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Insurance Certificates 2018/19 YMCA - Fritz Burns Pool OperationsAC'"RI[7� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 05/30/2019 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 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 CONTACT Cynthia Quevedo NAME: y Garcia Insurance Inc PHONE (760) 320-1111 (760) 320-1115 A/C No Extl: AIC, Nc 2099 E. Tahquitz Canyon Way EMAIL ADDRESS INSURER(S) AFFORDING COVERAGE NAIC k Palm Springs CA 92262 INSURERA: Wesco Insurance 25011 INSURED INSURER B : GuideOne Insurance 15032 Family YMCA of the Desert INSURER C I Endurance American Specialty Insurance 41718 43930 San Pablo Ave INSURER D : Allianz Global Corporate and Specialty 35300 INSURER E Palm Desert CA 92260 INSURERF: COVERAGES CERTIFICATE NUMBER: CL187605681 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDY/YYYY) MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENT E17- PREMISES Ea occurrences $ 100,000 MEDEXP(Anyone person) $ 5,000 Professional Liability X Sexual Molestation PERSONAL&ADV INJURY $ 1,000,000 A Y WPP1627547 07/01/2018 07/01/2019 GEN'LAGGREGATELIMITAFPLJESPER. POLICY ❑ JECO PRT LOC GENERAL AGGREGATE $ 3,000,000 PRODUCTS -COMP/OPAGG $ 3,000.000 Professional/Sexual $ 1,000,000 OTHER, AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT En acridenl $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS WPP1627547 07/01/2018 07/01/2019 BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Psr enl $ Liab PD $ X UMBRELLA LIAa OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ A EXCESS LIAB CLAIMS MADE WUM1641327 07/01/2018 07/01/2019 DIED I X RETENTIONS 10,000 $ WORKERS COMPENSATION PER OTH- B AND EMPLOYERS' LIABILITY YIN ANY. PROPPIETORMARTNERIEXECUTIVE ❑ ❑FFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 01-0009-460 06/01/2019 06/01/2020 STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 Excess Umbrella Each Occurrence $5,000,000 C ELD30000717900 07/01/2018 07/01/2019 Aggregate $5,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 78060 Francis Hack, La Quinta, CA 92253 Certificate holder is included as additional insured •10 day notice of cancellation may be issued for nonpayment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of La Quinta ACCORDANCE WITH THE POLICY PROVISIONS. 78-495 Calle Tampico AUTHORIZED REPRESENTATIVE La Quinta CA 92253 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD