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CALIFORNIA YOUTH SPIRIT AND TWIRLING CORPS 4-2017
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CALIFORNIA YOUTH SPIRIT AND TWIRLING CORPS 4-2017
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Last modified
6/22/2020 11:38:00 AM
Creation date
12/20/2017 4:07:53 PM
Metadata
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Contracts
Company Name
CALIFORNIA YOUTH SPIRIT AND TWIRLING CORPS
Contract #
N-2017-258
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
12/31/2018
Insurance Exp Date
8/1/2018
Destruction Year
2023
Notes
WC Declaration received.
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Aw o® CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />17 <br />7EzB�2oI <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, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endomement(s). <br />PRODUCER <br />CONTACT Dave Murphy <br />PHONE 978-578-4775 FAX <br />INC.No: <br />Beacon Sports Insurance <br />A DRIESS, davefteaconsporta ins. coon <br />152 sycamore Street <br />INSURER(S) AFFORDING COVERAGE NAICN <br />INSURER A:Philadel hia Insurance CO <br />Watertown MA 02472 <br />INSURED <br />INSURER B: <br />INSURER C: <br />The California Youth Spirit a Twirling Corps <br />INSURER D: <br />22755 Mesa Springs Way J <br />tJ X011-a5� <br />INSURER E <br />1 INSURER F: <br />Moreno Valley CA 92557 <br />COVERAGES CERTIFICATE NUMBER:17-18 Al Certs REVISION NUMBER: <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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INTSR <br />R <br />TYPE OF INSURANCE <br />ADDL <br />UBR <br />POLICY NUMBER <br />POLICY EFF <br />MMMDIYYYY <br />POLICYEXP <br />MMIDD/YYYY <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 11000,000 <br />A <br />CLAMS -MADE rxl OCCUR <br />DAMAGE TO REN TED 100,000 <br />PREMISES Eaoccumence $ <br />MED EXP (My one person) $ 0 <br />X <br />PHPK1685882 <br />8/1/2017 <br />8/1/2018 <br />PERSONAL B ADV INJURY $ 1,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 3,000,000 <br />1L POLICY E] JECT LOC <br />PRODUCTS - COMP/OP AGO $ 3,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />CEaOMBINED SINGLE LIMIT $ <br />amitlent <br />BODILY I NJURY(Per person) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident)8 <br />NON -OWNED <br />HIREDAUTOS AUTOS <br />PROPERTY DAMAGE $ <br />Per accident <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />-`n <br />ne A`v <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />ANY PROPRIETOR/PRD EMPLOYERS' BTINER/EXECUTIVE YIN <br />OFFICERrMEMBER EXCLUDED? <br />NIA <br />N <br />,`LITY 0n_1 <br />rVVv <br />V rf� <br />,r� <br />�`, <br />PER OTH <br />ER <br />E.L. EACH ACC'$ <br />E.L. DISEASE -EA EMPLOYE $ <br />(Mandatory In NH) <br />If yes. describe order <br />DESCRIPTION OF OPERATIONS below <br />\\_1 <br />(� VV <br />�J <br />_ o <br />W <br />E.L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space c required) <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, <br />agents, volunteers and representatives are named as additional insureds ("additional insureds") with <br />regard to liability and defense of suits arising from the operations and uses performed by or on behalf <br />of the named insured. With respect to claims arising out of the operations and uses performed by or on <br />behalf of the named insured, such insurance as is afforded by this policy is primary and is not <br />additional to or contributing with any other insurance carried by or for the benefit of the additional <br />insureds. <br />City of Santa Ana <br />Attn: Purchasing Department <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 25 (2014101) <br />INS025 (201401) <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 />AUTHORIZED REPRESENTATIVE <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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