ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 05/19/2022
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 endorsements).
PRODUCER NAMEACT
Fluetsch and Busby Insurance Karla Wainwright
PHONE
PO Box 780 (A/C. No. Ext): / (209)722-1541 [AC, No): (209)723-8189 E-MAIL
Merced, CA 95341 ADDRESS: [email protected]
License #: 0358327 INSURERS) AFFORDING COVERAGE NAIC #
INSURERA: Nova Casualty
INSURED
INSURER B :
Merced County Regional Arts Council, Inc INSURER C :
645 West Main Street
INSURER D:
Merced, CA 95340
INSURER E:
J INSURER F:
COVERAGES CERTIFICATE NUMBER: 00014566-565170 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
LTR
A X COMMERCIAL GENERAL LIABILITY Y CF1 ML 10001431-03 07/06/2021 07/06/2022 EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED
PREMISES (Ea occurrence) $ 100,000
MED EXP (Any one person) 10,000
PERSONAL & ADV INJURY 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO-
X POLICY LOC PRODUCTS - COMP/OP AGG $
2,000,000
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMF $
Ea acciden
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY (Per accident)
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY Per accident
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
EXCESS LIAB CLAIMS-MADE
AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION STATUTE
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT
(Mandatory in NE EXCLUDED? N/ A
EL. DISEASE - EA EMPLOYEE S
LES LIBION OF OPERATIONS below ELL. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Regarding The Juneteenth Parade June 18 2022
The City and its officers, agents, and employees are included as additional insured per the attached endorsement.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Merced THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
678 W Main Street
Merced, CA 95340 AUTHORIZED REPRESENTATIVE
Harda Wanwight
(KDW
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by KDW on 05/19/2022 at 11:43AM POLICY NUMBER: CF1-ML-10001431-04 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13
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):
THE CITY OF MERCED
678 W MAIN ST
MERCED, CA 95340
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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III - Limits Of Insurance:
with respect to liability for "bodily injury", "property If coverage provided to the additional insured is damage" or "personal and advertising injury"
caused, in whole or in part, by your acts or required by a contract or agreement, the most we omissions or the acts or omissions of those acting will pay on behalf of the additional insured is the amount of insurance:
on your behalf:
1. In the performance of your ongoing 1. Required by the contract or agreement; or operations; or 2. Available under the applicable Limits o Insurance shown in the Declarations:
2. In connection with your premises owned by or
rented to you. whichever is less.
However: This endorsement shall not increase the
applicable Limits of Insurance shown in the
1. The insurance afforded to such additional Declarations. 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.
CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1
INSURED