HomeMy WebLinkAboutCertificate of Liability Insurancer
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OP ID: TB
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.,,,.. CERTIFICATE OF LIABILITY INSURANCE
iMM ODJYYYY)
09/12/12
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 INSURERIS), 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 8558-4552-22D0
4717Water1Sorrento Valley Rd. ices B58-452-6004
San Diego, CA 92121
R.B. Guy Insurance Agency,lnc.
CONTACT
AteN , E,d): {AA/C, No):
AIL
ADDRESS:
INSURERS) AFFORDING COVERAGE
NAIC if
INSURER A :Assurance Company of America
19305
INSURED National City Chamber of
Commerce
901 National City Boulevard
National City, CA 91950
INSURER 0:
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
LTR
TYPE OF INSURANCE
ADDL
SUBR
LSIVD
POLICY NUMBER
(POLICY E F POLICY EXP
1' (MMIDDIYYYYf
LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
OCCUR
,1ISLSR
X
PAS3991261 B
09/22/12
09/22/13
EACH OCCURRENCE
$ 2,000,000
X
DAMAGE TO RENTED
PREMISES [Ea occurrence)
$ 2,000,000
CLAIMS -MADE
X
MED EXP (Any ans person)
$ 10,000
PERSONAL EADVINJURY
$ 2,000,000
GENERAL AGGREGATE
$ 4,000,000
1GEM_
X
AGGREGATE LIMIT
APPLIES
PER:
PRODUCTS-COMP/OP AGO
$ 4,000,000i
POLICY PRO-
JECT
LOC
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
_
SCHEDULED
AUTOS
NON -OWNED
AUY05
I
PAS3891251 B
09122/12
09/22/13
COMBINED SINGLE LIMIT
(Ea accIdenll
1,000 000
BODILY INJURY {Par porscnj
$
BODILY INJURY (per accident)
$
__
X
X
PROPERTY DAMAGE
(Per accident)
$
I
$
UMBRELLA LIAB
EXCESS LJAB
OCCUR
CLAIMS -MADE
EACH OCCJRRENCE
$
1
AGGREGATE .
$
DED I RETENTION$
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORJPARTNERIEXECUTIVE
CFF;CERIMEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS
YIN
N lA
WC STATU- I I OTH-
TORY LIMITS ' I ER
E.L. EACH ACCIDENT
$
j
EL DISEASE - EA EMPLOYEE
$
be av
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Attach ACORD 101, Additional Remarks Schedule, If more apace Ia raqulradj
THE CITY OF NATIONAL CITY ITS OFFICIALS BOARDS COMMISSIONS EMPLOYEES
APPEAR ARE
0/NAMED
ITY PER A MAY
ADDITIONALAGENTS AND INSURED W/RESPECT TO GENERALLIEIR ABIINTERESTS
RE: NAMED INSURED'S SIGNS LOCATED IN THE CITY LIMITS OF NATIONAL CITY
CERTIFICATE HOLDER
CANCELLATION
CITY OF NATIONAL CITY
1243 NATIONAL CITY BLVD,
NATIONAL CITY, CA 92050
NATI 002
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
ACORD 25 (2010/05}
319B8-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD