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TUMBINC-01 13CROOK
<br />,a►coR© CERTIFICATE OF LIABILITY INSURANCE DAT/1812 02DIY
<br />318/24
<br />4
<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 certiflcate holder Is an ADDITIONAL INSURED, the pollcy(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 richts to the certifirztehQlder in Ilea of such endorsement(%). _
<br />L re n ociateS, Inc.
<br />3 Ft a kum Road
<br />Suite 101
<br />Lilburn, GA 30047
<br />Tumble-NAids, Inc.
<br />16802 Lucia Lane
<br />Kunt'tngton Reach, CA 92647
<br />iE A"No, ExtJ: FAX
<br />LAIC, No);
<br />Acevedo
<br />AfMDRESS:_----
<br />- -- -
<br />5 1(ORDINtiCOVERAGE
<br />Date. 2024.04
<br />j�_j� _ INSURER A: o State National Insurance C_ rnnall}r_._,.,
<br />m _0"� �0GT INSURER 8: Sirius POlttt
<br />INSURER C
<br />INSURER 0 :
<br />�-INSURERS_;_... _..,........._..._.......__......._.. _.__... _...........
<br />C_tlVFRAf;Ffi r__FRTiFIrATF IdIIRNRFR- RFVICInK1 fdl IIUIRFR•
<br />NAIC #
<br />12831- . .
<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 />EXCLU61045 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN N_ REDUCED BY PAID CLAWS.
<br />INSRJ TYPE OF INSURANCE AtlllL
<br />3UBR POLICY NUMBER POLICY EF Y POLICY EXP LIMITS
<br />A
<br />X COMMERCIAL GENE LABILITY
<br />_
<br />1,000,000
<br />EACH OCCURRENCE $
<br />CLAIMS -MADE X OCCUR X
<br />DAMAGE TO RENTED 300,000
<br />X 'OVE-0000411-02 #PH-12111E 4126120Z4 4/2612025 $
<br />X AbuselMolestation
<br />ME ELx.PEr
<br />(A.- nay a e perso n) 5,000
<br />X $'1M OCC1$2M AGG - .
<br />._...... _.._ 1,00{I,000
<br />1N.RAR
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE $ 3,000,000
<br />X POLICY ��� �, LOG
<br />PRODUCTS-COMPlOPAGG ;-$ �1,000,000
<br />OTHER :PROFESSIONAL $IM1$1M
<br />PARTICIPANT 1,000,000
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />ANY AUTO
<br />BODILY INJURY (Per.Person)_ , $
<br />OWNEI) iSCHEDULED
<br />- AUTOS ONLY AUTOS
<br />BOMLY INJURY {Per accident} .,,$,..,....-.
<br />HIRED NON.pWNEO
<br />AUTOS ONLY
<br />I P OPERTY DAMAGE
<br />{er acci ant) $
<br />AUTOS ONLY
<br />.._....
<br />I
<br />UMBRELLA LIAR OCCUR
<br />! EACH OCCURRENCE__
<br />-- —
<br />We CLAIMS -MAD>:,'
<br />1 AGGREGATE _.
<br />--,
<br />+
<br />DEDEXCESI
<br />RETENTION
<br />$
<br />WORKERS COMPENSATION
<br />ANO EMPLOYERS' LIRBILrrY
<br />PER OTH-
<br />Y 1 N
<br />TOR E ECUTIVE :NIA
<br />AFY PPpERIM
<br />., E.L,-F�4CH ACCIDENT
<br />pI
<br />EXCLUi)E -
<br />I',
<br />,
<br />Mandatory in NH)
<br />E,L. DISEASE -.FA EMPLOYEE $
<br />If yyas, describe under
<br />I DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />B !PARTICIPANT ACCIDENT
<br />PHSA-3AMH-10248-24 4/2612024 412612025 'EXCESS COVERAGE 25,000
<br />B ,DEDUCTIBLE $SOD
<br />PHSA-BAMH-10248-24 4/2612024 4/26/2025 AD&D 10,000
<br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be affached it more space is required)
<br />Coverage is provided under this policy for sponsored and supervised activities of the named insured for Which a premium has been paid.
<br />Youth Recreational Gymnastics - Mobile Program
<br />The Certificate Holder is an additional insured with respect to the operations of the named Insured
<br />City of Santa Ana, Risk Management, it's officers, employees, agents, representatives, and volunteers are covered as additional inured.
<br />Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation.
<br />Coverage is Primary and Non -Contributory.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN !II
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Risk Management Division
<br />20 Civic Center Plaza, 4lh Floor
<br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE E Kish MougmumtDEYisEan
<br />f ° REVIEWED & APPROVED BY.
<br />�1
<br />ACORD 25 (2016/03) Q 1988-2015 ACORD CC — �r� Risk Management Specialist
<br />The ACORD name and logo are registered marks of ACORD
<br />
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