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2300 - Valiance LLC - Youth and Adult Basketball Officials' ServicesCITY OF ROSEMEAD AGREEMENT FOR YOUTH AND ADULT BASKETBALL OFFICIALS' SERVICES This AGREEMENT, is made and effective as of January 1, 2025 between the City of Rosemead a municipal corporation ("Agency") and Valiance LLC, an individual contract instructor ("Contractor'). In consideration of the mutual covenants and conditions set forth herein, the parties agree as follows: ANNERi40M This AGREEMENT shall commence on January 1, 2025 and shall remain and continue in effect until tasks described herein are completed, but in no event later than December 31, 2025, unless sooner terminated pursuant to the provisions of this AGREEMENT. CONTRACTOR shall perform the tasks described and set forth in Exhibit A, attached hereto and incorporated herein as though set forth in full. CONTRACTOR shall complete the tasks according to the schedule of performance which is also set forth in Exhibit A. All tasks are to be performed at the Garvey Park Gym, Temple Intermediate Gym and/or Garvey Intermediate Gym. V CONTRACTOR shall at all times faithfully, competently and to the best of his/her ability, experience, and talent, perform all tasks described herein. CONTRACTOR shall employ, at a minimum, generally accepted standards and practices utilized by persons engaged in providing similar services as are required of CONTRACTOR hereunder in meeting its obligations under this AGREEMENT. AGENCY'S Director of Parks and Recreation shall represent AGENCY in all matters pertaining to the administration of this AGREEMENT, including review and approval of all changes to the AGREEMENT which do not require AGENCY's governing body approval. Contractor shall receive compensation for all Service rendered under this Agreement at the rates set forth in Exhibit B attached hereto and incorporated herein by reference. The total compensation shall not exceed twenty-four thousand Rev. 1/11/25 Page 1 of 15 Youth Basketball Officials' Agreement dollars ($24,000) over a year period within advance written approval of the City Manager's team. A. The AGENCY agrees to pay CONTRACTOR 100%, in accordance with the payment rates and terms and the schedule of payment as set forth in Exhibit B, attached hereto and incorporated herein by this reference as though set forth in full, based upon actual time spent on the above tasks. B. CONTRACTOR shall not be compensated for any services rendered in connection with his/her/its performance of this AGREEMENT which are in addition to those set forth herein, unless such additional services are authorized in advance and in writing by the AGENCY's REPRESENTATIVE. CONTRACTOR shall be compensated for any additional services in the amounts and in the manner as agreed to by AGENCY Manager and CONTRACTOR at the time AGENCY's written authorization is given to CONTRACTOR for the performance of said services. C. CONTRACTOR will submit invoices weekly for actual services performed. Invoices shall be submitted on or about the following Monday of services, or as soon thereafter as practical, for services provided in the previous month. Payment shall be made within thirty (30) days of receipt of each invoice as to all non -disputed fees. If the AGENCY disputes any of CONTRACTOR's fees it shall give written notice to CONTRACTOR within thirty (30) days of receipt of an invoice of any disputed fees set forth on the invoice. A. Except as otherwise provided in Section XI, below, the AGENCY may at any time, for any reason, with or without cause, suspend or terminate this AGREEMENT, or any portion hereof, by serving upon the CONTRACTOR at least ten (10) days prior written notice. Upon receipt of said notice, the CONTRACTOR shall immediately cease all work under this AGREEMENT, unless the notice provides otherwise. If the AGENCY suspends or terminates a portion of this AGREEMENT such suspension or termination shall not make void or invalidate the remainder of this AGREEMENT. B. In the event this AGREEMENT is terminated pursuant to this Section, the AGENCY shall pay to CONTRACTOR the actual value of the work performed up to the time of termination, provided that the work performed is of value to the AGENCY. Upon termination of the AGREEMENT pursuant to this Section, the CONTRACTOR will submit an invoice to the AGENCY pursuant to Section 3. Rev. 1/11/25 Page 2 of 15 Youth Basketball Officials' Agreement • X6161� 111 ET •[ A. The CONTRACTOR's failure to comply with the provisions of this AGREEMENT shall constitute a default. In the event that CONTRACTOR is in default for cause under the terms of this AGREEMENT, AGENCY shall have no obligation or duty to continue compensating CONTRACTOR for any work performed after the date of default and can terminate this AGREEMENT immediately by written notice to the CONTRACTOR. If such failure by the CONTRACTOR to make progress in the performance of work hereunder arises out of causes beyond the CONTRACTOR's control, and without fault or negligence of the CONTRACTOR, it shall not be considered a default. B. If the REPRESENTATIVE or his/her delegate determines that the CONTRACTOR is in default in the performance of any of the terms or conditions of this AGREEMENT, he/she shall cause to be served upon the CONTRACTOR a written notice of the default. The CONTRACTOR shall have ten (10) days after service upon it of said notice in which to cure the default by rendering a satisfactory performance. In the event that the CONTRACTOR fails to cure its default within such period of time, the AGENCY shall have the right, notwithstanding any other provision of this AGREEMENT, to terminate this AGREEMENT without further notice and without prejudice to any other remedy to which it may be entitled at law, in equity or under this AGREEMENT. • ._ X61A 11016111 A. CONTRACTORshall maintain complete and accurate records with respect to sales, costs, expenses, receipts, and other such information required by AGENCY that relate to the performance of services under this AGREEMENT. CONTRACTOR shall maintain adequate records of services provided in sufficient detail to permit an evaluation of services. All such records shall be maintained in accordance with generally accepted accounting principles and shall be clearly identified and readily accessible. CONTRACTOR shall provide free access to the representatives of AGENCY or its designees at reasonable times to such books and records; shall give AGENCY the right to examine and audit said books and records; shall permit AGENCY to make transcripts there from as necessary; and shall allow inspection of all work, data, documents, proceedings, and activities related to this AGREEMENT. Such records, together with supporting documents, shall be maintained for a period of three (3) years after receipt of final payment. B. Upon completion of, or in the event of termination or suspension of this AGREEMENT, all original documents, designs, drawings, maps, models, computer files, surveys, notes, and other documents prepared in the course of providing the services to be performed pursuant to this Rev. 1/11/25 Page 3 of 15 Youth Basketball Officials' Agreement AGREEMENT shall become the sole property of the AGENCY and may be used, reused, or otherwise disposed of by the AGENCY without the permission of the CONTRACTOR. With respect to computer files, CONTRACTOR shall make available to the AGENCY, at the CONTRACTOR's office and upon reasonable written request by the AGENCY, the necessary computer software and hardware for purposes of accessing, compiling, transferring, and printing computer files. X . INDEMNIFICATION CONTRACTOR shall indemnify, defend, and hold harmless the AGENCY, and its officers, employees, and agents ("Agency indemnitees"), from and against any and all causes of action, claims, liabilities, obligations, judgments, or damages, including reasonable legal counsels' fees and costs of litigation ("claims"), arising out of the Instructor's performance of its obligations under this AGREEMENT or out of the operations conducted by Instructor, including the AGENCY's active or passive negligence, except for such loss or damage arising from the sole negligence or willful misconduct of the AGENCY. In the event the AGENCY indemnitees are made a party to any action, lawsuit, or other adversarial proceeding arising from Instructor's performance of this AGREEMENT, the Instructor shall provide a defense to the AGENCY indemnitees or at the AGENCY's option reimburse the AGENCY indemnitees their costs of defense, including reasonable legal counsels' fees, incurred in defense of such claims. Payment by AGENCY is not a condition precedent to enforcement of this indemnity. In the event of any dispute between CONTRACTOR and AGENCY, as to whether liability arises from the sole negligence of the AGENCY or its officers, employees, or agents, CONTRACTOR will be obligated to pay for AGENCY's defense until such time as a final judgment has been entered adjudicating the AGENCY as solely negligent. CONTRACTOR will not be entitled in the absence of such a determination to any reimbursement of defense costs including but not limited to attorney's fees, expert fees and costs of litigation. CONTRACTOR shall maintain prior to the beginning of and for the duration of this AGREEMENT insurance coverage as specified in Exhibit C attached to and part of this AGREEMENT. Contractor shall have the option of purchasing coverage through the Alliant Special Event insurance program, or providing his/her own coverage. XII. INDEPENDENT CONTRACTOR Rev. 1/11/25 Page 4 of 15 Youth Basketball Officials' Agreement A. AGENCY and CONTRACTOR agree and represent that this AGREEMENT is entered into with the understanding that CONTRACTOR is not an employee of AGENCY and is intended, for all purposes, to have the status of independent contractor. In the event that the AGENCY determines that a legal, judicial, or administrative determination has a material effect upon the status of CONTRACTOR as an independent contractor, the AGENCY shall have the right, with or without notice, to automatically terminate the Agreement. In the AGENCY's sole discretion, the AGENCY may propose modification of the AGREEMENT's terms to permit CONTRACTOR's continued provision of services. B. CONTRACTOR is and shall at all times remain as to the AGENCY a wholly independent contractor. The personnel performing the services under this AGREEMENT on behalf of CONTRACTOR shall at all times be under CONTRACTOR's exclusive direction and control. Neither AGENCY nor any of its officers, employees, or agents shall have control over the conduct of CONTRACTOR or any of CONTRACTOR's officers, employees, or agents, except as set forth in this AGREEMENT. In this regard, the parties agree that the following terms apply to this AGREEMENT: The following statements are examples of factors that support an independent contractor determination. Agencies are encouraged to include all that actually apply. However, pending further clarification of independent contractor/employee standards under Labor Code 2750.3, Agencies are encouraged to work closely with legal counsel to evaluate the potential risk of designating a given instructor or coach as an independent contractor. i. CONTRACTOR has set/has had a meaningful opportunity to negotiate the rates for services provided under this AGREEMENT in Exhibit B. ii. CONTRACTOR has been permitted to determine the hours during which services will be provided. iii. CONTRACTOR has been permitted discretion to choose among a day/evening and weekday/weekend schedule. iv. CONTRACTOR has autonomy to choose which course(s) to propose for AGENCY consideration to include in AGENCY offerings. v. CONTRACTOR has autonomy to choose how many courses to propose for AGENCY consideration to include in AGENCY offerings Rev. 1/11/25 Page 5 of 15 Youth Basketball Officials' Agreement vi. CONTRACTOR has autonomy to determine course/program content. vii. CONTRACTOR prepares and supplies his/her own course/program materials viii. CONTRACTOR has autonomy to modify course content without prior AGENCY review or consent, subject to the scope of Exhibit A ix. CONTRACTOR has authority to advertise courses independent of AGENCY advertisement and autonomy to determine the content of advertising materials, consistent with the terms of this AGREEMENT. x. CONTRACTOR has existing clientele who are able to join the course by enrolling with the CONTRACTOR directly xi. CONTRACTOR is customarily engaged in [the same type of work as in Exhibit A]/holds themselves out as available to perform [the same type of work as in Exhibit A]. xii. CONTRACTOR has/is in the process of obtaining a teaching credential/professional degree in the course area. xiii. CONTRACTOR has/is in the process of obtaining a business license C. CONTRACTOR shall not at any time or in any manner represent that it or any of its officers, employees, or agents are in any manner officers, employees, or agents of the AGENCY. CONTRACTOR shall not incur or have the power to incur any debt, obligation, or liability whatever against AGENCY, or bind AGENCY in any manner. D. No employee benefits shall be available to CONTRACTOR in connection with the performance of this AGREEMENT. Except for the fees paid to CONTRACTOR as provided in the AGREEMENT, AGENCY shall not pay salaries, wages, or other compensation to CONTRACTOR for performing services hereunder for AGENCY. AGENCY shall not be liable for compensation or indemnification to CONTRACTOR for injury or sickness arising out of performing services hereunder. The following additional statements are intended to bolster a determination of independent contractor status. We recommend including all that apply to your situation: '�. Rev. 1/11/25 Page 6 of 15 Youth Basketball Officials' Agreement XIV XV. The CONTRACTOR shall keep him/her/itself informed of State and Federal laws and regulations which in any manner affect those employed by it or in any way affect the performance of its service pursuant to this AGREEMENT. The CONTRACTOR shall at all times observe and comply with all such laws and regulations. The AGENCY, and its officers and employees, shall not be liable at law or in equity occasioned by failure of the CONTRACTOR to comply with this Section. Any notices which either party may desire to give to the other party under this AGREEMENT must be in writing and may be given either by (i) personal service, (ii) delivery by a reputable document delivery service, such as but not limited to, Federal Express, which provides a receipt showing date and time of delivery, or (iii) mailing in the United States Mail, certified mail, postage prepaid, return receipt requested, addressed to the address of the party as set forth below or at any other address as that party may later designate by notice: To AGENCY: To CONTRACTOR: City of Rosemead 3936 Muscatel Ave Rosemead, CA 91770 Attention: Tom Boecking Valiance LLC 280 S. Lemon Ave. STE #586 Walnut, CA 91788 A. CONTRACTOR shall not assign the performance of this AGREEMENT, nor any part thereof, nor any monies due hereunder, without prior written consent of the AGENCY. Because of the personal nature of the services to be rendered pursuant to this AGREEMENT, only CONTRACTOR shall perform the services described in this AGREEMENT. B. CONTRACTOR may use assistants, under his/her direct supervision, to perform some of the services under this AGREEMENT. CONTRACTOR hereby agrees that he/she is solely responsible for any assistant he/she uses under this AGREEMENT and each assistant is bound by the terms of this AGREEMENT and CONTRACTOR shall have each assistant confirm in writing the he/she is familiar with the terms of this AGREEMENT and agrees to be bound by the terms and conditions set forth herein. Rev. 1/11/25 Page 7 of 15 Youth Basketball Officials' Agreement XVI. LICENSES At all times during the term of this AGREEMENT, CONTRACTOR shall have in full force and effect, all licenses required of it by law for the performance of the services described in this AGREEMENT. The AGENCY and CONTRACTOR understand and agree that the laws of the State of California shall govern the rights, obligations, duties, and liabilities of the parties to this AGREEMENT and also govern the interpretation of this AGREEMENT. Any litigation concerning this AGREEMENT shall take place in the municipal, superior, or federal district court with jurisdiction over the AGENCY. This AGREEMENT contains the entire understanding between the parties relating to the obligations of the parties described in this AGREEMENT. All prior or contemporaneous AGREEMENT, understandings, representations, and statements, oral or written, are merged into this AGREEMENT and shall be of no further force or effect. Each party is entering into this AGREEMENT based solely upon the representations set forth herein and upon each party's own independent investigation of any and all facts such party deems material. The person or persons executing this AGREEMENT on behalf of CONTRACTOR warrants and represents that he/she has the authority to execute this AGREEMENT on behalf of the CONTRACTOR and has the authority to bind CONTRACTOR to the performance of its obligations hereunder. IN WITNESS WHEREOF, the parties hereto have caused this AGREEMENT to be executed the day and year first above written. Rev. 1/11/25 Page 8 of 15 Youth Basketball Officials' Agreement KM amtevj =1 U =114101z u A. Assign two (2) Basketball Officials per game for Division A -D for the Winter 2025 and Summer 2025 Youth Basketball Game It is the responsibility of the CONTRACTOR to notify City staff of any cancelations. B. Winter 2025 Youth Basketball League Details A. Projected Game Dates: a. Feb 1, 8, 15 and 22 b. March 1, 8, 15, 22 and 29 C. Summer 2025 Youth Basketball League Details A. Projected Game Dates: a. July 26 b. August 2, 9, 16 and 23 c. September 6, 13, 20 and 27 The Agency will give the Contractor 3 days before a change in schedule. Rev. 1/11/25 Page 10 of 15 Youth Basketball Officials' Agreement City of Rosemead By: B", City Manager Attest: Ericica Hernandez, City Clerks Contractor �14vt l7 G�14-�G (Printed Name) Rev. 1/11/25 Page 9 of 15 Youth Basketball Officials' Agreement A. Game Officials' Fees a. $40 per officials per game for Youth Basketball League (2 Officials Needed) B. The CONTRACTOR will provide the AGENCY with an invoice following the conclusion of the season. C. Payment checks will be made within 30 days of the invoice date. Rev. 1/11/25 Page 11 of 15 Youth Basketball Officials' Agreement pa-11117_L[a Without limiting Instructor's indemnification of AGENCY, and prior to commencement of Work, Instructor shall obtain, provide and maintain at its own expense during the term of this AGREEMENT, policies of insurance of the type and amounts described below and in a form satisfactory to AGENCY. Note: Verify minimum limit for each coverage with Agency Risk Manager. Also, workers' compensation and auto liability insurance may not be necessary in instructor agreements. General liability insurance. Instructor shall maintain commercial general liability insurance with coverage at least as broad as Insurance Services Office form CG 00 01, in an amount not less than $1,000,000 per occurrence, $2,000,000 general aggregate, for bodily injury, personal injury, and property damage. The policy must include contractual liability that has not been amended. Any endorsement restricting standard ISO "insured contract" language will not be accepted. Sexual abuse/molestation insurance. Instructor shall procure and maintain Sexual Abuse/Molestation Liability coverage with limits of not less than $1,000,000 per occurrence and $2,000,000 general aggregate. Coverage may be provided as part of Commercial General Liability coverage, Professional Liability coverage, or as a separate policy. Automobile liability insurance. Instructor shall maintain automobile insurance at least as broad as Insurance Services Office form CA 00 01 covering bodily injury and property damage for all activities of the Instructor arising out of or in connection with Work to be performed under this AGREEMENT, including coverage for any owned, hired, non -owned, or rented vehicles, in an amount not less than $1,000,000 combined single limit for each accident. Umbrella or excess liability insurance. (Optional depending on limits required] Instructor shall obtain and maintain an umbrella or excess liability insurance policy that will provide bodily injury, personal injury and property damage liability coverage at least as broad as the primary coverages set forth above, including commercial general liability, automobile liability, and employer's liability. Such policy or policies shall include the following terms and conditions: • A drop down feature requiring the policy to respond if any primary insurance that would otherwise have applied proves to be uncollectible in whole or in part for any reason; • Pay on behalf of wording as opposed to reimbursement; • Concurrency of effective dates with primary policies; • Policies shall "follow form" to the underlying primary policies; and Rev. 1/11/25 Page 12 of 15 Youth Basketball Officials' Agreement • Insureds under primary policies shall also be insureds under the umbrella or excess policies. Workers' compensation insurance. Instructor shall maintain Workers' Compensation Insurance (Statutory Limits) and Employer's Liability Insurance (with limits of at least $1,000,000). Instructor shall submit to AGENCY, along with the certificate of insurance, a Waiver of Subrogation endorsement in favor of AGENCY, its officers, agents, employees, and volunteers. Other provisions or requirements Proof of insurance. Instructor shall provide certificates of insurance to AGENCY as evidence of the insurance coverage required herein, along with a waiver of subrogation endorsement for workers' compensation. Insurance certificates and endorsements must be approved by AGENCY's Risk Manager prior to commencement of performance. Current certification of insurance shall be kept on file with AGENCY at all times during the term of this contract. AGENCY reserves the right to require complete, certified copies of all required insurance policies, at any time. Duration of coverage. Instructor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property, which may arise from or in connection with the performance of the Work hereunder Instructor, his agents, representatives, employees or subconsultants. Primary/noncontributing. Coverage provided by Instructor shall be primary and any insurance or self-insurance procured or maintained by AGENCY shall not be required to contribute with it. The limits of insurance required herein may be satisfied by a combination of primary and umbrella or excess insurance. Any umbrella or excess insurance shall contain or be endorsed to contain a provision that such coverage shall also apply on a primary and non-contributory basis for the benefit of AGENCY before the AGENCY's own insurance or self-insurance shall be called upon to protect it as a named insured. Agency's rights of enforcement. In the event any policy of insurance required under this AGREEMENT does not comply with these specifications or is canceled and not replaced, AGENCY has the right but not the duty to obtain the insurance it deems necessary and any premium paid by AGENCY will be promptly reimbursed by Instructor or AGENCY will withhold amounts sufficient to pay premium from Instructor payments. In the alternative, AGENCY may cancel this AGREEMENT. Acceptable insurers. All insurance policies shall be issued by an insurance company currently authorized by the Insurance Commissioner to transact business of insurance or is on the List of Approved Surplus Line Insurers in the State of California, with an assigned policyholders' Rating of A- (or higher) and Financial Size Category Class VII (or larger) in accordance with the latest edition of Best's Key Rating Guide, unless otherwise approved by the AGENCY's Risk Manager. Rev. 1/11/25 Page 13 of 15 Youth Basketball Officials' Agreement Waiver of subrogation. All insurance coverage maintained or procured pursuant to this AGREEMENT shall be endorsed to waive subrogation against AGENCY, its elected or appointed officers, agents, officials, employees and volunteers or shall specifically allow Instructor or others providing insurance evidence in compliance with these specifications to waive their right of recovery prior to a loss. Instructor hereby waives its own right of recovery against AGENCY, and shall require similar written express waivers and insurance clauses from each of its subconsultants. Enforcement of contract provisions (non estoppel). Instructor acknowledges and agrees that any actual or alleged failure on the part of the AGENCY to inform Instructor of non-compliance with any requirement imposes no additional obligations on the AGENCY nor does it waive any rights hereunder. Requirements not limiting. Requirements of specific coverage features or limits contained in this Section are not intended as a limitation on coverage, limits or other requirements, or a waiver of any coverage normally provided by any insurance. Specific reference to a given coverage feature is for purposes of clarification only as it pertains to a given issue and is not intended by any party or insured to be all inclusive, or to the exclusion of other coverage, or a waiver of any type. If the Instructor maintains higher limits than the minimums shown above, the AGENCY requires and shall be entitled to coverage for the higher limits maintained by the Instructor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the AGENCY. Notice of cancellation. Instructor agrees to oblige its insurance agent or broker and insurers to provide to AGENCY with a thirty (30) day notice of cancellation (except for nonpayment for which a ten (10) day notice is required) or nonrenewal of coverage for each required coverage. Additional insured status. General liability policies shall provide or be endorsed to provide that AGENCY and its officers, officials, employees, agents, and volunteers shall be additional insureds under such policies. This provision shall also apply to any excess/umbrella liability policies. Prohibition of undisclosed coverage limitations. None of the coverages required herein will be in compliance with these requirements if they include any limiting endorsement of any kind that has not been first submitted to AGENCY and approved of in writing. Separation of insureds. A severability of interests provision must apply for all additional insureds ensuring that Instructor's insurance shall apply separately to each insured against whom claim is made or suit is brought, except with respect to the insurer's limits of liability. The policy(ies) shall not contain any cross -liability exclusions. Pass through clause. Instructor agrees to ensure that its subconsultants, subcontractors, and any other party involved with the project who is brought onto or Rev. 1/11/25 Page14of15 Youth Basketball Officials' Agreement involved in the project by Instructor, provide the same minimum insurance coverage and endorsements required of Instructor. Instructor agrees to monitor and review all such coverage and assumes all responsibility for ensuring that such coverage is provided in conformity with the requirements of this section. Instructor agrees that upon request, all agreements with consultants, subcontractors, and others engaged in the project will be submitted to AGENCY. Agency's right to revise specifications. The AGENCY reserves the right at any time during the term of the contract to change the amounts and types of insurance required by giving the Instructor ninety (90) days advance written notice of such change. If such change results in substantial additional cost to the Instructor, the AGENCY and Instructor may renegotiate Instructor's compensation. Self-insured retentions. Any self-insured retentions must be declared to and approved by AGENCY. AGENCY reserves the right to require that self-insured retentions be eliminated, lowered, or replaced by a deductible. Self-insurance will not be considered to comply with these specifications unless approved by AGENCY. Timely notice of claims. Instructor shall give AGENCY prompt and timely notice of claims made or suits instituted that arise out of or result from Instructor's performance under this AGREEMENT, and that involve or may involve coverage under any of the required liability policies. Additional insurance. Instructor shall also procure and maintain, at its own cost and expense, any additional kinds of insurance, which in its own judgment may be necessary for its proper protection and prosecution of the work. Rev. 1/11/25 Page15of15 Youth Basketball Officials' Agreement SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 08/17/2025 American Specialty Insurance & Risk Services, Inc. dba A.S.I.R.S.I. Insurance Agency (CA License #0E72661) 7609 W. Jefferson Blvd., Suite 100 Fort Wayne IN 46804 National Association of Sports Officials (NASO) 2017 Lathrop Avenue Racine WI 53405 Arch Insurance Company 11150 1002385781 A OFFICIAL Y SBCGL0279608 08/01/2025 08/01/2026 1,000,000 1,000,000 Excluded 1,000,000 5,000,000 5,000,000 A SBFXS0044408 08/01/2025 08/01/2026 5,000,000 9,000,000 - Coverage applies to DAVID TATE JR, PO BOX 586, WALNUT, CA 91788. City of Rosemead 8838 E Valley Blvd ROSEMEAD CA 91770 - The Certificate Holder shall be an Additional Insured, but only with respect to the operations of the Named Insured, and subject to the provisions and limitations of Form CG 2026 - Additional Insured - Designated Person or Organization, effective August 17, 2025. EFFECTIVE DATE: NAMED INSURED POLICY NUMBER NAIC CODECARRIER AGENCY LOC #: AGENCY CUSTOMER ID: ofPageADDITIONAL REMARKS SCHEDULE ADDITIONAL REMARKS FORM TITLE:FORM NUMBER: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 101 (2008/01) 1 1 American Specialty Insurance & Risk Services, Inc. SBCGL0279608 National Association of Sports Officials (NASO) 2017 Lathrop Avenue Arch Insurance Company 11150 Racine, WI 53405 08/01/2025 CERTIFICATE OF LIABILITY INSURANCE - Certificate #1002385781ACORD 25 - Unintentional Errors & Omissions, $100,000 each occurrence/$100,000 Annual Aggregate per official/assignor (included in, and not in addition to, the limits shown in the Declarations of this policy) - Other Named Insured: National Association of Sports Officials (NASO) & NASO-member officials, including officials enrolled by associations, contracted with NASO, judges, referees, evaluators or other administrative staff of the officiating crew acting in an officiating capacity. - Other Named Insured (cont'd): NASO-member officials are only Named Insureds while acting in their capacity as officials during sports events organized by a recognized sanctioning body or organized by another entity, where the rules of a recognized sanctioning body are followed, such as a local Park Department or any formal organized association and/or while attending seminars, conferences, and similar meetings designed - Other Named Insured (cont'd):to improve their officiating knowledge and skills and/or mentoring or providing instruction to or evaluation of another official. - Other Named Insured (cont'd): LLC's that are created by an NASO member officials for the sole purpose of handling payments from officiating and assigning activities. It is further understood and agreed that NASO member officials and his/her respective LLC is considered to be one entity for the purposes of coverage throughout the policy and all amendatory endorsements. - The excess Aggregate Limit applies separately to each "official" insured under this policy. However, in the event of a suit by one or more plaintiffs against more than eight "officials", the Aggregate Limit will not apply separately to each "official", and a single aggregate limit of $20,000,000 will apply collectively to all individual "officials" covered under this policy.