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TUMBLE-N-KIDS, INC
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Last modified
1/25/2023 10:57:25 AM
Creation date
3/3/2022 2:03:51 PM
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Contracts
Company Name
TUMBLE-N-KIDS, INC
Contract #
N-2022-054
Agency
Parks, Recreation, & Community Services
Expiration Date
2/28/2022
Destruction Year
2027
Notes
For Insurance Exp. Date see Notice of Compliance
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A� R� CERTIFICATE OF LIABILITY INSURANCE <br />°q'E1012022 <br />2nonozz <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 he 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 endorsements . <br />PRODUCER <br />EMPLOYERS CHOICE INS SVCS INC <br />2111 S El Camino Real ff201 <br />Oceanside, CA 92054 <br />CONTACT <br />NAME: Fay Schwartz <br />PHONEExth 760 431.0947 plc No: 760 687-0007 <br />ADDRESS: fay@wkcomp.us <br />INSURE S AFFORDING COVERAGE <br />NAIC# <br />INSURERA: Markel Insurance Com an <br />NSURED <br />Tumble-N-Kids Inc. <br />16802 Lucia Lane <br />Huntington Beach CA 92647 <br />INSURERS: <br />INSURER - <br />_ <br />INSURER O: <br />INSURERE: <br />INSURER F: <br />CERTIFICATE <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 PA)D CLAIMS, <br />INTN <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POUCYNUMBER <br />POLICY EFF <br />M DDIYYYY <br />POLICY EXP <br />M 0 <br />LIMITS <br />COMMERCIAL GENERAL UANILRY <br />EACH OCCURRENCE <br />$ <br />DAMAGET RENTED <br />PROMISES Ea ..mail <br />$ <br />CLAIMS -MADE ❑ OCCUR <br />MED EXP Any one pempn) <br />$ <br />PERSONAL S ACV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />GENT <br />POLICY PRO <br />LOC <br />JECT <br />$ <br />OTHER: <br />AUTOMOSILEUASIUTY <br />COMBINEOSINGLE LIMIT <br />Ea accident <br />$ <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />OWNED SCHEDULED <br />BODILY INJURY (Per accident) <br />$ <br />AUTOS ONLY AUTOS <br />HIRED NOFHOWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />per accMent <br />$ <br />S <br />UMBRELLA UAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />$ <br />DED <br />RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />V _ <br />X <br />AND EMPLOYERS LIABILITY V I N <br />SEARTUTE ERH <br />E.L. EACH ACCIDENT <br />EACH <br />A <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICEt En <br />NIA <br />y <br />MWC0122721-05 <br />V14/2022 <br />2/14/2023 <br />EL DISEASECIDENT <br />El <br />$ 1000000 <br />NH) <br />(MandaLOVE <br />If ye descdTION oB antler <br />E.L. DISEASE - POLICY LIMIT <br />$ 1 000 000 <br />Cs, RIP <br />DESOF O <br />OPERATIONS below <br />OESCRIPTK OFOPERATIONS/LOCATIONSIVEHICLES(ACORD 101, AddWonel Remmke Schedule, may be attachAd if more space is required) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division AUTHORIZED REPRESS ATIVE <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92702OA <br />RWIMrr�ganod alalpR ; <br />e$I! . \� Renerm6APFRw®Sr: _. <br />1966-215A RD ORI l nLIJ,, %du �rcrtd.r <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD RaxrutaNe„n,mmralaee <br />
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