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CLIMB IT (2) - 2016
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CLIMB IT (2) - 2016
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Last modified
5/26/2017 4:54:22 PM
Creation date
8/10/2016 10:58:49 AM
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Contracts
Company Name
CLIMB IT
Contract #
N-2016-117
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
8/21/2016
Insurance Exp Date
7/13/2017
Destruction Year
2021
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AC<Rcye CERTIFICATE OF LIABILITY INSURANCE <br />°7�ig�n �" <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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, caRain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In Ileu of such endorsemen4(s}. <br />PRODUCERNT <br />Shelley Escobar CISR <br />NdIffliJames <br />0 Parker Insurance AssociatesPNowE <br />License p0554959o9.s;.___.. <br />(559)222-7722 P'� tsfP)1xx-17xA <br />,Nn sen• (A(C. Nor <br />IL sescobar@jgparker. com <br />P 0 Boa 3947 <br />INSURERISIAFFORMNG COVERAGE NAM/ <br />_ <br />INSURER A:SCQttXla Insurance Company 41297 <br />preano CA 93650 <br />INSURED <br />INSURER 9: <br />INSURER C: <br />Katie Kalivas dba Climb It <br />INSURER O: <br />2565 Royal Crest Drive <br />INSURER E <br />INSURER F: - <br />Escondido CA 92025 <br />lK�Y1q:J�\q4-'�Nqa/IOINn1/:Ill SIgO:Ri�rt�'19/Fi4�13�6'F\��:1�'/6'1[iL`6'If Cdatl:� <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 />LTRUNITS <br />TYPE INSURANCE <br />POLIO P <br />POLIO <br />MMI fYYSP <br />X COMMER°IALOENERALLIABILITY <br />EACH OCCURRENCE S <br />A <br />CLAIM&MADE EX OCCUR <br />_1,000,000 <br />5 9 ES� 100,000 <br />MED EKE, (Any one portal) i Sr000 <br />CPS2511143 <br />7/13/2016 <br />7/13/2017 <br />_ <br />PERSONAL AOVINJUR_Y_ S <br />GPWL AGGREGATE LIMIT APPLIES PER' <br />_1,000,000 <br />GENERAL AGGREGATE S 2,000,000 <br />X JECT LOC <br />POLICY <br />PRODUCTS •COAIPiOP AVG S 2,000,000 <br />f <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED .m 1 .0 SINGLE, $ <br />BODILY IWURY(Per panon) f <br />ANY AUTO <br />ALLOWNED SCHEDSCHEDULED <br />SOO/.Y INJURY (Paraatldenq •S <br />PPOPP TYDAMAGE f "� <br />HIRED AUTOS AOGNED <br />f <br />UMMAULALLAs <br />EXCESS LIAS <br />Lj <br />OCCUR <br />CLAIM3.MADE <br />I <br />4J 7 <br />EACH OCCURRENCE 9 <br />AGGREGATE f <br />DED <br />RETENTION <br />S <br />'(4ey <br />I •' <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />OMY <br />FFILRHOPRIETERREICWEEWEECUTIVE <br />NfA <br />'et EACH ACCIDENT f <br />EL DISEASE -EA EMPLOYE $ <br />(Myyamadabry In NN1 <br />DE5CRIPPIONOFOPERATIONS000. <br />E.. I E•POUCYLIMIT S <br />A <br />Participant Liability <br />CPS251314 <br />7/ <br />711 (x017 <br />Pargaumrxe $25,040 <br />t-`� <br />AxnEiple $50,000 <br />DESCRIPTION OF OP@RATIONS i LOCATIONS I VEHICLES(ACORD101, dd_10041 RrmarNtScbeelimen epaaeN rageltetl( <br />Rock Climbing Wall Rentals c•-� Mnl.J <br />Katie Kalivas <br />dba Climb It <br />2565 Royal Crest Drive <br />Escondido, CA 92025 <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 />Parker Tri/SCGa&:� 00=to ` <br />ACORD 25 (2014101) The ACORN) name and logo are registered marks of ACORD <br />INS02A10A1An1) <br />
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