GYMagine Gymnastics 11/21/2016 - Laserfiche WebLink

AR CERTIFICATE OF LIABILITY INSURANCE / Y )io�2�i2o 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(les) 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 endorsement(s). PRODUCER CONTACT E Sports NAME: P Foy Insurance - Amerikids IAHC NO Fxt1• (603)772-4781 FAX (A/C,No): (603)792-3246 64 Portsmouth Ave EMAIL ADDRESS:Sports@foyinsurance.com orts@fo insurance.com PO Box 1030 INSURER(S)AFFORDING COVERAGE NAIC# _ Exeter NH 03833-1030 INSURER A:NeW Hampshire Insurance Co INSURED INSURER B:National Union Insurance Co GYMagine Gymnastics Inc INSURER C: 3616 South Road #B3 INSURERD: INSURER E: Mukilteo WA 98275 INSURERF: COVERAGES CERTIFICATE NUMBER:Master 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE _ $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Es occurrence) $ 300,000 A CLAIMS-MADE x OCCUR X 66325703 10/17/2016 10/17/2017 MED EXP(Any one person) $ 5,000. Ref form CG 2026 PERSONAL 8,ADV INJURY $ 1,000,000 GENERAL AGGREGATE _ $ 3,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY n PRO- -X-1 - JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) $ $ UMBRELLA LIAR _ OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE _ $ DEC RETENTION$ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY I IMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Sports Accdident 8GR009133854-19 10/17/201610/17/2017 $50,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) In favor of Amerikids member: Gymagine Gymnastics Inc. Certificate AK-1168-6 CG2026 Certificate Any Person or Organization including Certificate Holder is additional insured if written signed contract, agreement, or permit to such exists prior to loss subject to form indicated above in General Liability section. CERTIFICATE HOLDER CANCELLATION gymagine@hotmail.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Everett Its officers, employees and agents AUTHORIZED REPRESENTATIVE 802 E. Mukilteo Blvd Everett, WA 98201 Michael Foy/ECINDY ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved.