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HomeMy WebLinkAboutCertificate of Liability InsuranceACORDe CERTIFICATE OF LIABILITY INSURANCE DATE MWDD,NYYY) 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 Willis of Illinois, Inc. 425 N. Martingale Road, Suite 1100 Schaumburg, IL 60173 cNAAMMECT John Adams FAX PNHC. No, Fmk 1-800-316-6705 (A/c. Nok 1-888-467-2378 EDo Es5: lionsdubs@WIIIis.COm INSURER(S) AFFORDING COVERAGE HAWK INSURER A: ACE American Insurance Company 22667 INSURED National City CollegeCampus Lions Club/ 4L6 CaliforniaiNational City Califo INSURER a INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 INSR TYPE OF INSURANCE 'TPi L3USR INSR MD POLICY NUMBER POLICY EFF IMMIDPNYYYI POLICY EXP ImWDTYYYYI LIMITS A GENERAL X LIABILITY COMMERCIAL GENERA( LIABILITY HDOG25531541 09/01/2011 09/01/2012 EACH OCCURRENCE $ 1,000.000 uAMAGE t?Ia:Meu PREMISES tEa occunmce) S 1,000,000 � CLAIMS -MADE I ^ I OCCUR MED EXP (Any one person) s 1,000 X Agg Per Named Insured PERSONAL &ADV INJURY 51,000,000 is S2,000,000 GENERAL AGGREGATE 5 10,000,000 GEN'LAGGREGATE TO POLICY UMITAPPLIES n ECT n PER: LOC PRODUCTS• COMP/OP AGG 5 2,000,000 5 A AUTOMOBILE X LIABILITY _ X SCHEDULED AUTOS AAUUTNOS ED HDOG25531541 09/01/2011 09/01/2012 UT tCOMBBII UMIT s Included BODILY INJURY (Per person) S BODILY INJURY (Per wedeln) $ t4P aPERTY $ S UMBRELLA UAB EXCESS LNN — OCCUR CVVMSStADE EACH OCCURRENCE 5 AGGREGATE S DEO RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' UABRRY ANY PROPRIETOWPARTNEWEXECUT E OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It es. descNle under DESCRIPTION OF OPERATIONS below YIN N/A I WCSTATU- OTH- TORVIIL5TS FR EL, EACH ACCIDENT S EL DISEASE• EA EMPLOYEE S E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS IVEHICLES (Attach ACORD 101. Additional Remarks Schedule, 9 more spate is required) Provisions of the policy apply to the named insureds participation in the following activity during the policy period shown above: Spirit of the Holidays December 16 and 172011 ial�md. as an Additional Insured(s), but only with respect to General Labilty arising out of the use of premises by the Insured t ploof e�es,eropl��d elf secteidadditional officials shown NaationarCCy, its employees, PROVISIONS OF THE POLICY DO NOT APPLY TO THE `;AI F OR SERVING OFALCOHOLIC BEVERAGES CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of National City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1293 National City Blvd ACCORDANCE WITH THE POLICY PROVISIONS. National Cfty California 91950 AUTHORIZED REPRESENTATIVE 614e/n�4 ACORD 25 (2010105) @ 1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD