Laserfiche WebLink
SOCC-91 n.nr <br /> A�oao CERTIFICATE OF LIABILITY INSURANCE DATE 4 <br /> 11l06r2024 <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 WANED,subject to the terms and conditions of the policy,certain policies may require an ersdorsement. A statement on <br /> this certificate does riot confer rights to the certificate holder in lieu of such endorsement(s). <br /> PPODUCER CONTACT <br /> RIPS Bollinngger Sports&Leisure PHONE FAd <br /> PO Box 1322 IAC,No.E.11 IAA.Net <br /> Morristown.NJ 07M E-MAIL <br /> DavidCampanelb <br /> NS UAERnI AFFOPDIN)COVERAUE NAICS <br /> NSUREP A 'Markel Insurance Company 8970 <br /> NSUPED .SURER e <br /> B�PLQ�lnnerA Edo.S-nA'YAInIrQ <br /> ±SiLA NdfV:LAX•P4 1 Part <br /> PAX At 9&W <br /> NSUPER D <br /> INSURER E <br /> NSUPER F <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> 7r.15 IS TO CERTIFY THAT THE POLICIES OF INSLIPANCE LI^TED BELOW HAVE BEEN iS ED TO THE INSURED 1,MIE0 ABOVE FOR THE POLICY PERIOD <br /> NDICATED. NOTWITHSTANCING ANY REOLAREMENT,TERM OR COICITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WITCH THS <br /> CERTIFlCATE MAY BE ISSUED OR MAY PERTAIN.THE IWSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE'N IS SUBJECT TO ALL THE TERMS. <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIM?S SHOWN MAY HATE BEEN REDUCED BY PAID CIAING <br /> BISR T/PE OF INSURANCE AIM SUBS <br /> POLICY NUMBER POU Y EFF POLICY EAP Lri'TS <br /> A X COMMERCIAL GENERAL LIABILITY 1,000,000 <br /> DIIA--SE T:REN E f <br /> OX ^ccLR X Sso2AHSItSSaJ 11105/2024 IIM512025 �g 17ST_R€u-� f 100,000 <br /> X Incl Participants 1 =•n- s_ 5,000 <br /> o <br /> A X SexualAbuse1MOI SIMIL�:S:YILL 111051202411/0512025 = r,.•�s�:•a;-^. s 1,000,000 <br /> =vL A3GRE;�-E_�,"• =Lo_=e= =Er.f.•L♦aaPECAT=- s 3,000,000 <br /> P•_i cY 1,000,000 <br /> _TREK t <br /> AUTOMOBILE LIABILm <br /> -1:.. <br /> An AUTO e_.0 <br /> OA'NEJ 3CHEC1._� <br /> AL.03 ONLY •U':C <br /> AL:030NLY AU'_C ONLY <br /> I <br /> UYB RELLA LUIB OCCLR c =LCF=•.-= <br /> EACESS LIAR :LA C.1 CE <br /> -r.v,E — S <br /> C_C _—_,T'1 _ _ _ ) <br /> WORKERS COMPENSATION - <br /> ANOEMPLOYERS'LIABILITY Y:N <br /> 1W FP.DRq-CvcAP.T.EP.'EYE:vT'.E❑ Y A __A:,;1•-ICENT f <br /> ICE4VEI.EER=YCIUOE '• <br /> IMAMAtNy In NH) C=ti.E-EA=_"_;_•E f <br /> r,r ar_mce waer -- <br /> L'E-_.c.i=rr•I_=C-EP-A'Win:11.-• <br /> A Accident Insurarce �_AHo±s±:a-r. 11.05'2024 11705i2025 Med Max 25.000 <br /> Full E�rcess Ded. 500 <br /> DESCRIPTION OF OPERAnO1! LOCATION!:VEHICLES IACORO 1V1.ACOSionil PFmMIC SMWYM R•AY DR ASraArNC B nuln=PRRR i rYJu1rR0) <br /> Certificate holder is included as an additional insured. Coverage is <br /> provided under these policies only for sponsoredlsupervised activities of <br /> the named insured for which a premium has been paid. <br /> CERTIFICATE HOLDER CANCELLATION <br /> COSANTA <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Cityof Santa Ana Parks. THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE'WITH THE POLICY PROVISIONSRecreation and Community <br /> Services Agency AUTHCAZEO REPP.ESENTA <br /> 1825 W Civic Center Dr <br /> Santa Ana,CA 92703 <br /> ACORD 25(2016103) D 1988-2015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> APPROVED <br /> By Tu Tran Nguyen at 3:31 pm, Mar 12, 2025 <br /> Digitally signed <br /> Tu Tran by Tu In <br /> Nguyen <br /> Nguyen°25:03.,2 <br /> 15:31:36-07'00' <br />