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[�OT21191AE(MMIDDlYYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 2o26 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br /> AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br /> ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br /> subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does <br /> not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT NAME: <br /> INSURANCETRAK SERVICESIPAC <br /> 76251042 PHONE (585)282-0934 Fax (877)871-7137 <br /> 4515 CULVER RD SUITE 206 (Arc,No,Ext): (A/C,Na): <br /> ROCHESTER NY 14622 E-MAIL ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAICX <br /> INSURER A: Hartford Fire and Its P&C Affiliates 00914 <br /> INSURED INSURER B: <br /> BEGINNERS EDGE SPORTS TRAINING INSURERC: <br /> 7432 E TIERRA BUENA LN <br /> SCOTTSDALE AZ 85260-1646 INSURERD: <br /> INSURER E: <br /> INSURER F: <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 <br /> INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INS TYPE OF INSURANCE ADDL POLICY NUMBER SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSR WVD DIYYYY !Y YYY <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED <br /> PREMISES(Ea occurrence) <br /> MED EXP(Any one person) <br /> PERSONAL&ADV INJURY <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE <br /> POLICY❑PRO- ❑LOC PRODUCTS-COMPfOP AGG _ <br /> JECT <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ZA accident <br /> ANY AUTO BODILY INJURY(Per person) <br /> ALL OWNED q SCHEDULED Per accident <br /> AUTOS AUTOS BODILY INJURY( ) <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS AUTOS (Peraccident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS- <br /> MADE AGGREGATE <br /> DED RETENTION$ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY <br /> X STATUTE ER <br /> ANY YIN E.L EACH ACCIDENT $1,000,000 <br /> A PROPRIETORrPARTNERIFXECUTIVF N/A X. 76 WEG BX3ZPJ 11/04/2025 11/04/2026 <br /> OFFICEWMEMBER EXCLUDED? F.L-DISEASE-EA EMPLOYEE $1,000,000 <br /> (Mandatory in NH) <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT S1,000,000 <br /> DESCRIPTION OF OPERATIONS below <br /> LCDRf7I0PN OP OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) <br /> seusual to the Insured's Operations.Bfanket Waiver of Subrogation applies in favor of the Certficate Holder per the Waiver of Our Right to <br /> over from Others Endorsement WC040306,attached to this policy.State job is performed in:AZ Payroll for job to support waiver(Work Comp):350 <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> parks,Recreation,and Community BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED <br /> 20 CIVIC CENTER PLZ IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> SANTA ANA CA 92701-4058 AUTHORIZED REPRESENTATIVE <br /> ©1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />