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

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AC R" CERTIFICATE OF LIABILITY INSURANCE DA9/I5i2019YY( 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(les) 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 endorsement(s). PRODUCER CONTACT NAME: David Murphy Beacon Sports Insurance, LLC PHONE (978)578-4775 FAX A7C No 36 Princes Pine Rd E-MAIL ADDRESS: Dave@beaconsP ortsins.com Norwalk CT 06850 INSURER($) AFFORDING COVERAGE NAIC N INSURERA:Philadelphia Indemnity Insurance Com ar INSURED INSURER B The California Youth Spirit & Twirling Corps. INSURERC: 22755 Mesa Springs Way INSURER D: INSURER E : _ Moreno Valley CA 92557-2628 1 INSURER F: COVERAGES CERTIFICATE NUMBER- CL1682200170 RFVISInN Nt1MRFR- 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. ILICY �TR TYPE OF INSURANCE INSD AITDL WVDSUER POLICY NUMBER EFF MODD/YYYY4 POLICY EXP JMlUDDIYYYYJ LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A CLAIMS -MADE OCCUR LTRMAGE TO RENTED PREMISES Ea xcurrmco S 100,000 MED EXP (Any one person) S 0 X PIIPK2013027 8/1/2019 S/1/2020 PERSONAL BADV INJURY S 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 3,000,000 x POLICY ❑ PRO JECT ❑ LOC PRODUCTS-COMP/OPAGG S 3,000,000 $ ML11 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- T T I:17 ER ANY PROPRIETOR/PARTNER/EXECUTIVE E L, EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schodulo, may be attached if more space is required) Additional insured listed below REVIEWED & APPROVED By RISK MANAGEMENT DIVISION GLKIIFI(;AIh HULULK NGtLLAIIUN City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Risk Management Division EXPIRATION DATE THEREOF, 30 DAYS PRIOR WRITTEN NOTICE WILL BE SENT. 20 Civic Center Plaza, 4th floor Santa Ana, CA 92702 1 AUTHORIZED REPRESENTATIVE (David Murphy/DM I (c) 19RR_7n1d ArORr) rnRPnRATIf)N Alt rights rese ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)