Loading...
HomeMy WebLinkAboutYMCA Lease of San Luis Racquetball Insuranceri1 SANLUIS-34 LDOUST ACOROF DATE (MMIDD/YYYYI CERTIFICATE OF LIABILITY INSURANCE 1 12130/2015 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 endo_ rsement(s). PRODUCER License # OE02096 CONTACT NAME: DiBuduo 8r DeFendis Insurance Brokers, LLC PHONE FAX 100 Cross Street, Suite 104 No AIL Ext • (805 593-1400 (Alc, No): (805) 593-1401 San Luis Obispo, CA 93401 I ADDRESS_ )AN 0 4 r U `.e rl Ib INSURER(S) AFFORDING COVERAGE NAIC M IV INSURERA: NonProfits' United Workers' Compensation Groupj�( INSURED INSURER B: Safety National Casual - 11 San Luis Obispo County YMCA-_ INSURER C,c 1020 Southwood Drive INSURER D: San Luis Obispo, CA 93401 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 WSR - AGDL'SURR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVDi POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ TO RENTED CLAIMS -MADE FIOCCUR PREMISES JEa occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: C PF,(J- POLICYJEt'T Lf}G PRODUCTS - COMP/OPAGG $ $ OTHER: AUTOMOBILE LIABILITY �j COMBINED SINGLE LIMIT $ Ea ace id l _ BODILY INJURY (Per person) $ jj ANY AUTO —' ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PR PERTYDAMAGE $ - (Per accident) `.� NON -OWNED HIRED AUTOS AUTOSUTOS $ EACH OCCURRENCE $ I UMBRELLA UAS OCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE $ DED RETENTION $ A WORKERS COMPENSATIONSTATUTE AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN NPUWCGO012016 01/01/2016 01/01/2017 H I ET _ E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N /A — E L DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below -- E L DISEASE - POLICY LIMIT $ 500,000 B Worker's Compensatio LI SP4052095 01/01/2016' _L 01/01/2017 Statutory EL 2,000,00 I..- DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate of Workers' Compensation Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of San Luis Obispo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Clerk's Office ACCORDANCE WITH THE POLICY PROVISIONS. 990 Palm Street San Luis Obispo, CA 93401 AUTHORIZED REPRESENTATIVE h���\ `r ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD A.M. Best's Consumer Insurance Information Center Page 1 of 1 E A. M. Best's di Member Center: Loa In I Sign UP Need Coverage? How Does Your Insurer Rate? State Insurance Information Find insurers by state or coverage type — -- -- Enrw a Company Name IWIIMI soled a Slalc v Consumer Home I Terms to Know I Why a Best's Rating is Important I Contact Us ® Life & Retirement O Health 8, Disability Q Car & Home ® Other Life Events Nonprofits' Insurance Alliance of CA I9 print this name (a member of Nonprords Insurance Alliance Group) A M Best #:11045 FEIN #:77-0203935 Address: P 0 Box 8507 Phone: 831-459-0980 Santa Cruz, CA 95061-8507 Fax: 831-459-0853 UNITED STATES Web: www.niac _>.rg Best's Ratings ViewDefinl$ot] Need More information? Financial Strength Rating: Aan insurer report, complete with AMR I rating history, market share and a list of Outlook: Stable competitive insurers for $ 9 95 Effective Date: September 18, 2015 (Affirmed) View Sample Reoort Financial Size Category: VIII ($100 Million to $250 Million) - - Licensing: The company is licensed in California. The company operates in California as a risk pool under Section 5005 1 of the California Corporations Code Top Line(s) of Business (based upon Direct Premiums written) Information is not currently available Top State(s) of Business (based upon Direct Premiums written) Information is not currently available.. Visit our NewsRoom for the latest News and Press Releases for this company and its AM. Best Group. Terms of Use All information provided on the A.M. Best website, including but not limited to text, data, ratings, reports, images, photos, graphics, and charts is owned by or licensed to A,M. Best Company and is protected by United States copyright laws and international treaty provisions. A.M. Best and its licensors retain all copyright and other proprietary rights to the website content Best's Credit Ratings, obtained through any source, may not be reproduced, distributed to Third Parties, or stored in a database or retrieval system in any form for commercial purposes without the prior written permission of the AM. Best Company. All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited- By logging into Best's Member Center or accessing this site, you accept and agree to be bound by our complete Terms of Use. Customer Service I Product SupQ9nl I Member Center I Contact Irdo I Careers About A M. eg I Site Mag I Pnvacv SIl.0 I Security I Terms of UseI L201 n i Copyright © 2016 A M Best Company, Inc and/or its affiliates ALL RIGHTS RESERVED. http://www3 . ambest. com/consumers/CompanyProfile. aspx?BL=3 6&ambnum=011845 &P... 3/24/2016 A.M. Best's Consumer Insurance Information Center Page 1 of 1 A.M. Best's %,X { hwwww* C*rAw 80 Member Center: Loa In I Sian Uo Need Coverage? How Does Your Insurer Rate? State Insurance Information Find insurers by state or coverage type Eisler a C9mpdny Nemo , seldet R Sidte v Consumer Home I Terms to Know I Why a Best's Rating is Important I Contact Us Life & Retirement O Health & Disability Q Car & Home () Other Life Events Safety National Casualty Corporation (a member of Philadelphia Ins Cosrokio Marine US Grp) AM Beat #: 0081a NAIC#:15105 FEIN #: 43-0727872 Address: 1632 Schuetz Road Sl Louis, MO 63146 UNITED STATES Best's Ratings View wiriiw Financial Strength Rating: A+ Outlook: Stable Effective Date: August 21, 2015 (Affirmed) Financial Size Category: XIV ($1.50 Billion to $2.00 Billion) Phone: 314-995-5300 Fax 314-995-6817 Web: nuw sji efynalinnal�com Print lhls oaaa Need More information? Purchase an insurer report, complete with rating history, market share and a list of competitive insurers for $ 9 95 V1aw_Samnle Report Licensing: The company is licensed in the District of Columbia, Guam, Puerto Rico, U S Virgin Islands and all states It is also licensed in Canada in the provinces of Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Nova Scotia, Ontario, Prince Edward Island and Saskatchewan Top Line(s) of Business (based upon Direct Premiums Written) 1 Excess Workers' Compensation GagmipG(I tim ) 2 Workers' Compensation oamLq rmLm ) 3 Auto (Commercial) otim lefind an ) 4 Other Liability (Occurrence) (y,mv i7ewwri ) 5 Surety we•+ger„II, ) Top State(s) of Business (based upon Direct Premiums carmen) 1 California 2 Illinois 3 New York 4 Pennsylvania 5 Texas Visit our NewsRoom for the latest News and Press, Raleast,% for this company and its A M Best Group Terms of Use All information provided on the A M Best website, including but not limited to text, data, ratings, reports, images, photos, graphics, and charts is owned by or licensed to A M Best Company and is protected by United States copyright laws and international treaty provisions A M Best and its licensors retain all copyright and other proprietary rights to the website content Best's Credit Ratings, obtained through any source, may not be reproduced, distributed to Third Parties, or stored in a database or retrieval system in any form for commercial purposes without the prior written permission of the A M Best Company All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited By logging into Best's Member Center or accessing this site, you accept and agree to be bound by our complete Terms of Use CtA$temer_Servtce I Preduci sun 1Member Canter 1 Con__fe I -I rfo 1 er 6t% A.M. Best I UP Mao I Ewa a Poli I SecurilyI Terms of Use I Legal 6 Lkcensinn Copyright © 2016 A. M Best Company, Inc, and/or its affiliates ALL RIGHTS RESERVED http : //www3 . ambest. com/consumers/CompanyProfile.aspx?BL=3 6&ambnum=000818&P... 3/24/2016