YOUNG MEN'S CHRISTIAN ASSOCIATION OF OC (2)

Home Browse Search

�1 as A`� CERTIFICATE OF LIABILITY INSURANCE OAT12/30/2019 ) 12/30/2019 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 Bolton & Company 3475 E. Foothill Blvd., Suite 100 Pasadena, CA 91107 tonco.com w 0008309 CONTACT PHONE 626 7ss 7000 Ni No: 626 583-2117 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAICq INSURER A: The Hanover American Insurance Company 36064 INSSUREDURED YMCA of Orange County 13821 Newport Avenue Suite 200 Tustin CA 92780 INSURER B: Quality Comp,Inc. INSURER C: INSURER O: INSURER E : INSURER F : 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 ADOL SUER POLICY NUMBER MM%DCYY MM/OD//YEVY LIMITS A r/ COMMERCIAL GENERAL LIABILITY ZZ3D79134001 1/1/2020 1/1/2021 EACH OCCURRENCE $1000000 MAGE REN p PREMISES Ea occurrence $1 000,000 CLAIMS -MADE OCCUR V Includes Sexual Abuse Coverage MED EXP (Any one person) $20000 PERSONAL& ADV INJURY $1 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: 0PRO-ECT GENERALAGGREGATE $2,000,000 PRODUCTS -COMPIOPAGG $2000,000 POLICY JLOC $ OTHER: A AUTOMOBILELIABILITY AW3D79131301 1/1 /2020 1/1/2021 COMBINEDtSINGLE LIMIT $1000,000 / BODILY INJURY (Per person) $ OWNEDANYAU OWNED SCHEDULED BODILY INJURY (Par accident) $ AUTOS ONLY AUTOS HIRED NON N AUTOS ONLY AUTOSS ONLYLY PROPERTY DAMAGE Per accident) $ A UMBRELLA LIAB / OCCUR UH3D79134101 1/1/2020 1/1/2021 EACH OCCURRENCE $1$ Q00 0QQ AGGREGATE $15 000 000 EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ B WORKERS COMPENSATION 0150820317 1/1/2020 1/1/2021 PER OTH- AND EMPLOYERS' LIABILITY YIN ✓ STATUTE ER E.L. EACH ACCIDENT $ i,000 QQ0 ANYPROPRIETORIPARTNERrEXECUTVE OFFICER/MEMBEREXCLUDEDY NIA FL DISEASE -EA EMPLOYE $ 1 00 Mandatory in NH) 0 yes, describe under E.L. DISEASE -POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space Is required) GL Additional Insured and Primary & Non -Contributory Wording apply per 42129150615 attached, only if required by written contract/agreement. GL Cancellation Clause applies per IL00171198 attached. Re: Operations of the Named Insured, Additional Insured(s): City of Santa Ana. City of Santa Ana REVIEWED & APPROVED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management Division By Risk MANAGEMENT DIVISION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE Debra Rosas v @ 1988-2015 ACORD CORPORATION. All rinhfs racarer.d ACUKU 25 (2U15/U3) The ACORD name and logo are registered marks of ACORD 53309905 1 20 Master GL AGTO EXCESS PROP/ HC I Gladys Silva 112/30/2019 5:3e:02 PM (PST) I Page 1 of 6