NATIONAL ASSOCIATION OF STATE BOATING LAW ADMINISTRATORS (NASBLA) - 2016

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NATIASS-01 DYOUNG AIhm n CERTIFICATE OF LIABILITY INSURANCE °A812912Q 6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such andorsement(s). PRODUCER CONTNAME Dottie Dottie Young _ Cincinnati Insurance Company Cincinnati Customer Care Center P.O. Box 145496 PHONE . 877 687.1291 513 881--8114 AIC ) IAIC Not ( ) E-MAIL s: CincinnatiCerts t1 cinfin.com Cincinnati, OH 45250•5496 INSURER(S)AFFORDING COVERAGE NAICq INSURER A .Cincinnati Indemnity Company 23280 INSURED INSURER B: _ National Association of 5t9ta;';Boating 1648 MCQQ0A`fIH1 ANA AF�WY STD 360 INsuRERC: - - INSURER n INSURER E : _ � LEXINGT42N, KY 4051-1138'I- INSURER P COVERAGES CIE FTIPICAT 'MUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT'THE POLICIES OF,INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY R'Sq'i (j'EAAENT .TERM OJT. CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR h93i}Y; E{#TAIN, THE 1t� (AANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUIQ15:ROLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILTR TYPE OF INSURANCE WV17. 'POLIGY NUMBER MMIOpYMIYY MMIODIYYYEXPY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE. $ 1,000,000 CLAIMS -MADE E OCCUR X ,,: EPP 017422,2 - , - 02/04/2016 02/04/2017 pREMISEs Ea occurrence $ 100,000 _ MED EXP(Anyone person) $ 5,000 PERSONAL&ADVINJURY $ Excluded s GENERAL AGGREGATE $ 2,000,00 GEN'L AGGRE�GyA�TE LpIM�Ijp APRO" PER' X POLICY '- F�6"07 LOG PRODUCTS - COMP/OPAGG $ 2,000r00O OTHER: 4 $ L(A31LITV NED SING[ UNIT GOMBI$ 1,000,000AUTOMOBILE ea acc A ANvnur0 EPP 0174222 00164(2016 02J0412017 BODILY INJURY (Per Person) $ _ — AUTOS NED '— SCHEDULED BODILY INJURY (Per acvdanel $ X %OWNED _. PROP mdenDAMAGE $ HIREDAUTOS $ UMBRELLA LIAB OCCUR(: -�'•; '. ;i;."'ACjj-gCURRENGB _ $ g„ EXCESS LIAR CLAIMS"MADE - �.' AGGiRE{1ATE. $ QED RETENTION$ ' $ WORKERS COMPENSATION LR 0 - * aTATU7 . AND EMPLOYERS' LIABILMY Y7N' _,ER ANY PROPRIETORrPARTNERrEXECUTiVE Ej,�GH ACCIDEYI� $ OFflCERIMEMSER EXCLUDED? ❑ (Mandatory in NN) NJA rtrtee EL DISEASE ^{}✓`N, �E- $ If yyoe, sc deribe under DESCRIPTION OF OPERATIONS below ' EL DISEASE E I i g DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES(ACQRD 3pi, Additional Ram'erks 5ched {g mdy pe �ttaoKNi tf 9re sBacs is requlretl) 1 u Y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Santa Ana its Officers, Agents and Employees THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92701 m?0 pg.. AUT1HORIZA,Ea REPRESENTATIVE R JL hh WU4N.Uf} c- QiM,N A5, SEP ©1988-2014 ACORD CORPORATION, AP r reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD �o