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ICE T
<br /> • PRA A 1f TEMrfifta,kTus' Ti e d
<br /> CE 't :cf O F The City of Santa r to P ksnd ReAngie
<br /> o n
<br /> Civic Center Pl
<br /> Santa Ana,CA 9 /0 Y AcOVgdd-s..
<br /> •.
<br /> This certificate is issued as a matter of infornati on' and confer n�° erttfic I Id r2- i
<br /> or
<br /> v xten a cov r, n„�:_ _.,..,uw. �sf[ttic .. 'ins uaoes notico titu a�on ac a een the
<br /> i h t e r - and 'fi a holder.
<br /> A I R ER S 'D 1 C n 3tR CL1 Y 0�OIFICATE ID: 5KSP6X67
<br /> Foy Insurance A A ur Athletic Union o th �I CLUB CODE: W3DFW W
<br /> 64 Portsmouth Ave I '.alt Disney World Resort Lightning Youth Running Club
<br /> PO Box 1030 P.O.Box 22409 600 W.Santa Ana Blvd.Suite 530A
<br /> Exeter,NH 03833-1030 Lake Buena Vista,FL 32830-1000 Santa Ana,CA 92701
<br /> (407)934-7200
<br /> INSURERS)AFFORDING COVERAGE
<br /> Company A United State Fire Insurance Company NAIC#21 11 3 -1 Company B Everest National Insurance Company NAIC#10120 *For box below,INSR LTR refers to Company A or B.
<br /> COVERAGES-This is to certify that the policy(ies)of insurance listed below.have been issued to the insured named above for the policy period indicated.
<br /> Notwithstanding any requirement,tern,or condition of any contract or other document with respect to which this certificate may be issued or may pertain,the insurance
<br /> afforded by the policy(ies)described herein is subject to all the terms,exclusions,and conditions of such policy(ies),limits shown may have been reduced by paid claims.
<br /> INSR TYPE OF POLICY COVERAGE EFF. COVERAGE EXP. COVERAGES LFVHTS
<br /> LTR INSURANCE NUMBER DATE(MM/DD/YY) DATE(MM/DDIVY)
<br /> A Participant US1182730 9/01/2024 12:01 AM. 9/01/2025 12:01 AM. Accident Medical 100,000
<br /> Accident Accidental Death and Dismemberment 20,000
<br /> B Excess S18EX00142-241 9/01/2024 I2:01 AM. 9/01/2025 12:01 AM. Each Occurrence 3,000,000
<br /> Liability Policy Aggregate 3,000,000
<br /> B General S18ML00176-24I 0/01/2024 12:01 AM. 9/01/2025 12:01 AM. Each Occurrence Limit 1,000,000
<br /> Liability General Aggregate Limit 3,000,000
<br /> Participant Legal Liability 1,000,000
<br /> Personal and Advertising Injury Limit 1,000,000
<br /> Products-Completed Operations Aggregate 3,000,000
<br /> Fire Damage to premises Rented to You t,000,000
<br /> Policy Aggregate Cap 20,000,000
<br /> Medical Expenses Limit(Any One Person) 5,000
<br /> Sexual Abuse Liability 1,000,000
<br /> Sexual Abuse Aggregate 3,000,000
<br /> ADDITIONAL INFORMATION/RESTRICTIONS/SPECIAL ITEMS
<br /> Coverage applies to Lightning Youth Running Club,License#5KSP6X67 Practice,Lightning Youth Running Club from
<br /> 09/01/2024 through 08/31/2025,for the gross negligence and/or liabilities of the AAU Club(s)or registered members.
<br /> For said club to have coverage,all membership requirements in the AAU must be met.
<br /> Primary non-contributory applies as per attached endorsement ECG 24 520 04 02.
<br /> Waiver of Transfer of Rights of Recovery Against Other to Us applies per attached Endorsement ECG 24 522 04 02.
<br /> The Certificate holder shall be an Additional Insured,but only with respect to the operations of the Named Insured,subject to the provisions and limitations o F
<br /> CANCELLATION-Should any of the above described policies be cancelled before the expiration date thereof,notice will be delivered in accordance with
<br /> the policy provisions. But,failure to mail such notices shall impose no obligation for liability of any kind upon the insurer,its agents or representatives.
<br /> REVOCATION OF MEMBERSHIP-will result in cancellation of coverage.
<br /> FACILITY OWNER SHOULD VERIFY THIS CERTIFICATE.
<br /> Go to www.nausports.org,Membership,Insurance,Issued Third Party Certificates, Insert member club code
<br /> Risk Managematl Division
<br /> REVIEWED&APPROVED BY:
<br /> ffS..w Certificate No.20254314 ~r 'i A.,g�z Aawdo
<br /> Authorized Representative ,mmym'• Risk Management Specialist
<br />
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