Agmt13 RWC 2020 Youth Leadership Institute (YLI)

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i ACORU� DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 6/25/2013 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 ce�tificate holder is an ADDITIONAL INSURED,the policy(ies)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 ONTACT NAME: BB&T-Tanner Insurance Services PHONE FAx - - AIC No: - - � 4480 Willow Road e.ma�� Pleasanton CA 94588 ADDRESS INSURER S AFFORDING COVERAGE NAIC# INSURER A: INSURED 307YOUTHLEA INSURERB: I1 Alll ri n Eli In r n m 7 Youth Leadership Institute INSURERC:Z ri h A i n In r m m � 1 28 Second Street, Suite 400 INSURER D: San Francisco CA 94105 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1037477760 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 7ypE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS � LTR INSR NND POLICY NUMBER MMIDD/VYYY MM/DDMlYY I. A GENERALLIABILITY 01305852NP0 /30/2013 /30/2014 EACHOCCURRENCE $1,000,000 X DAMAGETO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence 8500,000 CLAIMS-MADE �OCCUR MED EXP(Any one person) $20,000 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE $3,000,000 . GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3,000,000 . X POLICY PR� LOC $ A AUTOMOBILE LIABILI7Y 201305852NP0 /30/2013 /30/2014 Ea accident 1,000,000 ANY AUTO BODILY INJURY(Per person) $ � ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ ' AUTOS AUTOS PROPERTY DAMAGE $ NON-OWNED Per accident X HIREDAUTOS X AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATON C919597900 /30/2013 /30/2014 X �STATU- OTH- AND EMPLOYERS'LIABILITY �.�N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? � N�A . (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 �� �. If yes,descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Professional Liability 01305852NP0 /30/2013 /30/2014 Each Occurence 1,000,000 B Employee Dishonesty CWB00061130705852 !30/2013 /30/2014 $150,000 $500 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Evidence of Insurance Only. Evidence of Coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Youth Leadership Institute ACCORDANCE WITH THE POLICY PROVISIONS. ' 28 Second Street, Suite 400 ' San Francisco CA 94105 USA AUTHORIZED REPRESENTATIVE � � �____.�� O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD