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Home My WebLink AboutCertificate of Liability InsuranceAWRIJ CERTIFICATE OF LIABILITY INSURANCE kip .. -- DATE(MMJDDt1'YYY) 1 on 6/2013 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()es) 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 CONTANAME: John Adams fMC.No,EMI: 1-800-316-6705 , (A/C Ndk 1-888-467-2378 novARIEss Iwnsclubs@wiilis.com INSURERS) AFFORDING COVERAGE i NAIC I INSURER A : ACE American Insurance Company , 22667 INSURED College Campus Lions National City California INSURER B INSURER C : 1 — r— — LNSURER D: INSURER E INSURER F : I 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 RECJUIREMENT 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 I.Tk TYPE OF INSURANCE Met INSR S NWBrii IM WNWVfZ•. POLICY NUMBER 1 MI`DOrYYYYI IMMLDO/YYYY) LIMITS A GENERAL X —� XPERSONALAdo. LIABILITY CUMATE.RCIALGENER.AL:IA61'LL?v CLAITAS.R".AvE ( Xi OCCUR Per Named Insured HDOG27022923 I 109/01/2013 09/01/2014 EACH OCCURRENCE S 1,000,000 DAFIAL,E 10 RHEA THU PREmmEs,E;xcunerxei S 1,000.000 MEDEXP iAny ate pew, S 1,000 PERSONAL Ti ADO' INJURY S 1.000,000 s$2,000,000 OEM_ AGGREGATE LIMIT APPLIES X� P..,ECT i 'in r PER LUC GENERAL AGGREGATE s 10,000,000 PRODUCTS . CCM4P:OP AGG S 2,000,000 S A AUTOMOBILE X LIABILITY ANY AUTO AL.L hNNE0 AUTOS HIRED AUTOS , .X SCHEDLX.ED AUTOS tvJN-OvvNEO AUTOS ISAH08721415 109/01/2013 { 09t01/2014 COMBINED BIacCNEDS:NGLE LIMIT $ Included B, DiLY INjuRY 1per pew,s 9004.Y INJURY leer acCuteDD h5R-OPERTY LiA Ara— iPer:Kcatent) S s-- _n__......_.. _.._._ S UMBRELLA t1A6 EXCESS LIAR OCCUR CLAIMS-RMACJE i EACH OCCURRENCE S AGGREGATE S DED j ] RETENTONS S WORKERS COMPENSATION AND EMPLOYERS -LIABILITY ANY PROPR'ETORt?ARTNER'EXECUTIC'E .iM OT,'CEREMBER EXCLUDED (Mandatory ,n NH) r yesdescribe water DESCRIPTION Of OPERATIONS below Y! N I —�(Mandatory N I A t NO STATU. OTH- TORY; OATS ER E L. EACH ACCIDENT S E L. OISEASE - EA EMPLOYEE S E. L DISEASE - POLICY LIMIT $ 1 1 DESCRIPTION OF OPERATIONS t LOC Al KRIS I VEHICLES (Anach ACORU 101, Additional Remarks Schedule. it mote space is required) Provisions of the policy apply to the named insured's participation in the following activity during the policy period shown above: 12/21/13 PROVISIONS OF THE POLICY DO NOT APPLY TO THE SALE OR SERVING OF ALCOHOLIC BEVERAGES. CERTIFICATE HOLDER CANCELLATION Martin Luther King Cummunity Center 140 E. 12th Street 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 //�/�/r�� -`-�-tL,4CrIMR.� -- ACORD 25 (2010105) (c) 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD