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MAJOR LEAGUE INFIELDS, INC. (2)
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MAJOR LEAGUE INFIELDS, INC. (2)
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Last modified
8/8/2024 2:56:11 PM
Creation date
1/29/2020 11:15:45 AM
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Template:
Contracts
Company Name
MAJOR LEAGUE INFIELDS, INC.
Contract #
A-2020-004
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
1/21/2020
Expiration Date
12/31/2024
Insurance Exp Date
1/1/2025
Destruction Year
2029
Notes
For Insurance Exp. Date see Notice of Compliance
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A`� b® CERTIFICATE OF LIABILITY INSURANCE <br />DATE1/7M/ 020 <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(ies) 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 />ONE IF <br />A/C No Ext: 8U5-582-4655 (AIC, No): <br />ADDRESS: romeroins@aoLcom <br />1197 E. LOS ANGELES AVE. UNIT C199 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC If <br />SIMI VALLEY CA 93065 <br />INSURER A: SCOTTSDALE INSURANCE CO. <br />INSURED <br />INSURER B : CALIFORNIA AUTOMOBILE INS. CO <br />MAJOR LEAGUE INFIELDS INC <br />INSURER C : IC W GROUP <br />508 E. CHAPMAN AVE <br />INSURER D: <br />INSURER E <br />El <br />FULLERTON CA 92832-2015 <br />1 INSURER F: <br />COVERAGES CERTIFICATE NUMBER: RFVISION MIIMRER- <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 />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />MMIDDIYYYY <br />N1MIDDIYYyf <br />LIMITS <br />x <br />COMMERCIAL GENERALLIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />PREMISES Ea occurrence <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 2,000,000 <br />A <br />Y <br />Y <br />CPS3179689 <br />07/1/19 <br />07/01/20 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY F—�JECOT F-1LOC <br />GENERALAGGREGATE <br />$ 3,000,000 <br />PRODUCTS - COMPIOP AGG <br />$ 3,000,000 <br />$ <br />OTHER: <br />Ea accidentBODILY <br />$ 1000000 <br />INJURY(Per person) <br />$ <br />BSCHEDULEDY <br />RIABILITY <br />LY AUTOS <br />BA040000025174 <br />12/22/2019 <br />12/22/2020 <br />BODILY INJURY Per accident <br />( �NON-OWNEDLY <br />$ <br />AUTOS ONLY <br />Per accitlent <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED <br />I I RETENTION$ <br />$ <br />C <br />ORKERS COMPENSATION <br />ND EMPLOYERS' LIABILITY YIN <br />IFEFICEWMEM ER EXCLUDED? ECUTIVE ❑ <br />NIA <br />wsnsoas7ozol <br />o1/olno <br />m/ovzl <br />V <br />/� STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000v <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />Mandatary In NH) <br />If yes, describe under <br />ESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional earmarks 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 INSURED. WITH RESPECT TO CLAIMS <br />ARISING OUT OF THE OPERATIONS PERFORMED BY OR ON BEHALF OF THE NAMED INSURED, SUCH INSURANCE AS IS AFFORDED BY THIS POLICY IS <br />PRIMARY AND NOT ADDITIONAL TO OR CONTRIBUTING WITH ANY OTHER INSURANCE CARRIED BY OR FOR THE BENEFIT OF THE ADDITIONAL <br />INSURED. 10 DAY NOTICE FOR NON PAYMENT OF PREMIUM. 30 D Y PRIOR WRITTEN NOTICE OF CANCELLATION <br />L) <br />RENtIEWMED & ANAQFMPPRpVO <br />By RNk <br />CITY <br />20 CIVIOCENTER PLAZA, 4TH FLOOR <br />SANTA ANA, CA 92702 <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 />1THORIMD REPRESENTATIVE <br />Paul Row IIJ o- <br />tcc 1gRR_2n1s ArnRnrnQpnoATlnN en.i..lhf. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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