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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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AC Rif CERTIFICATE OF LIABILITY INSURANCE <br />FDATE(MMID13WYYY) <br />2110/2022 <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 endorsements . <br />PRODUCER <br />NAONMEACT Fay Schwartz <br />EMPLOYERS CHOICE INS SVCS INC <br />2111 S El Camino Real #201 <br />a°N£ 760 431-0947 we No: 760687-4D07 <br />A DDRIESS: favbwkeomp.us <br />Oceanside, CA 92054 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Markel Insurance Company.._ <br />INSURED <br />INSURER B <br />INSURER C : <br />Tumble-N-Kids Inc. <br />16802 Lucia Lane <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />Fluntin ton Leach CA 92647 <br />GOVERAGES CFRTIFICATF NUMRFR- D9:w1Q1nA1 NII luor-o. <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 />INS R <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />IMWDDrfYYYI <br />POLICY EXP <br />fMNJ2De=LIMITS <br />COMMPRCIALGENERAL LIABILITY <br />CLAIMS-CLAIMS-MADEOCCUR <br />EACH OCCURRENCE <br />$ <br />PREMISES DAMAGE TO RENTED <br />Ea occurrence <br />$ <br />MED EXP (Any une person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY D PRO- <br />JECT LOC <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS -COMPIOPAGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />per acc dent <br />$ <br />$ <br />BRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />SS LIAB <br />�,ICDE <br />CLAIMS -MADE <br />RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />X <br />A <br />AND EMPLOYERS' LUIBILITY Y 1 N <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERMEMBER EXCLUDED? Y <br />(Mandatory in NH) <br />If yyes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />y <br />MWC0122721.05 <br />2/1412022 <br />2/14/2023 <br />SEATUTE ERH <br />E.L. EACH ACCIDENT <br />$ 1 DOD DUO <br />E.L. DISEASE -EA EMPLOYE <br />$ 1 00D 000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VENICLES (ACORD 101, Additional Remarks Schedule, may be altached it more space Is required) <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92702 <br />ACORD 25 (2016103) <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 />AUTHORIZED <br />The ACORD name and logo are registered marks of ACORD <br />L <br />Risk Mumipwad DNisian <br />E <br />o N,`P' REVIEWED & APPROVED BY: <br />e Aeevaa <br />'�--'RIsk Management Specialist <br />
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