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SPECTRUM SPORTS MANAGEMENT, INC.
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Last modified
3/22/2024 8:52:58 AM
Creation date
3/22/2024 8:43:15 AM
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Contracts
Company Name
SPECTRUM SPORTS MANAGEMENT, INC.
Contract #
N-2024-103
Agency
Parks, Recreation, & Community Services
Expiration Date
6/30/2024
Insurance Exp Date
5/1/2024
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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />11 <br />DATE(MMIDDIYYYY) <br />1 03107/2024 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PIMDUCER <br />Digitally signed <br />Alt IServices, Inc <br />License ll Acevedo <br />E T King <br />P NE (909)931-1500 FAX (909 932-2133 <br />Ez[: A/C No: ) <br />E-MAIL <br />ADDRESS: lkiog@kes5leralaicGOm <br />1JJ87 N. Mainstreet, Ste. 2 Date: 2024.03.1 <br />INSURER(S)AFFORDING COVERAGE <br />NAIC If <br />INSURERA: Burlington Insurance <br />23620 <br />CA 91739 <br />SUE — <br />INSURERS: California Auto <br />38342 <br />Spectrum Sports Management Inc. <br />INSURER C: Evanston <br />35378 <br />dba: Spectrum Timing Services <br />INSURER D: Technology Insurance Co <br />42376 <br />601 S. Milliken Ave, Unit E <br />INSURER E: Spinnaker Ins Co <br />24376 <br />Ontario CA 91761 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 23/24 Master REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADUL <br />NUISR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YTYY <br />0 E <br />MMIDDYYYY1 <br />LIMITS <br />COMMERCIAL GENERALLIABILITY <br />EACH OCCURRENCE <br />$ 2,000.000 <br />�OCCUR <br />PREMISESE <br />300,000CLAIMS-MADE <br />MED EXP (Any one rson) <br />$ 5,000 <br />PERSONAL SADV INJURY <br />$ 2,000,000 <br />A <br />Y <br />Y <br />1816502638 <br />12/3012023 <br />12/3012024 <br />GEN'L AGGREGATE LI MR APPLIES PER: <br />GENERALAGGREGATE <br />$ 3,000,000 <br />POLICY PRO ❑ <br />JECT LOC <br />PRODUCTS-COMP/OPAGG <br />$ Included <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />g <br />OWNED <br />Y <br />Y <br />BA040000052554 <br />05/09/2023 <br />05/09/2024 <br />BODILY INJURY (Par accident) <br />$ <br />ASCHEDULED <br />Auras ONLY UTOS <br />PROPERTY DAMAGE <br />Peraccident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />x <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />1i 4,000,000 <br />AGGREGATE <br />$ 4,000,000 <br />C <br />EXCESS LIAB <br />CLAIMS -MADE <br />EZXS3141156 <br />12/30/2023 <br />12/30/2024 <br />OEU <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />%� <br />AND EMPLOYERS' LIABILITY YIN <br />STATIfrE ERH <br />E.LEACHACCIOENT <br />$ 1,000,000 <br />D <br />ANY PROPRIERJ TOPARTNERIEXECUTIVE <br />NIA <br />V <br />TWC4248347 <br />05/01/2023 <br />05/01/2024 <br />OFFICEWMEMBER EXCLUDED? <br />(Mandatary in NH) <br />E.L. DISEASE - EA, EMPLOYEE <br />$ 1,000,000 <br />If yes, describe antler <br />1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />Aggregate Limit <br />$1,000,000 <br />Cyber Liability <br />E <br />FLY-CB-W7UCJNGDB-002 <br />10/25/2023 <br />10/25/2024 <br />Deductible <br />$2,500 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />*10 Days Notice of Cancellation applies for non-payment. The certificate holder is named additional insured per policy forms attached. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROI <br />Risk Management Division .s,-1- °t <br />AUTHORIZED REPRESENTATIVE ' �'.._,�"� REVIEWED&APPROVED By: <br />20 Civic Center Plaza 4 81 - Xf i &w4ie <br />Santa Ana CA 92702Ism'• Rgk Management Spetlahst <br />©1988.2015 <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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