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Last modified
9/23/2025 2:40:32 PM
Creation date
9/23/2025 2:40:19 PM
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Contracts
Company Name
SANTIAGO PARK ARCHERS
Contract #
N-2025-244
Agency
Parks, Recreation, & Community Services
Expiration Date
6/4/2030
Insurance Exp Date
6/17/2026
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Sadler Sports:NFAA Insurance Plan <br /> DATE(MMI DDl YYYY) <br /> "%.— CERTIFICATE OF LIABILITY INSURANCE 09112/2025 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERT$FiCATE DOES NOT AFFIRMATIVELY OR <br /> NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOVV.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN <br /> THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(1es)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions afthe policy,certain policies may <br /> require an endorsement,A statement on this certificate does not confer rights to the certificale holder in lieu of such endorsement(s)- <br /> PRODUCER CONTACT NAME:Sports Dept <br /> SADLER&COMPANY,INC, PHONE(Al C.No.Ext):800A22-7370 1 FAX(Af C,No):803-256-4017 <br /> P.O.BOX 6806 E-MAIL ADDRESS:nlaa@sadlersports.com <br /> COLUMBIA,SOUTH CAROLINA 29250-5866 PRODUCER CUSTOMER IDq: <br /> INSURED <br /> Dl Bf A NATIONAL FIELD ARCHERY ASSOCIATION,INC <br /> Santiago Park Archers INSURER(S)AFFORDING COVERAGE NAILA <br /> 33901 Golden Lantern Street <br /> Apt A INSURER A:Granite Stale Insurance Company 23809 <br /> Dana Point,CA 92629 INSURER B:National Union Fire Insurance Company of Pittsburg,PA 19445 <br /> INSURERC: <br /> Application ID:456747 INSURER D: <br /> COVERAGES CERTIFICATE NUMBER 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 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 <br /> PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESORIBED HEREIN 15 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN <br /> MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSD TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> LTR INSR WVD (MM1 ODf YYYY) (MM1DDr YYYYj <br /> A GENERAL LIABILITY X X EACH OCCURRENCE $1.000,000 <br /> ®COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES <br /> L]CLAIMSMADE ®OCCUR (Ea occurrence) $300,000 <br /> Il MEDICAL EXPENSES(olherthan EXCLUDED <br /> 07:21AM ET 12:01 AM ET participants) <br /> ❑ 9RAIL34503537-01 06l1712025 0G1171202G PERSONAL&ADV INJURY(par $1,000.000 <br /> GEN'L AGGREGATE LIMITAPPLIES member club) <br /> PER: GENERAL AGGREGATE(per g3,p00.040 <br /> event)❑POLICY []PROJECT ❑LQC <br /> PRODUCTS-COMP)OF AGO $1.000,400 <br /> ®OTHER:Event LEGAL LIAB TO PARTICIPANTS $1.000,00 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT(Ea <br /> L]ANY AUTO Accident) <br /> L]ALL OWNED AUTOS BODILY INJURY(Per person) <br /> L]SCHEDULED AUTOS <br /> L]HIRED AUTOS BODILY INJURY(Per accident) <br /> NON-OWNED AUTOS PROPERTY DAMAGE(Per <br /> accident) <br /> L]UMBRELLA LIAB OCCUR EACH OCCURRENCE <br /> L]EXCESS LIAB L]CLAIMS-MADE <br /> M OEDUCTIBLE AGGREGATE <br /> L]RETENTION <br /> WORKERS COMPENSATION PER STATUE <br /> AND EMPLOYERS'LIABILITY OTHER <br /> ANY PROPRIETOR! <br /> PARTNER I EXECUTIVE Y1 N E.L.EACH ACCIDENT <br /> OFFICER f MEMBER NIA <br /> EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EOMPLOYEE <br /> If yes.describe under DESCRIPTION OF <br /> OPERATIONS helow <br /> E.L.DISEASE-POLICY LIMIT <br /> g PARTICIPANT ACCIDENT EXCESS MEDICAL $50,000 <br /> ($250 Deductible Per Claim) 92AID34501955-03 07:21 AM ET 12:01AM ET <br /> 061171202 006/171202fi ADaD sla,aap <br /> DESCRIPTION OF OPERATIONS)LOCATIONS I VEHICLES(Attach ACORO 101,Additional Remarks Schedule,may be attached if mare space is required) <br /> RECOVERED <br /> Notice to PoIlcyholder THIS POLICY IS ISSUED BY YOUR RISK RETENTION GROUP_YOUR RISK RETENTION GROUP MAY NOT BE SUBJECT TO ALL OF THE INSURANCE LAWS AND <br /> REGULATIONS OF YOUR STATE.STATE INSURANCE INSOLVENCY GUARANTY FUNDS ARE NOT AVAILABLE FOR YOUR RISK RETENTION GROUP. <br /> NOTE:The Participant Accident policy,if included above,is not part of the ERS Risk Purchasing Group Association,Inc. <br /> WAIVER OF RIGHT OF RECOVERY:Wewaiver all rights of recovery when you have agreed la waive your rights when required by a written contract.However,this provision only applies dthe wrtllen <br /> contract was executed prior In the dare a <br /> fthe"occurence <br /> Cod holder is named as an additional insured with respects to the operations afthe named insured. <br /> CERTIFICATE HOLDER CANCELLATION <br /> RELATIONSHIP: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Property Owner!Lessor DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE(company A) <br /> The City of Santa Ana,its officers,officials, <br /> employees,and volunteers <br /> 20 Civic Center Plaza <br /> Santa Ana,CA 92701 <br /> Coverage is only extended to U.S.events and activities <br /> —NOTICE TO TEXAS INSUREDS_The Insurer for the purchasing group may not be subject to all the insurance Jaws and regulations of the Stale of Texas, <br /> ACORD 25(2014101) O 1988-2014 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br /> Tu Tran 03g°zlip sl9^ed by <br /> T,i T e APPROVED <br /> e9i+Yt <br /> Date'202i,n9,17 <br /> Nguye 1 .r3m,c-ora0' By Tu Tran Nguyen at 2:33 pm,Sep 17,2025 <br />
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