804)354-9020 Fax: (866)352-1401 The Monument Sports Group CONTACT Lori Isringhausen NAME: A CC No Ext : (804)256-8335, 301 FAX No): AD E-MRESS: Lori@monumentsports.com 1365 Overbrook Road INSURER(S) AFFORDING COVERAGE NAIC # Suite # 1 INSURERA: LIO Insurance Company 020918 Richmond, Virginia23220 INSURED INSURER B : INSURER C : Beginners Edge Sports Training LLC 29634 North Lake Pleasant Parkway Suite 103-405 INSURER D : Peoria, AZ 85383 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:5043 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, 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/DD POLICY EXP MM/DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE YI OCCUR LIO1100084183-00 11/5/2025 11/5/2026 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 Incl Participants Y MED EXP (Any one person) $ 5' 000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 3,000,000 POLICY ❑ PRO ❑ JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 Abuse/Mol $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICE R/M EMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Participant Accident LIO1100084189-00 11/5/2025 11/5/2026 MedMex: 25,000 $500 Ded DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) ity of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers. are included as additional insured per form CG 001 01 04 13. aiver of Subrogation provided if required by written contract per form CC 20 01 04 13. his certificate is issued in reference to the named insureds operations and subject to the terms, conditions, and the provisions of the policies. CERTIFICATE HOLDER CANCELLATION APPROVED By Tu Tran Nguyen at 11:43 am, Mar, 18, 2026 Holder's Nature of Interest : Additional Insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana: Attn: Parks, Recreation, and Community THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Services Agency 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 _61� @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD