UNION ARMY OF THE WEST, INC.-2016

Home Browse Search

ALCM& CERTIFICATE OF LIABILITY INSURANCE 11"11 DATE(MMIDDIYYYV) 06/10/2016 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 CONTACT NAME, Lockton A££inity, LLC Lockton Affinity, LLC AIONNo Eot1877-487-5407 A10 Na: 913-652-7599 P.O. Box 874952 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# Kansas City, MO 64187-4952 INSURER A: Certain underwmiter's st Lloyd's, London AM122000 INSURED INSURER B: 1st Pennsylvania Light Artillery, Battery 'I'll39266 Calla De Companero INSURER C: INSURER D INSURER E: Murrieta, CA 92562 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. IL TR TYPE OFINSURANCE ADDLSUBR INSDMID 55 CYEFF MMIDDIYYYY POLICYEXP MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y L201519110 11/02/2015 11/02/2016 EACHOCCURRENCE 11,000,000 CLAIMS -MADE OCCUR DAMAGE IUKrNIED PREMISES Ea occurrence S 300,000 MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY A1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $1,000,000 GEN'L X POLICY n JECT1:1 LOC PRODUCTS-COMP/OP AGO $ 1,000,000 $ OTHER. I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Es accident) $ BODILY INJURY 'Per parson) $ ANY AUTO ALL OWNED SCHEDULED NON-OWNEDAUTOS AUTOS HIREDAUTOS ATOS ,�r V Y �j ylyg e�4 7_.Y' I ( BODILY INJURY Peraccideni $ PR ERTV DAMAGE accident $ — UMBRELLA LIAB OCCUR yG`"), EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE .6..of,,,G��A%%� DED RETENTION$ $ °) \rw° Ea'` WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA B;'f C"s STATUTE ER E, L. EACH ACCIDENT _ $ E. L. DISEASE - EA EMPLOYEE S (Mandatory In NH) If yes, describe under E. L. DISEASE -POLICY LIMIT -- $ DESCRIPTIONOFOPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents and volunteers are named as additional insureds with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured for Event dated July 4, 2016. This insurance is primary and non-contributory if required by contract. The NAIC number shown above is the Alien Insurer Identification Number (AIIN) signed by the National Association of Insurance Commissioners (NAIC) CANCELLA City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 198B-2014 ACORD CORPORATION. All rights reserved. e ACORD 25 (2014101) The ACORD name and logo are registered arks of ACORD 19762046 940960