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Home My WebLink AboutSKMBT_C35113040813051CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/29/2013 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 certificate 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 CONTACT Aon Risk services Northeast Inc NAME' , . Morristown NJ Office ~AICNNo. Ext ; (866) 283-7122 FAX (847) 953-5390 44 Whippany Road, suite 220 E-MAIL Morristown NJ 07960 USA ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Th L k i & INSURER A: Philadelphia Indemnity Ins Co 18058 e eu em a Lymphoma society, Inc. 1311 Mamaroneck Avenue, Suite 310 INSURER B: white Plains NY 10605 USA INSURER C: INSURER D: ' INSURER E: INSURER F: .,vVCrV6%%2rw L;tKlltlcAlt NUMFIER- S/(J0494,dVt41 h_l DC\/ICIf1tJ A111"000• 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 . Limits shown are as requested LTR TYPE OF INSURANCE INS WVD POLICY NUMBER (MM/DDIYYYY) MM1DD LIMITS A GENERAL LIABILITY PH PK EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RERTEU $1 000 000 P REMISES Ea occurrence , , CLAIMS-MADE X❑ OCCUR MED EXP (Any one person) $20,000 F_ ti. PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - PRODUCTS - COMP/OP AGG $3,000,000 F7] - X POLICY LOC JECT F 1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO i BODILY INJURY (Per person) ALL OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident UMBRELLA LIAB H OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY Y / N TORY LIMITS 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 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Regarding Event: Run and hide the Trail. Town of Tiburon, its agents, officials and employees are included as Additional Insured as required by written contract, but limited to the operations of the Insured under said contract per the applicable , endorsement with respect to the General Liability policy. General Liability coverage evidenced herein is Primary and Non-Contributory to other insurance available to th Addi i l d e t ona Insure , but only to the extent required by written contract i h h w t t e Insured. U m c as .a m .O 0 2 O Z d O w zE O U CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Tiburon AUTHORIZED REPRESENTATIVE 1505 Tiburon Blvd. Tiburon CA 94920 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD