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CALIFORNIA YOUTH SPIRIT AND TWIRLING CORPS 2 (2)-2015
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CALIFORNIA YOUTH SPIRIT AND TWIRLING CORPS 2 (2)-2015
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Last modified
3/25/2020 9:19:25 AM
Creation date
2/9/2015 4:41:01 PM
Metadata
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Contracts
Company Name
CALIFORNIA YOUTH SPIRIT AND TWIRLING CORPS
Contract #
N-2015-015
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
12/31/2016
Insurance Exp Date
8/1/2016
Destruction Year
2021
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Al or CERTIFICATE OF LIABILITY INSURANCE <br />1/23/2015vr) <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />The Allen J Flood Companies Inc <br />Two Madison Avenue <br />CONTACT Maria Masecar <br />NAME: <br />FAX <br />PHONE (914) 834-9326 AIC No: (914)834-9330 <br />gpoaless:mmasecar@aj fusa. corn <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A:Philadel hia Insurance Cc <br />Larchmont NY 10538 <br />INSURED <br />INSURER B : <br />INSURERC: <br />The California Youth Spirit & Twirling Corps <br />INSURER D: <br />22755 Mesa Springs Way <br />INSURER E : <br />1 INSURER F: <br />Moreno Valley CA 92557 <br />COVERAGES CERTIFICATE NUMBER:1415 add ins 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 />INSR <br />LTR <br />TYPE OF INSURANCEADDLSUBR <br />D <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIVYVY <br />POLICY EXP <br />MMIDDIVVVV <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1000000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 1XI OCCUR <br />PHPK1215651 <br />B/1/2014 <br />B/1/2015 <br />DAMAGE TOM_9TF_ <br />PREMISES Ea occur ence <br />$ 100000 <br />MED EXP(Any one person) <br />$ 0 <br />PERSONAL& ADV INJURY <br />$ 1000000 <br />GENERAL AGGREGATE <br />$ 3000000 <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />PRODUCTS - COMP/OP AGO <br />$ 3000000 <br />X POLICY PRO LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />1� <br />Review <br />„1 by- <br />U IJ <br />-PROPERTY-DAMAGE <br />Peraccident <br />$ <br />$ <br />UMBRELLA LIAR <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />C^ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />IS <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />WC STATU- OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE❑ <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />PRCSAI <br />Ci rTlin. <br />- <br />TCRY LIMITS E <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Certificate holder, it's officers, agents and employees are named as additional insured in regards to <br />General Liability per attached CG 20 15 04 13 <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 />Attn: Purchasing Department <br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />William Flinker/BILL <br />ACORD 25 (2010/05) <br />©1988-2010 ACORD CORPORATION. All rinhts rpsptvad <br />INsn2H rgn,nnr) n1 Th. Arnan pama a.,l 1r, ., ara r.n ,cfarad mar4p of ArnRn <br />
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