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Last modified
3/25/2020 9:26:01 AM
Creation date
4/18/2017 2:22:12 PM
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Contracts
Company Name
CLIMB IT
Contract #
N-2017-037
Agency
Parks, Recreation, & Community Services
Expiration Date
4/30/2017
Insurance Exp Date
7/13/2017
Destruction Year
2022
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ACC>RVr CERTIFICATE OF LIABILITY INSURANCE <br />DAn-IMWDarYrrri <br />7/19/2016 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH19 <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 parley{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 dghta to the <br />certificatb holder In lieu of such endorsement(s}. <br />PRODUCER <br />ZaUmtes G Parker Insurance Associates <br />N& ShelleyEscobar CISR <br />PHONE {559)222-7722 "'� o,iSS712Z2.1710 <br />Liaande #0554939 <br />H O Son 3947 <br />Fresno CA 93650 <br />CDIL ;sescobar@jgparker,cam <br />INSURER S AFFOR NG COVERAGE <br />MAIL t <br />IN2URERA;SC0ttadal& Insurane Caffmany <br />41297 <br />INSURED <br />IM UMER e S <br />Katie Kalivas dba Climb it <br />2565 Royal Crest Drive <br />I SURERD: <br />IN RBR E <br />I+Eddrid'`G�p CA gxQ2 <br />INSURERP; <br />tAJVt:KAUI25 CERTIFICATE NUMEIER!15-17 GL/Partic Litih OPMU1491n i hillhIRTFD• <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 ISSUEO OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS, <br />EXCLV64ONS AND CONDITIONS OF SUCH POLICIES, LIMITS <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IRBR <br />OF INSURANCE <br />ADMTYPO <br />f i NUYA R <br />POLIC f <br />L CY P <br />LIMITS <br />is <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />f 1,000,00F <br />S Es <br />: 100,000 <br />A <br />CLAIMS MAgis E X OCCUR <br />MFA EXP IAn nna Pasony <br />s s, eaa <br />_ _ <br />G�9Zs311d7 <br />7/13/201d <br />7/23/2017 <br />PERSONAL S ACV INJURY <br />i 1, 00O , 004 <br />.___....,._„..„_.„„,...,p..__........................_ <br />p8M£RALAGGRflpATc <br />$ r005,004 <br />GEWLAGGRECATHLLIL�LIIT <br />X <br />APPLIES PER <br />POLICY im i✓ 1 LOC <br />PRODUCTS • CGMPFiJP AtfO <br />s x, t7ao, nos <br />$ <br />OTHER: <br />AUTOMOBILE <br />LiAMLrrY <br />CEO Ip[B 111M Limiti <br />9ODP.Y INJURY IPor p nmt <br />S <br />ANY AUTO <br />ALL AUTOSA OWNED SUTO$UL$O <br />A <br />MREOAUTO5 ASWNE0 <br />BODILY INJURY IPeracddeml <br />I <br />P�RCFERe LAMA <br />s <br />$ <br />UMBRILLAUAB OCCUR <br />EXCE99 LIAD CLAMS -MADE <br />V' <br />�� <br />EACHOCCURRSNCE <br />s <br />AGOREGATE <br />$ <br />0tlO R�NTtC1N <br />S <br />WORKERS COMPENSATION <br />AND FMPLOYERV UADILIt"Y YIN <br />ANY ifRgPRIETORlPARTNERJF_7IECUTME _ <br />(F" :ERIMEMeER EXCLUOW? _, <br />{Myy+adainry 1n NN) <br />dfif <br />OESCRId PTiON pt: OP TI N5 pates <br />NIA <br />Q,.yO <br />V <br />OTH- <br />.EACHACCICEMT <br />; <br />EL. 015ME - FA EMPLOY <br />$ <br />E.C_ DISEASE, POLICY LIMTT <br />$ <br />A <br />Participant Liability I <br />CPS251114 <br />�� � <br />7/ <br />' �C� <br />71 LZQ17 <br />t 1, <br />POFOCCUMAM $25,000 <br />Aygiiowle $50, 000 <br />DESCRIPnOR OP OPBRATtONSI LCCATIOMS IVEHICLES IACORD i0i, 444104,mf Ramaty 3g11e►161 anaehrd It mostspa s is roqulntli <br />Rock Climbing Wall Rentals <br />Katie Kalivas <br />dba Climb it <br />2565 Royal Crest Drivel <br />Eacondido, CA R2025 <br />SHOULD ANY OF! THE ABOVE DFSCRISED POLICIES BE CANCELLED B EPORL <br />THE EXPIRATION DATE THEREOF, N0710E MLL se DEnLNERLO IN <br />ACCORDANCE MIN THE POLICY PItbVIStONS. <br />AUTHORIZED REPRESENTATIVE <br />s Parker 11ZISCG <br />01988-2014 ACORD CORPORATION. All rights rasar <br />ACORD 25 [2014101j The: ACORD name and logo are registered marks of ACORD <br />WS(125 ni)um E <br />
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