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A ORV CERTIFICATE OF LIABILITY INSURANCE <br />DATE IMM/OD/YYYY) <br />9/1/ao15 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TRIS d <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: B the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject t <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to th <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />The Allen J Flood Companies Inc <br />Two Madison Avenue <br />Larchmont NY 10538 <br />CNA) NTAGr Laura Spina <br />PHONE E[D (914)834-9326 FA (914)034-9330 <br />E�mA,'L,,,,Ispina@ajfusa.com""'_....f.Mfi,..N.BLL....._ <br />INSURERS AFFORDING COVERAGE <br />NAIC p <br />INSURERA:philadel hula insurance Co <br />INSURED <br />,�5 , , <br />�f ✓ <br />The California Youth Spirit & Twirling Corps <br />22735 Mesa Springs Way <br />Moreno Valley CA 92557 <br />INSURER e: m <br />INSURERC: <br />INSURER O: <br />INSURER E; <br />INSURER F: <br />COVERAGES CERTIFICATE NUMB ER:15-16 Al Carts REVISION NUMBER: <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 />ILTR N$R <br />TYPE OF INSURANCE <br />e L <br />Wen <br />B <br />Wen <br />POLICY NUMBER <br />POLICY <br />P OONYYY <br />MMNOY D P <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />5 1,000,000 <br />A <br />j�� <br />CLAIMS -MADE L.x J OCCUR <br />DAMAGE TO RENTED <br />E occurs n <br />S 100, 000 <br />MED EXP(Any one person) <br />S 0 <br />A <br />POPR1373586 <br />8/1/2015 <br />8/1/2016 <br />PERSONAL 4 ADV INJURY <br />$ _ 1,000,000 <br />OEM AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />( <br />% POLICY PROT LOC <br />! <br />PRODUCTS COMP/GP AGO <br />$ 3,000,000 <br />OTHER: <br />I$ <br />AUTOMOBILE LIABILITY <br />I <br />COMBINEDSINGLE U I <br />E c den <br />S <br />BODILY INJURY (Per person) <br />_ <br />$ <br />ANY AUTO <br />BODILY INJURY (Per accident) <br />S <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NCNpOWNEO <br />HIRED AUTOS AUTOS <br />I <br />PROPERTY DAMAGE <br />S <br />S <br />I <br />UMBRELLA LIAR <br />EXCESS LIAO <br />gCCUR <br />CLAIMSMADE <br />``'' <br />��tl`'^� <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />$ <br />ICED I I REIENTONS <br />8 <br />6� <br />/// <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY <br />OFFICEOPRIETOREXCLUDED eEGUTIVE Y/�N <br />(Myyandatory in NHI <br />OCSCN$ RIPTION OF OPERATIObelow <br />N/A <br />'jt <br />i <br />( <br />y <br />®S <br />{{ <br />STATUTE EftH <br />E.L. EACH ACCIDENT <br />S <br />E.L. DISEASE —EA EMPLOYE <br />5 <br />E.L. DISEASE- POLICY LIMIT <br />S <br />DESCRIPTION OF OPERATIONS/LOCATIONS/ VEHICLES(ACOnO tut Additional Re erke Schedule, may be eaachad it more space is required) <br />The City of Santa Ana, 20 .Civic Center Plaza, Santa Ana, California 927011 its officers, employees, <br />agents, volunteers and representatives are named as additional insureds ("additional insureds") with <br />regard to liability and defense of suits arising from the operations and uses performed by or on behalf <br />of the named insured. With respect to claims arising out of the operations and uses performed by or on <br />behalf of the named insured, such insurance as is afforded by this policy is primary and is not <br />additional to or contributing with any other insurance carried by or for the benefit of the additional <br />insureds. <br />City of Banta Ana <br />Attn: purchasing Department <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />Lam Flinker/LAURA <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />I NSO25 nmenn <br />I} <br />