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Home My WebLink AboutCertificate of Liability InsuranceClient#: 1273124 303NATIOSCH ACORDTM CERTIFICATE OF LIABILITY INSURANCE MlDD1 DATE (MM!oorY1'YY) 6/1 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 BB&T-John Burnham Ins Services 750 B Street Suite 2400 San Diego, CA 92101 619 231-1010 NAAME: Terrie Carney LAIC, No, Ext): {A(CPHONE LJ679 525-2836 FAX Na): 8883281310 E-MAIL tcarney@bbandt.com ADDRESS: Yl. INSURERS) AFFORDING COVERAGE NAIC # INSURERA: San Diego County Schools Risk INSURED San Diego County Schools/JPA National School District 1500 N Avenue National City, CA 91951 INSURER B : Permissively Self -Insured INSURER C Allied World National Assurance 10690 INSURER D: ARCH Specialty 21199 INSURER E 7 Continental/Great American 20443 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSJRED 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 LTRINSR TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP {MM100IYYYYL LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY SDJPA070113 *Inc! EPLI- Wrongful Acts 07/01/2013 07/01/2014 EACH OCCURRENCE $5,000,000 PRI EBJ RENTED DAEMAGEO RENTED $ CLAIMS -MADE X OCCUR MED EXP (Any one person) $ X $500,000 SIR PERSONAL 8 ADV INJURY $ X Professional Liab* GENERAL AGGREGATE $10,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: PRO JECT I . LOG PRODUCTS - COMPIOP AGG $10,000,000 $ A AUTOMOBILE X 1-- I- X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS $500,000 SIR X SCHEDULED SDJPAO70113 07/01/2013 07101/2074 COMBINED SINGLE LIMB fEaaccidentl 5 Q00 OOO $ r BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRlETOR/PARTNERIEXECUTIVEYIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, INunder DESCRIPTION OF OPERATIONS below N N I A JPA MEMORANDUM OF COVERAGE 60 Days Notice of Cancellation 07/01/2013 07/01/2014 X T'ORYTI MITS EORH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C D E Blanket Property Blanket Property Blanket Property 030566751N ESP005485700 PSR2083564156 07/01/2013 07/01/2013 07/01/2013 07101/2014 07/01/2014 07/01/2014 $5,000,000/$100,000 SIR $20,000,000 XS $5M $225,000,000 XS $25M DESCRIPTION OF OPERATIONS I LOCATIONS !VEHICLES {Attach ACORD 101, Additional Remarks Schedule, if more space's required) Certificate is subject to policy limits, conditions and exclusions. Policy A placed by Munich Reinsurance America Inc. reinsurance program over Named Insureds MOC approved Self -Insurance Program. Property pot Intl Special Form/Replacement Cost. 90 Day NOC except 10 Days for Non Payment. Re: Use of premises at Martin Luther King Jr. Community Center. City of National City, its officials, agents and employees are additional insured (GL) per attached farm. CERTIFICATE HOLDER CANCELLATION City of National City 1243 National City Boulevard National City, CA 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. AUTHORIZEDREPRESENTATIVE 7a4c & am.A,5c iisli " ACORD 25 (2010/05) 1 of 1 #S10626349/M10601648 O 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TTCAR SAN DIEGO COUNTY SCHOOLS RISK MANAGEMENT JOINT POWERS AUTHORITY (SDJPA) Additional Insured Endorsement WHO IS A COVERED MEMBER (Per section 11 item 3 of the MOC — Memorandum of Coverage) Any person(s), entity(ies), or organization(s) you are required by a covered member contract to include as an additional insured solely with respect to bodily injury and property damage and arising out of: a. Premises leased, used or occupied by you; b. Automobiles leased or rented by you; c_ Equipment owned, leased or rented by you; d. Mortgagees and Loss Payees of a Covered Member; or e. Property owners and property managers of property owned, leased, rented or occupied by you However, the additional insured status and coverage does not apply to: (1) Any occurrence which takes place prior to or after you cease to occupy the premises as stated in the covered contract; (2) Any structural alteration, new construction or demolition operations performed by or on behalf of the additional insured; (3) Any wrongful act, employment practices wrongful act or employee benefit wrongful act. This coverage will be further limited to the extent and Limits of Liability required by the covered member contract and will not increase the limits stated in SECTION III-LIMIT(S) OF COVERAGE nor alter any of the terms of coverage stated in this MOC_ The covered member contract must be effective and executed prior to a covered occurrence. San Diego County Schools Risk Management Joint Powers Authority. #SDJPA070113 July 1, 2013 to July 1, 2014 RE; City of National City, its officials, agents and employees are additional insured per this form. MOC Effective 7.1.13