MAJOR LEAGUE INFIELDS, INC. - 2016

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7 0 ` III �"CC CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYY) 6/2/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the Policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the Policy, certain Policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Paul Romero Paul Romero Insurance Agency PHONE, Ext : 805-582-4655 (AIC, NO): 805-581-3423 rifflAl IL ADDRESS: romeroins@aol.com 2869 Wanda Ave INSURER(S) AFFORDING COVERAGE NAIC # INSURERA : COLONY INSURANCE CO Simi Valley CA 93065 INSURED INSURER B : MERCURY CASUALTY 38342 INSURER C : REPUBLIC UNDERWRITERS INSURANCE CO MAJOR LEAGUE INFIELD INC. INSURER D 508 E Chapman Ave INSURER E : 4 °p (y Fullerton 4 CA 92832-2015 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT„ TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSD WVD (POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS Y COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 —:::]CLAIM S-MADE 'ti„% OCCUR O UIWA PREMISE 'u'rr (Ea occurrence} $ 100,000 M'.,ED EXP (Any one Person) $ 5,000 PERSONAL aADVINJURY $ 1,000,000 A 101GL0023266-02 07/01/15 07/01/17 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PRO R©- RO LOC POLICY ❑ PRODUCTS - COM'PPOPAGG $ INCLUDED M OTHER: $ AU/TOMOBILE, LIABILITY (EaUU accident), $ 1,000,000 BODILY INJURY (Per person) $ y ANY AUTO B All UVVNEVD ,`',CVIEDULED AUTOS AUTOS yr HIRED AUTOS NON OWNED tii AUTOS BA040000019812 �01/02/2016 a 01/02/201'7 BOUNCY INJURY (Peraccadent ) $ t (Per accident) $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE �� ° N ` _ _...._ EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION S $ 'E ORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTVE FFICERIMEMBER EXCLUDED? ❑ (.Mand'atoryinNH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA �,�qey R,,� 2-Q t"�..1 ATWQ4881 i. �^y^ `" �'w, 01/0112016 01/01/2017 V STATUTE ER E.L EACH ACCIDENT $ 1,000,000 E,L DISEASE - EA EMPLOYEE $ 1,000,000 E,L DISEASE POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AGORD 101, Additional Remarks Schedule., may be attached if more space is required) CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS RESPECTS TO THE OPERATIONS OF THE NAMED INSURED. WITH RESPECT TO CLAIMS ARISING OUT OF THE OPERATIONS PERFORMED BY OR ON BEHALF OF THE NAMED INSURED, SUCH INSURANCE AS IS AFFORDED BY THIS POLICY IS PRIMARY AND NOT ADDITIONAL TO OR CONTRIBUTING WITH ANY OTHER INSURANCE CARRIED BY OR FOR THE BENEFIT OF THE ADDITIONAL INSURED 10 DAY NOTICE FOR NON PAYMENT OF PREMIUM. CITY OF SANTA ANA Lse�CL��I!��c��Lr1►I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ITS OFFICERS, EMPLOYEES, AGENTS AND REPRESENTATI' AUTHORIZED REPRESENTATIVE 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 Pa4At. R O-&'AtrD @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD