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MAJOR LEAGUE IN FIELDS, INC.
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MAJOR LEAGUE IN FIELDS, INC.
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Last modified
5/8/2020 12:22:47 PM
Creation date
2/27/2019 1:46:53 PM
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Contracts
Company Name
MAJOR LEAGUE IN FIELDS, INC.
Contract #
A-2017-007-02
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
1/17/2017
Expiration Date
1/31/2020
Insurance Exp Date
1/1/2020
Destruction Year
2025
Notes
A-2017-007
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AIll <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE�Y) <br />I/9/2019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT NAME: Paul Romero <br />ROMERO INSURANCE AGENCY <br />PHONE 805-582-4655IrAA <br />A/C, No, Eat : WC, Not: <br />ADDRESS: ronlerDins@aOLcom <br />1197 E. LOS ANGELES AVE. UNIT Cl99 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />SIMI VALLEY CA 93065 <br />INSURERA: COLONY INSURANCE COMPANY <br />INSURED ✓1_ 3U1-7r 6X)-7 <br />INSURER B: CALIFORNIA AUTOMOBILE INS. CO <br />MAJOR LEAGUE INFIELDS INC <br />�U) <br />508 E. CHAPMAN AVE —txJ7 0I <br />INSURERC: ICW GROUP <br />_ <br />INSURER D: <br />INSURER E: <br />FULLERTON CA 92832-2015 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />MD <br />POLICY NUMBER <br />(MINIDDIYYYY) <br />(MMIDDIYYYV) <br />LIMITS <br />x <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE OCCUR <br />PREMISES (Ea oc"ENcurrence) <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL a ADV INJURY <br />$ 2,000,000 <br />A <br />Y <br />Y <br />IOIGLOO23266-04 <br />07/1/18 <br />07/01/19 <br />GEYL <br />AGGREGATE LIMIT APPLIES PER <br />POUCV PRO- <br />JECT FILOC <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />PRODUCTS - COMPIOP AGO <br />$ INCLUDED <br />$ <br />OTHER', <br />AUTOMOBILE <br />LIABILITY <br />UUMBINED <br />(Ea accident) <br />$ 1000000 <br />�( <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />B <br />OWNED ASCHEDULED <br />AUTOS ONLY UTOS <br />Y <br />BA040000015174 <br />12/22/2018 <br />12/22/2019 <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />(Per accident) <br />$ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />$ <br />DED RETENTION $ <br />$ <br />C <br />ORKERS COMPENSATION <br />ND EMPLOYERS' LIABILITY YIN <br />NY PROPRIETOR/PARTNER/EXECUTIVE <br />FFICER/MEMBER EXCLUDED' <br />NIA <br />Y <br />WSA504570200 <br />01/01!19 <br />0001/20 <br />X STATUT I JER <br />E, L. EACH ACCIDENT <br />$ 1,000,000 <br />E. L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />Mandatory In NH) <br />f yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E. L, DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS RESPECTS TO THE OPERATIONS OF THE NAMED I 11}�1� WITH RESPECT TO CLAIMS <br />ARISING OUT OF THE OPERATIONS PERFORMED BY OR ON BEHALF OF THE NAMED INSURED, SUCH INSURAN IS AFFORDED HIS POLICY IS <br />PRIMARY AND NOT ADDITIONAL TO OR CONTRIBUTEVG WITH ANY OTHER INSURANCE CARRIED BY OR F.ORv E BENEFIT OF ADDITIONAL. <br />Nl�_ <br />INSURED. 10 DAY NOTICE FOR NON PAYMENT OF PREMIUM.RN <br />CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, <br />AGENTS AND REPRESENTATIVES <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />FawL RLMw o. <br />©1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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