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,acorzo CERTIFICATE OF LIABILITY INSURANCE <br />Dn7e IMMIDDrrrril <br />v <br />9/5/2D19 <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 he endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: David Murphy <br />Beacon Sports Insurance, LLC <br />36 Princes Pine Rd <br />PHONE (978)578-4775 SIC No; <br />hDOnA.L:Dave@heaconsports ins. Co. <br />Norwalk CT 06850 <br />INSURE S AFFORDING COVERAGE <br />RAW <br />INSURER A: Philadelphia Indemnity Insurance Compar <br />INSURED <br />INSURER B: <br />The California Youth Spirit B Twirling Corps, <br />INSURER c: <br />22755 Mesa Springs Way <br />INSURER D; <br />INSURER E; <br />Moreno Valley CA 92557-2628 <br />INSURER F; <br />COVERAGES UGRIIHOAIE NUMHER:CL1beZZ0017U 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 />ILTH <br />TYPE OF INSURANCE <br />A <br />II <br />mn <br />POLICY NUMBER <br />POLICY EFF <br />M OOIY ri <br />OLIC <br />POLICY <br />YYYY <br />LIMBS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLMMSWADE ❑x OCCUREe <br />EACH OCCURRENCE <br />S 1,000,000 <br />AMAG t REN - PREMISES bcnl toms <br />S 100, 000 <br />MEG EXP (Any one PSI <br />S 0 <br />X <br />PaPK2013027 <br />0/1/2019 <br />8/1/2020 <br />PERSONAL & AOV INJURY <br />S 1, ODD, 000 <br />GEN'LAGGREGATE <br />X <br />LIMIT APPLIES PER. <br />POLICY ❑ JECLOC <br />GENERAL AGGREGATE <br />S 3,000,000 <br />-COMPPAGG <br />ST 3,000,000 <br />S <br />tlilll(R <br />AUTOMOBILEUABILITY <br />COMBINED SINGLE LIMIT <br />Ee acddenl <br />S <br />BODILY INJURY IPw person) <br />$ <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY I P r acddanU <br />E <br />NON -OWNED <br />HIREDAUIOS AUTOS <br />PROPERTY DAMAGE <br />IRS, acddan <br />S <br />9 <br />UMBRELLALIAS <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCE98 LIAS <br />CLAIMSMADE <br />DELI HaENTION S <br />$ <br />WORKERS COMPENSATION <br />I PER <br />AND EMPLOYERS' UABIUTY YIN <br />STATUT <br />E.L EACH ACCIDENT <br />S <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDEW <br />NIA <br />EL. DISEASE - EA EMPLOYEE <br />S <br />(Mandatory In NH) <br />D yes, el.,Obs Vnd., <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY OMIT <br />S <br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD101,AddltlPnal Rama,Saseh0d0la,meybdaaeehadifmomepaoelereaul,odl <br />Additional insured listed below <br />REVIEWED & APPROVED <br />By RISk MANA('tEMENT DIVISION <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th floor <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, 30 DAYS PRIOR WRITTEN NOTICE WILL BE SENT, <br />AUTHORIZED REPRESENTATIVE <br />Murphy/DM <br />ACORD 2512014101) The ACORD name and logo are registered marks of ACORD <br />INS026 (201401) <br />