COWAN, DELORES; DBACALIFORNIA YOUTH SPIRT CORPS. (FKA CALIFORNIA YOUTH SPIRIT AND TWIRLING CORPS) 5

Home Browse Search

ACORO® CERTIFICATE OF LIABILITY INSURANCE `../ F DATE IMMIDDNYYY) 1 12/21/2018 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 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 endomement(s). PRODUCER Beacon Sports Insurance 36 Princes Pine Rd N-2019-017 CONTACT Mu u h rphy NAME: rP y PHONE 978_578_¢775 FAX No: nDOR'LFsa dave®beaconsportsins.com INSURE S AFFORDING COVERAGE NAIC# Norwalk CT 06850 INSURER A:Phi ladel hia Insurance CO INSURED INSURER B: INSURER C: Tha..Californa:,Youth-Spirit & Twirling Corps INSURER D: 22755 Mesa Springs Way INSURER E : INSURER F: Moreno Valley CA 92557 COVERAGES CERTIFICATE NUMBER:17-18 Al Carts 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 L R TYPE ADDLSUBR POLICY NUMBER POLICY EFF (MMyDDfYYYYI POLICY EXP IMMIDDINYNNI,LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 CLAIMS-MADEIx] OCCUR -DAMAGA PREMIES(Eaoc TO u PREMISES Ea ocanence $ 100,000 MED EXP(Any one person) $ 0 X PHPR3852444 8/1/2018 8%1/2019 PERSONAL S ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 8 POLICY D PEA LOG PRODUCTS -COMPIOPAGG $ 3,000,000 $ OTHER: AUTOMOBILE LIABILITY COM EaBINED SINGLE LIMIT accltlent $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Peracciden0 $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Peraccident $ UMBRELLA LIAB OCCUR 4n EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE tt "� DED RETENTION$ 6. JVr $ WORKERS COMPENSATION�j AND EMPLOYERS' LIABILITY OFFICFRMMy REMBER EXCLUOED�ECUTIVE El (Mandatory In NH) If yes, describe under NIA �1, �.'21`,n !`\�. sJ �X"' STATUTE ERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ �)\ G DESCRIPTIONOFOPEMMONSILOCADONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required) The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds (^additional insureds-) with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Purchasing Department ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) INS025 (201401) The ACORD name and logo are registered marks of ACORD