Laserfiche WebLink
ACORD- GERTIF'1CA 1 � OF LIABILIW INSV CE DATE�3MO D <br /> fPRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> FOR SERVICE CALL: ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br /> THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br /> FRANCIS L.DEAN&ASSOCIATES OF FLORIDA,LLC COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> OCALA,FLORIDA COMPANIES AFFORDING COVERAGE <br /> 877/671-3326 <br /> www.fdeanfl.com COMPANY CAPITOL SPECIALTY INSURANCE CORP. <br /> A <br /> INSURED SPORTS AND REC.PROVIDERS ASSN.PURCHASING GROUP <br /> COMPANY <br /> Our Lady of Fatima Society of Thornton B - <br /> P.O. Box 611 COMPANY <br /> Thornton, CA. 95685 CERT# 60366 c <br /> i <br /> COMPANY <br /> D <br /> ! COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br /> PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br /> WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br /> THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO POUCYEFFECTIVE POLICY EXPIRATION <br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDINM DATE MMIDDNY LIMITS <br /> GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000.00 <br /> A X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000.00 <br /> CLAIMS MADE OCCUR CS00217969 10/17/09 10/20/09 PERSONAL&ADV INJURY $ 1,000,000.00 <br /> OWNERS&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000.00 <br /> INCLUDES ATHLETIC FIRE DAMAGE(Any one fire) $ 100,000.00 <br /> PARTICPANTS <br /> MED EXP(Any one person) $ 5,000.00 <br /> AUTOMOBILE LIABILITY <br /> i ANY AUTO COMBINED SINGLE LIMIT $ <br /> ALL OWNED AUTOS I BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per accident; _ $ <br /> — PROPERTY DAMAGE $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY:7 <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> 1 UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM $ <br /> WORKER'S COMPENSATION AND vvo SrALITU- OTH- <br /> EMPLOYERS'LIABILITY <br /> 70RYMTTS ER <br /> i EL EACH ACCIDENT <br /> I THE PROPRIETORr INCL EL DISEASE-POLICY LIMIT $ <br /> PNYTNERS'EXECUTNE <br /> OFFICERS ARE:: EXCL. EL DISEASE-EA EMPLOYEE $ <br /> OTHER <br /> LIQUOR LIABILITY CS00217935 10/17/09 10/20/09 GENERAL AGGREGAT E $ 2,000,000.00 <br /> I�DEOIIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br /> lAdditionat Insured: County of San Joaquin &its Board of Supervisors, Officers, Employees and Agents <br /> CERTIFICATE HOLDER CANCELLATION ~— <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> County of San Joaquin BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL <br /> ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE <br /> HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE <br /> SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> COMPANY ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> Francis L. Dean <br /> j ACORD 25$(4195) <br /> 0 ACORD CORPORATION 1988 <br />