HomeMy WebLinkAboutCertificate of Liability InsuranceOP ID: TB
5e CERTIFICATE OF LIABILITY INSURANCE
•
PATE(MMIODNYYY)
09/06/11
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 �EMEEN THE ISSUING INSURER(S),. AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the pollay, certain pellciee may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In Ileu of suoh endorsement(s).
PRODUCER 668.452-2200
10717 Soer Insurance Services 656.452.6004
10717 Sorrento Valley Rd,
San Diego, CA 92121
R.B. Guy Insurance Agoncy,Inc.
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APcrNE a milk WO, NO):
ass:
OilmaER MIR NCCHAMI
Oilman
INSURERS) AFFORDING COVERAGE
NAIL II
INSURED National City Chamber of
Commerce; Mlle of Cara Assoc.
901 National City Boulevard
National City, CA 91950
INSURERA:Assurance Company of America
19306
INSURER D r
INSURER C:
INSURER D:
INSURER E J
INSURER P:
•
BEN:
_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.
1MJSR
LTR
TYPE OP INSURANCE
AWOL
INV
BURR
WVo
POLICY NUMBER
PDDLICyyRIP
(IPIN 1YYTY1
pp0LIICYyE�p
IAMIODJYYM'YL
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
S 2,000,000
A
X
COI,RIERCULGENERAL LIABILITY
X
PA336912616
09/22/11
OB122H2
pREMI6Ee
Ea (g,ko1
$ 2,000,000
MANMADE
X
OCCUR
MED EXP (Any one person)
$P10,00D
INJURY
$ 2,000,000
GENERAL AGGREGATE
GENERAL AGGREGATE
$ 4,000,000
GENL AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMPIOP AGO
$ 4,000,006
A I POLICY I —ilre I (-1 LOC
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ 9,000,0OD
A
ANYAUTO
PAS36912616
09122/11
09/22/12
BDeatden0
BODILY INJURY (Per person)
$
A
ALL OWNED AUTOS
BODILY INJURY (Per accident)
$
X
S
SCHEDULED AUTOS
HIRED AUTOS
PROPERTY DAMAGE
(Pernccidene
$
X
NON•OWNEDAUTOS
•
$
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
S
EXCESS LIAR
_
CLAIMS -MADE
-
AGGREGATE
S
DEDUCTIBLE
$
_
RETENTION $
$
WORKERS COMPENSATION
gqTTUp
I TWyyAYI TTU.IITOS I 1 FA
AND EMPLOYERS' LIASILITY ,p
Yj'1
$
ANY PROPRIETORIPARTNERIEXECUTIVE
E.L. EACH ACCIDENT
OFFOFFICER/MEOWEXCLUDED? 111LJJJI
(Mandatory In NH)
NIA
E.L. DISEASE -EA EMPLOYEE
$
Ilya' down* under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$
DESCRIPTION OP OPERATIONS/LOCATIONS/VEHICLES (Allot) ACORD IS%,Addlllenal RamarksSehedule ((morewoe la raqultad)
THE CITY OF NATIONAL CITY ITS OFF CIALS BOARDS COMMISSIONS, EMPLOYEES
NEERAL LIABINTERESTS
LITY PER ATTACHED 0G20 2 01NAMED
SURED W RESPECTTO GRESPECTIVE
ADDITIONAL IICONTRACTORS,
RE: NAMED INSURED'S SIGNS LOCATED IN THE CITY LIMITS OF NATIONAL CITY
CERTIFICATE HOLDER
CITY OF NATIONAL CITY
1243 NATIONAL CITY BLVD.
NATIONAL CITY, CA 92060
I i
ACORD 26 (2009/09)
NAT1002
CANCELLATION
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
e01988.2000 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
I
NOTEPAD
INSURED'S NAME National City Chamber of
NCCHAMI
OP ID: TB
PAGE 2
DATE 09/09/11
***NAMED INSURED SCHECOL
NATIONAL CITY CHAMBER OR COMMERCE
MILE OF CARS ASSOCIATION