|
PRA A IC TE lR I
<br /> • ftak
<br /> Sgned
<br /> CE I AT O E The City of Santa l to P ks and RecreationA AcqV
<br /> 2a Civic a,CA Pl - A i e �d.6
<br /> SantaAna,CA 9' /0 y � ��LLG
<br /> This certificate is issued as a matter of idDo
<br /> on) and confer"-a
<br /> rtific I Id i fie to t of a ely or
<br /> iv ten a corF ., s c rtt�ica�,o instu�ance oes no�co stihr e aton rac e ween the
<br /> issuin th e randcertificate holder.
<br /> R ER R CL S &CLUB
<br /> 1FICATE 1D: SKSP6X67
<br /> --fYFoy Insurance Athletic Union 115 10 1 •3 r� CODE: W3DFWW
<br /> 64 Portsmouth Ave ',alt Disney World Resort Lightning Youth Running Club
<br /> PO Box 1030 P.O.Box 22409 600 W.Santa Ana Blvd.Suite 530A
<br /> Exeter,NH 03833-1030 Lake Buena Vista,FL 32930-1000 Santa Ana,CA 92701
<br /> (407)934-7200
<br /> INSURER(S)AFFORDING COVERAGE
<br /> Company A United State Fire Insurance Company NAIL#21113
<br /> Company B Everest National Insurance Company NATO#10120 'For box below,INSR LTR refers to Company A or B-
<br /> COVERAGES- This is to certify that the policy(ies)of insurance listed below have been issued to the insured named above for the policy period indicated.
<br /> 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
<br /> afforded by the policy(ies)described herein is subject to all the terms,exclusions,and conditions of such policy(ics),limits shown may e been reduced by paid claims.
<br /> 1NSR TYPE OF POLICY COVERAGE EFF. COVERAGE EXP. COVERAGES LIMITS
<br /> LTR INSURANCE NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) dr
<br /> v
<br /> A Participant US1182730 9/01/2024 12:01 AM. 9/O1/2025 12:01 AM. Accident Medical 100,000
<br /> Accident Accidental Death and Dismemberment 20,000
<br /> B Excess S18EX00142-241 9/O1/2024 12:01 AM. 9/01/2025 12:01 AM. Each Occurrence 3,000,000
<br /> Liability Policy Aggregate 3,000,000
<br /> B General S 18 M LOO 176-241 9/01/2024 12:01 AM. 9/01/2025 12:01 AM. Each Occurrence Limit 1,000,000
<br /> Liability General Aggregate Limit 3,000,000
<br /> ` Participant Legal Liability 1,000,000
<br /> § ' Personal and Advertising Injury Limit I mo'000
<br /> Products-Completed Operations Aggregate 3,000,000
<br /> Fire Damage to premises Rented to You 1,000,000
<br /> Policy Aggregate Cap 20,000,000
<br /> Medical Expenses Limit(Any One Person) 5,000
<br /> -NIS Sexual Abuse Liability 1,000,000
<br /> Sexual Abuse Aggregate 3,000,000
<br /> ADDITIONAL INFORMATION/RESTRICTIONS/SPECIAL ITEMS
<br /> Coverage applies to Lightning Youth Runnine Club,License#5KSP6X67 Practice,Lightnnu4 Youth Running Club from
<br /> 09/O1/2024 through 08/31/2025,for the gross negligence and/or liabilities of the AAU Club(s)or registered members.
<br /> For said club to have coverage,all membership requirements in the AAU Must be met.
<br /> Primary non-contributory applies as per attached endorsement ECG 24 520 04 02.
<br /> Waiver of Transfer of Rights of Recovery Against Other to Us applies per attached Endorsement ECG 24 522 04 02.
<br /> The Certificate holder shall be an Additional Insured,but only with respect to the operations of the Named Insured,subject to the provisions and limitations of
<br /> the olic ies attached CG 20 11 04 13 applies,
<br /> CANCELLATION—Should any of the above described policies be cancelled before the expiration date thereof,notice will be delivered in accordance with
<br /> the policy provisions. But,failure to mail such notices shall impose no obligation for liability of any kind upon the insurer,its agents or representatives.
<br /> REVOCATION OF MEMBERSHIP-will result in cancellation of coverage.
<br /> FACILITY OWNER SHOULD VERIFY THIS CERTIFICATE.
<br /> Go to wi .aausports.org,Membership,Insurance,Issued Third Party Certificates, Insert member club code
<br /> W EW Ma&APPent I?ivisi Y.
<br /> REVIEWED&APPROVED BY:
<br /> Certificate No.20254314 °I1111111 It F fi1-s-g�4 Aeci,44
<br /> Authorized Representative ®' Risk Management Specialist
<br />
|