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AALVARADORIPOCOM-01 <br />ACORD-CERTIFICATE OF LIABILITY INSURANCE I DATE (MMmOIYYYY) <br />~3/9/2016 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br />REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br />IMPORTANT:If the certificate holder is an ADDITiONAL INSURED,the poUcy(i~s)must be endorsed.If SUBROGATION IS WAlVEDI subject to <br />the terms and conditions of the policy,c~rtalnpolicies may require an endorsement.A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endors~ment(s). <br />PRODUCER License #OE02096 CONTACTNAME:DiBuduo &DeFendis Insurance Brokers,lLC PljgN,l'o,E><t',(209)578-0183 I ~No"(209)578.18411560CumminsDrive,Suite A E-MAIl.Modesto,CA 95358.6406 ADDRESS: <br />INSURER/B)AFFORDING COVERAGE NAJe, <br />INSURER A ;Nonprofits Insurance Alliance of California 29700 <br />INSURED INSURERB: <br />Ripon Community Athletic Foundation,Inc INSURERC: <br />610 5 Mohler Rd INSURERD: <br />Ripon,CA 95366~9598 INSURERE: <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: <br />THIS \S 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 />CERTlFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS, <br />EXCLUSIONS AND CONDJTlONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE ~~~I:.~~R POLlCY NUMBER ~gMgr;,wV\11~~Po~~UMITSLTRWVO <br />A X COMMERCIAL GENERAlllABUJTY EACH OCCURRENCE ,1,000,000.J.CLAIM&.MADE ~OCCUR X 201523128NPO OS/20/2015 OS/20/2016 PREMISES (E~~~~~~nce\,500,000YLiquorLiabilityMEDEXP(Anyone person)$20,000----I PERSONAL &ADV INJURY $1,000,000 <br />R'L AGGREGATE LIMITAPPLIES PER,GENERAL AGGREGATE $1,000,000oPRO-0 PRODUCTS -GOMP/OP AGG ,1,000,000POLICYJEeTlOC <br />OTHER:, <br />AUTOMOBILE UABIUTY i ~~~~~~~t~INGlE LIMIT ,-BODILY INJURY (Per person),ANY AUTO-ALL DWNED -SCHEDULED BDalL Y INJURY (Per accident),-AUTOS -AUTOSNON-OWNED Pp~~~&f~?AMAGE ,-HIRED AUTOS -AUTOS <br />-$ <br />1-UMBRELlA LIAS <br />Y~CCUR EACH OCCURRENCE $ <br />EXCESSlIAB CLAIMS-MADE I I AGGREGA1E , <br />OED I JRETENTION$, <br />WORKERS COMPENSATION I I ~f:TIJTE 1 IOTH- <br />AND EMPLOYERS'LIABILITY ERYINANYPROPRIETOR/PARTNER/EXECUTIVE 0 I <br />EL.EACH ACCIDENT $ <br />OFFICERJMEMBER EXCLUDED?NfA <br />(Mandatory in NH)EL.DISEASE -EA EMPLOYEE $ <br />Ifyes,describe under I E.L.DISEASE ~POLICY UM1T SDESCRIPTIONOFOPERATlONSbelow <br />A Directors &Officers 201523128DONPO OS/20/2015 OS/20/2016 Annual Aggregate 1,000,000 <br />DESCRIPTION OF OPERATIONS {lOCATIONS {VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached ifmore space is required) <br />Re:All or Nutt!n'@ Rina's Run 5KJHalf Mal'"athon May 6~7th 2016.Certificate Holder Is Additional Insured pel'"company form CG2026 07/04. <br />- <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED INSanJoaquinCountyPublicWorksACCORDANCEWITHTHEPOLlCYPROVISIONS.1810 E.Hazelton AvenueStockton,CA95205 AUTHORIZED REPRESENTATIVE <br />I ~ <br />ACORD 25 (2014/01) <br />@ 1988-2014 ACORD CORPORATION.All ri9hts reserved. <br />The ACORD name and logo are registered marks of ACORD