Loading...
HomeMy WebLinkAboutCertificate of Liability InsuranceACOR,D® CERTIFICATE OF LIABILITY INSURANCE 16.------ DATEIMMIDD!YYYY} 09/06/2012 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 CONTACT NAME: John Adams HON (A,' Nu,Extl: 1-800-316-6705 IMarc.No}: 1-888-467-2378 E-MAILDSS: lionsclubs@willis.com INSURERISI AFFORDING COVERAGE NAICN INSURER A : ACE American Insurance Company 22667 INSURED National City College Campus/4L6 National City California INSURER B : INSURER C INSURER D : INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS rS 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 INSRT TYPE OF INSURANCE ,1 DSRS1UYS� POLICY NUMBER IMMIDDNYYYI (MMIODIYY YYYI LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X HDOG27012784 109/01/2012 EACH OCCURRENCE S 1,000,000 09/01/2013 uA1A1;E1oRENItD PREF.iISES (Ea occurrence) 5 1,000,000 t CLAIMS -MADE X I OCCUR MED EXP (Any one person) s 1,000 X Aqg. Per Named Insured PERSONAL S ADV INJURY S 1,000,00G is $2,000,000 GENERAL AGGREGATE S 10,000:000 GENT. AGGREGATE POLICY LIMIT APPLIES PER LOC PRODUCTS - COMP;CP AGG S 2,000,000 S A AUTOMOBILE X LIABILITY .— X SCHEDULED ALTOS AUTOS ISAH08711392 '09/01/2012 COMBINED SINGLELIMIT (Ea accident) s 1,000,000 09/01/2013 BODILY INJURY (Per person) S BODILY INJURY (Per a cc dent) S PROPERTY DAMAGE (Per (Per accdent} 5 5 UMBRELLA LIAB EXCESS LIAR — OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S DED RETENTONS 5 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPR:ETOR2PARTNER+EXECUTIVE OFFICER,T.IEVEER EXCLUDED? (Mandatory in NH) dyes. Tder DESCRIPTION OF OPERATIONS below Y I N N(A WC STATIJ. Tr}RY r IMITS I OTH- ER EL EACt1ACCIDENT S E.L. DISEASE - EA EMPLOYEE S E L C:SEASE - POLICY LIMIT S • DESCRIPTION OF OPERATIONS I LOCATIONS !VEHICLES (Attach ACORD 101. Additional Remarks Schedule. Emote space is required) Provisions of the policy apply to the named insureds participation in the following activity during the policy period shown above: December 22, 2012 City of National and its officials, employees and agents, 1243 National City Blvd, National City, CA 91950 is included as an Additional Insured(s), but only with respect to General Liability arising out of the use of premises by the Insured shown above and not out of the sole negligence of said additional insured. PROVISIONS OF THE POLICY DO NOT APPLY TO THE SALE OR SERVING OF ALCOHOLIC BEVERAGES CERTIFICATE HOLDER CANCELLATION City of National City 1243 National City Blvd National City California 91950 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 04.424, ACORD 25 (2010/05) ©1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD