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HomeMy WebLinkAboutCOI - North American Youth Activities, LLC dba Kidz Love - Expires 2024-08-01~RD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) I 9/14/202 ... ,I", THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. .... CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI ,L ... BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR rJifJ ~ REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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 endorsement(s). PRODUCER ~2~1~cT Donavon Camacho-Jones Marsh & McLennan Agency LLC }.,tJgNJo Ext\: 858-587-7550 I FAX Marsh & McLennan Ins. Agency LLC IA/C Nol: PO Box 85638 i~l~~ss: Donavon.Camacho-Jones@MarshMMA.com San Diego CA 92186 INSURER(S\ AFFORDING COVERAGE NAIC# License#: 0H18131 INSURER A: Arch Insurance Comoanv 11150 INSURED NORTHAMEYO INSURER B: North American Youth Activities, LLC INSURER C: dba Kidz Love Soccer PO Box 337 INSURER D: Corte Madera CA 94976 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 342712113 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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER IMM/DD/YYYY\ IMM/DD/YYYY\ A X COMMERCIAL GENERAL LIABILITY y N SBCGL2416802 8/1/2023 8/1/2024 EACH OCCURRENCE $1,000,000 f---=i CLAIMS-MADE 0 OCCUR DAMAGE TO RENTED f---PREMISES /Ea occurrence\ $1,000,000 f--- MED EXP (Any one person) $EXCLUDED PERSONAL & ADV INJURY $1,000,000 f--- GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 ~ POLICY □ ~~T □ LOG PRODUCTS -COMP/OP AGG $5,000,000 OTHER: $ A AUTOMOBILE LIABILITY N N SBAUT0070902 8/1/2023 8/1/2024 COMBINED SINGLE LIMIT $1,000,000 /Ea accident\ - ANY AUTO BODILY INJURY (Per person) $ -OWNED -SCHEDULED BODILY INJURY (Per accident) $ -AUTOS ONLY x AUTOS X HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY /Per accident\ - $ A UMBRELLA LIAB MOCCUR N N SBFXS0198402 8/1/2023 8/1/2024 EACH OCCURRENCE $1,000,000 -X EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED I I RETENTION $ $ WORKERS COMPENSATION I ~f~TUTE I I OTH- AND EMPLOYERS' LIABILITY ER YIN ANYPROPRIETORIPARTNERIEXECUTIVE □ NIA E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE -EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Abuse & Molestation N N SBCGL2391002 8/1/2023 8/1/2024 Each Occurrence 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate holder is included as Additional Insured with respects to General Liability per attached form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy Attn: Recreation Division 7351 Rosanna Street #,Zs~ Gilroy CA 95020-0000 I © 1988-2015 ACORD CORPORATION_ All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD INS LJ RED: North American Youth Activities, LLC POLICY#: SBCGL2416802 POLICY PERIOD: os10112023 TO oa10112024 COMMERCIAL GENERAL LIABILITY CG20261219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization you are required to add as an additional insured to this policy by written contract or written agreement which is currently in effect or coming into effect during the term of this policy and executed prior to the occurrence of any "property damage", "bodily injury", or "personal and advertising injury". Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill -Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 26 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 IJ