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SOCC-91 OF ID- DC <br />sl►C4�Rv' CERTIFICATE OF LIABILITY INSURANCE D 10129/20/ YY) <br />�/- 10/2912019 <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 riahts to the certificate holder in lieu of such endorsementls). _ <br />PRODUCER <br />RPS Bollinger Sports & Leisure <br />PO Box 390 <br />Short Hills, NJ 07078 <br />INSURED <br />nnen Edge Sport Training <br />North 125M avenue <br />ieoda, AZ 85383 <br />8004"-6311 <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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE 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 />MSR <br />TYPE OF INSURANCE <br />ADDIL <br />J <br />POLICY NUMBER <br />POLK.'Y VV <br />POLICY ExP <br />Lame <br />A <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />Incl Participants <br />X <br />3602AH026261 <br />$1MILL I$2MLL <br />11/05/201811/05/2020 <br />111051201911/05/2020 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREM,DAMA To RE <br />$ 100,000 <br />X <br />MEDEXP one <br />5,000 <br />X <br />Sexual Abuse/Mol <br />PERSONAL &ADV INJURY <br />1,000,000 <br />GEN'LAGGREGATE LIMIT APPUES PER: <br />POLICY jppa F7 LOC <br />OTHER <br />GENERALAGGREGATE <br />IIL 3,000,000 <br />PRODUCTS -COMPIOP AGO <br />$ 1,000,000 <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OVMED SCHEDULED <br />AUTOS ONLY AUTOS <br />SSyy <br />AUTO$ ONLY AUTO$ 0 <br />COMBINED SINGLE UMIT <br />$ <br />BODILY INJURY Per person <br />$ <br />BODILY INJURY Per&=Iw1 <br />$ <br />d%PERdY MAGE <br />S. <br />UMBRELLA LU I <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />AGGREGATE <br />$ <br />DEC) I I RETENTION$ <br />WORKERS COMPENSATION W <br />AND EMPLOYERS' L3WTY <br />ANY PROPREIIETOP,PMTNERIEXECUTIVE <br />(ManEEW J NNREXCLUDED? <br />U ee, dogs untler <br />D RIPTI NOF OPERATIONS Below <br />N/A <br />PUT RTH- <br />E.L EACH ACCIDENT <br />$ <br />EL DISEASE - EA EMPLOYE <br />III <br />E. L. DISEASE - POLICY <br />A <br />Accident insurance <br />Full Excess <br />17 <br />102AH025260 11/05/2019�I11/0512020 <br />Med Max: <br />Ded: <br />25,000 <br />500 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Addifional Remarks Schedule. my be anached X n m space is required) <br />The City of Santa Ana, it's Officers, Employees, Agents and Representatives <br />are included as an additional insured. Coverage is provided under these <br />policies only for sponsored/supervised activities of the named insured for <br />which a premium has been paid. The insurance is primary and shall provide 30 <br />days written notice of cancellation. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />lY AMC • E4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />IGEMENT DIVISIOPIj THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />32020 1 AUTHORDED REPRESENTATIVE <br />ACORD 25 (2016/03) © 1988.2016 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />