CALIFORNIA YOUTH SPIRIT AND TWIRLING CORPS 3-2016

Home Browse Search

A� & CERTIFICATE OF LIABILITY INSURANCE TE DAB/(2/2018YY) 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 The Allen J. Flood Companies TWO Madison Avenue CONTACT Laura Spina NAME: PHONE E:u. (914) 922-9200 jA/C Not: _ E-MAIL 18 Ina®ajfusa.COm ADDRESS: P J INSURER(S) AFFORDING COVERAGE NAIC# INSURER A:Philadelphia Insurance Cc Larchmont _ - NY 10538 _ INSURED INSURER B: INSURER C: The California Youth Spirit & Twirling Corps 22755 Mesa Springs Way INSURER D: INSURER E: INSURER F: Moreno Valley CA 92557 COVERAGES - CERTIFICATE NUMBER:115-17 Al Carts 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. NSR LTRI I TYPE OFINSURANCE AO BR' POLICY NUMBER LICY XP MM/ONYPOLICY SEE PoYV M6NDD/YVEYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR X i I 1 PEPKI530506 8/1/2016 8/1/2017 EACH OCCURRENCE $ 1,000,000 RE ED PREMISES Ea accunence $ 100,000 GENL x -PREMISES ME XEDME XED P Any one person) _ $ 0 PERSONAL &AOV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY JECT LOG OTHER: GENERAL AGGREGATE S 3,000,000 PRODUCTS-COMP/OP AGG $ 3,000,000 $ AUTOMOBILE r LIABILITY ANY AUTO ALL OWNED SCHEDULED (AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS I"Al. 1 1 J COMBINED SINGLE LIMIT -(Ee eccldentl _ Is BODILY INJURY (Per person) �$ BODILY INJURY (Pereccltlen) $ PROPERTY DAMAGE (Per acddentl $ —___— i$ UMBRELLA LIAB EXCESS LIAB ( OCCUR iCLAIM$-MADE; �(�e (`^J/ �\ej`\`I EACH OCCURRENCE AGGREGATE _ $ $ DED RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOftIPARTNERIEXECUTIVE �N/A OFUDED9 FICERNEMBER EXCL (Mandatory in NH) If yes, describe under DESCRIPTIONOFOPERATIONSbel. � �\.,� nnv1 {� '(' ! PER H- STATUTE ER E.L, EACHACCIDENT $ — E.L. DISEASE - EA EMPLOYEE -- 5 E.L. DISEASE -POLICY LIMIT - -'- 5 I { DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more apace is required) Additional Insured is listed below. City of Santa Ana it's officers, agents and employees 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE lliam Flinker/LAURA ©1988-2014 ACORD CORPORATION. All ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD NS025 (201401)