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CERTIFICATE OF LIABILITY INSURANCE FO9123'12016(MMI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOTAFFIRMATIVELY 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: Ifthe certificate holder is an ADDITIONAL INSURED, the policy(Os) 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 t0 the certificate holder in lieu of such endorsement(s), PRODUCER GEICO Insurance Agency, Inc. 1 GEICO Blvd CONTACT GEICO Insurance Agency, Inc. NAME: PHONE AIC, No. Ext FAC A1C. Ne E-MAIL ADDRESS' Fredericksburg, VA 22412 INSUREI AFFORDING COVERAGE NAIC # MMIUDIYYYY INSURED INSURER A: NATIONAL LIABILITY& FIRE INSURANCE 20062 INSURER B: COMPANY MOBILE GAME THEATER LLC INSURER c: 7315 SITIO CASTANO INSURER D: $ CARLSBAD, CA 92009 INSURER E: COMMERCIAL GENERAL LIABILITY INSURER F: COVERAGES CERTIFICATE NUMBER' 234,131 REV1StON_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 PC LIC IES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR YMCA OF SAN DIEGO COUNTY ADDL SUBR 3708 Ruffin Rd. POLICY EFF POLICY EXP SAN DIEGO, CA 92123 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIUDIYYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea ocouffenCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MAD& ❑OCCUR MED EXP (Any One pefson) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ Gil AGGREGATE LIMIT APPLIES PER: PRODUCTS–COMPIOP AGG $ PRO - $ POLICY JECT LOC AUTOMOBILE AUTHORITY COMBINED SINGLE LIMIT Es accident $ NIA ANY AUTO BODILY INJURY (Per Person) $ 25,000 A ALL OWNED SCHEDULED AUTOS AUTOS Y 73APG074186-01 09123/2016 09123/2017 BODILY INJURY (Par accident) $ 60,000 PROPERTY DAMAGE Per accident $ 15,000 HRl AUTOS NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB ��,o CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ —AND WORKERS COMPENSATION EMPLOYERS' LIABILITY WC STATU- 07H E, L, EACH ACCIDENT $ ANY PRDPRIETORIPARTNERIEXECUTIVE OFFiCERIMEMBF.R EXCLUDED? YIN N!A E. L. DISEASE – EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Je� \ ' E. L. DISEASE– POLICY LIMIT $ $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES {Attach ACORD I I Additional Remarks Schedule, if more space is required) Certificate Holder is named an Additional Insured on this policy. Vehicle Schedule: see attached CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE YMCA OF SAN DIEGO COUNTY EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE 3708 Ruffin Rd. POLICY PROVISIONS, - SAN DIEGO, CA 92123 AUTHORIZED REPRESENTATIVE ACORD 26 (2010106) The ACORD name and logo are registered marks of ACORD M-566211112011) ©1988-2010 ACORD CORPORATION. All rights reserved. 09/23/2016 14:06 29E9F6D5.2F78.439E-93DB-16CS73322EC2