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Home My WebLink AboutCertificate of Liability InsuranceOP ID: TB ''RL CERTIFICATE OF LIABILITY INSURANCE f,...-- DATEIMMIDDNYYY) 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 BETWEEN 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 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 858-452-2200 Wateridge Insurance Services 858.452-8004 10717 Sorrento Valley Rd. San Diego, CA 92121 R.B. Guy Insurance Agency,lnc. NAONTACT PHONE FAX fa?Nc, No. EMU: INC. No): EADDR�LESS: PRODUCER NCCHAM1 CUSTOMER ID S: INSURER(S) AFFORDING COVERAGE NAIC $ INSURED National City Chamber of Commerce; Mile of Cars Assoc. 901 National City Boulevard National City, CA 91950 INSURER A :Assurance Company of America 19305 INSURER B: INSURER C: INSURER D : INSURER E : INSURER F: COVERAGES CERT 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 OP INSURANCE AWL INBR SUB WVD POLICY NUMBER POLICY EFF IMMJDDNYYY) POLICY EXP (MMIDDNYYY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY X PAS38912516 09/22/11 09/22/12 EACH OCCURRENCE $ 2,000,000 X pREMSES Eaocourrenee) $ 2,000,000 CLAIMS.MADE X OCCUR MEDEXP (Any one person) $ 10,000 PERSONAL BADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GENL AGGREGATE LIMIT APPLIES PER [ LOC PRODUCTS - COMP/OP AGO $ 4,000,000 G �POLICY I IjEf $ A AUTOMOBILE LIABILITY ANYAUTD ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PAS38912516 09/22/11 09/22/12 COMBINED SINGLE LIMIT (Es accident) $ 1.000,000 BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ X $ $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY. PROPRIETOR/PARTNER/EXECUTIVE OFFICER?MEMBER EXCLUDED? (Mandatory In NH) I? yes, deaulbe under DESCRIPTION OF OPERATIONS Y/ N N/A - - WC STATU- OTH- TORY I IMITS FR u E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS? LOCATIONS! VEHICLES THE CITY OF NATIONAL CITY ITS OFF AGENTS AND CONTRACTOR% AS THEIR ADDITIONAL INSURED W/RESPECT TO RE: NAMED INSURED'S SIGNS LOCATED (Attach ACORD 101, Additional RemarN. Schedule Ir mores ace Is required) CIALS BOARDS, COMMISSIONS, EMPLOYEES, RESPECTIVE INTERESTS MAY APPEAR ARE NAMED GENERAL LIABILITY PER ATTACHED CG2012 06109. IN THE CITY LIMITS OF NATIONAL CITY CERTIFICATE HOLDER CANCELLATION NAT1002 CITY OF NATIONAL CITY 1243 NATIONAL CITY BLVD. NATIONAL CITY, CA 92060 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 iateeltA Aft-, ACORD 25 (2009/09) 01988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo a e registered marks of ACORD NOTEPAD INSURED'S NAME National City Chamber of NCCHAM1 OP ID: TB PAGE 2 DATE 09/06/11 (**NAMED INSURED SCHEDULE READS AS FOLLOWS: NATIONAL CITY CHAMBER OF COMMERCE MILE OF CARS ASSOCIATION National City Chamber of Loinmerce POLICY NUMBER: PAS38912516 COMMERCIAL GENERAL LIABILITY CG 2012 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: As Required by Written Contract, Agreement or Permit Information required to complete this Schedule, If not shown above, will be shown in the Declarations. Section II — Who Is An insured is amended to in- clude as an insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to opera- tions performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or au- thorization. CG 20 12 05 09 2. This insurance does not apply to: a. "Bodily Injury.", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products -completed operations hazard". ® Insurance Services Office, Inc., 2008 Page 1 of 1 0