HomeMy WebLinkAboutCertificate of Liability InsuranceOP ID: MM
A�e
!
1a.... CERTIFICATE OF LIABILITY INSURANCE
DATEIMMIDDIYYYY)
01/22/14
THIS CERTIFICATE IS ER. THIS
CERTIFICATE DOES NOT UAFFIRMATIVELY ED AS A EOR NEGATR OF IVELY AMEND, ETION ONLY XTEND OR CONFERS ER THE COVERAGE AFFORDED NO RIGHTS UPON THE ABY TE THEDPOLICIES
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 poiicy(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 certMcate does not confer rights to the
holder In lieu of such endorsement(s).
certificate
PRODUCER 858-452-2200
Waterldge insurance Services 858 452 8004cN►o,
10717 Sorrento Valley Rd.
San Diego, CA 92121
R.B. Guy Insurance Agency,inc.
coNTACT
Melissa Marquez
NAME:
F FAX ,
mmarquezgwateridge.com
ADDRESS:
INSURERS) AFFORDING COVERAGE
NAICa
INSURERA:Assurance Company of America
19305
INSURED National City Chamber of
Commerce
901 National City Boulevard
National City, CA 91950
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURFR F :
REVISION NUMBER:
CERTIFICATE NUMBER:
COVERAGES
THIS IS TO CERTIFY THAT THE POLICES 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.
1NSRPoucv
'TYPE OF INSURANCE
POLICY NUMBER
ear_ I POLICY EXP
CMM1DD/WM JMM OMNYYI
LIMITS
ITR
A
GENERAL
X
LIABILITY
COMMERCIAL GENERAL UABILRY
OMB
X
PAS38912619
08/27I1S
EACH OCCURRENCE
S 2,000,000
09/22/14
DAMAGE TO RENItD
PREMISES NTbD nce)
S 2,000,000
,
MED EXP (Any one person)
S 10,000
CLAIMS -MADE (X OCCUR
PERSONAL & ADV INJURY
000000
S 2 2,000,000
GENERAL AGGREGATE
S 4,000,000
PRODUCTS- COMP/OP AGG
S 4,000,000
OE'NI'L AGGREGATEI'�LAIR APPLIES LOC PER:
�A) 1
S
A
AUTOMOBILE
X
POLICY I I .I Fr.Y
LIABILITY
ANY AUTO
ALL OWNED
—
v
I
SCHEDULED
NOUTOS
N-OWNED
AUTOS
PAS38912618
09/22/13
UMiT
Ma accident)
S 1,000,000
09/22/14
BODILY INJURY (Per person)
5
BODILY INJURY (Per accident)
S
PROPERTYDAMAGE
y
S
UMBRELLA LIAR
EXCESS LUIB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
S
AGGREGATE
S
S
I I
AND WORKERS
ANDPROPR
ANY OFFCERATEBERIPACLU
O (Mandatory
Ices,
DED RETENTIONS
COMPENSATION
E TUFART LIABILITY N
EMPLOYERS'
CUTNE
Is NH) EXCLUDED?
Moab NH)
describe
N!A
I LIMITS- l I ER
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYEE
S
EL DISEASE - POLICY UNIT
$
D
DESCRIPTIONyee
OF OPERATIONS below
OF
THE
ADDITIONAL
INSURED'S
CITY OF NATIONAL CITY,,IITS OFFICIALS, BOARDS COMMISSIONS REMPLOYEES B required)
GENERALLIABILITY PER ATTASTS CHED ARE NAMED
INSURED WIRESPECT TO RESPECTIVE
SIGNS LOCATED IN THE CITY LIMITS OF NATIONAL CITY
nA\rrC, I ATIAM
ERT1FICATE HOLDER
NAT1002
CITY OF NATIONAL CITY
1243 NATIONAL CITY BLVD.
NATIONAL CITY, CA 92050
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 (2010105)
421088-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD