CERTIFICATE OF INSURANCE (2)
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CERTIFIC,ATE..OF..INSlJRANCE..........
CERTIFICATE NUMBER
NY C-002663645-02
PRODUCER
.MARSH USA, INC.
1166 AVENUE OF THE AMERICAS
NEW YORK, NY 10036
Email: NY.CertRequestSiebel.com
Fax: 212-948-0500
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
18708-PHIL-WC-08-09
COMPANY
A ACE AMERICAN INSURANCE COMPANY
INSURED
THE PHllLlES,
A PENNSYLVANIA LIMITED PARTNERSHIP
CITIZENS BANK PARK
ONE CITIZENS BANK WAY
PHilADELPHIA" PA 19148
COMPANY
8
COMPANY
C
COMPANY
D
COVERAGEStl1iscertitkatesupersecles..and.'replaces.any..previously'.issuedcertificate..forth~..Pc>ljcy..pen()d. noted..bE!loW.
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlD CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDtYY) DATE (MM/DDIYY)
GENERAL LIABILITY GENERAL AGGREGATE
COMMERCIAL GENERAL LIABILITY PRODUCTS - COM PlOP AGG
CLAIMS MADE D OCCUR PERSONAL & ADV INJURY
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED EXP (An one effion
AlJTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per peffion)
HIRED AUTOS BODILY INJURY $
- NON-OWNED AUTOS (Per accident)
."
'::S !)f:,~,'.-l PROPERTY DAMAGE $
.~,
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
A WORKERS COMPENSATION AND WLRC44483592 02101/08 02/01/09 X OTH-
EMPLOYERS' LIABILITY ER
A SCFC44483713 02101/08 02/01/09 $ 1,000,000
THE PROPRIETOR! [XlINCL EL DISEASE-POLICY LIMIT $ 1,000,000
PARTNERSiEXECUTiVE
OFFICERS ARE: EXCL EL DISEASE-EACH EMPLOYEE $ 1,000,000
OTHER
DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLESlSPECIAL ITEMS
CITY OF CLEARWATER
ATTN: DEBBIE REID
PARKS & RECREATION DEPARTMENT
PO BOX 4748
CLEARWATER, Fl 33758
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.
THE INSURER AFFORDING COVERAGE VlnLL ENDEAVOR TO MAIL --30 DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES. OR THE
ISSUER OF THIS CERTIFICATE.
AUTHORIZED REPRESENTATIVE
MaISh USA Inc.
BY: Michael Fisher
~..~ d~L
~
MM1(3/0~)
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
02/12/08
PRODUC~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
BWD Group LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
BWD Plaza, P.O. Box 9050 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
11 uth Service Road
Jen~...o, NY 11753 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: National Union Fire Ins Co Pitts burg 19445
The Phillies, a Pennsylvania Limited INSURER B:
Partnership, Citizens Bank Park INSURER C:
One Citizens Bank Way INSURER D:
Philadelphia, PA 19148 INSURER E:
Client#" 3258
PHILPHIL
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR TYPE OF INSURANCE P()LICY NUMBER PJ>}-li~~~~8~IE P~~fl,';fr.t~~N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
I-- DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY $
I CLA.IMS MADE 0 OCCUR MED EXP (Anyone pelSOn) $
I-- PERSONAL & ADV INJURY $
I-- GENERAL AGGREGATE $
~'L AGGREAE LIMIT APnS PER: PRODUCTS - COM PlOP AGG $
POLICY ~~8;: LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
I " , ., (Ea accident)
ANY AUTO ( . . \
- ' 'I ' I
i , 11,1
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS FEB 27 2 08 (Per person)
-
HIRED AUTOS
- BODILY INJURY $
NON-OWNED AUTOS (Per accident)
- --'FeOR;"
~ r PROPERTY DAMAGE $
(Per accident)
RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
A X tiJESS/UMBRELLA LIABILITY ~835561 02101/08 02101/09 EACH OCCURRENCE $3 000 000
X OCCUR 0 CLAIMS MADE AGGREGATE $3 000.000
$
~ DEDUCTIBLE $
X RETENTION $ 25 000 $
WORKERS COMPENSATION AND WC STATU- I 10J~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E,L. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Clearwater is included as an Additional Insured as their interest may appear.
CERTIFICATE HOLDER
CANCELLATION
City of Clearwater
Parks & Recreation Department
P.O. Box 4748
Clearwater, FL 33758
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL --30..... DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVE.S.
AUTHORIZED REPRESENTATIVE
~~
LOSIM @ ACORD CORPORATION 1988
ACORD 25 (2001/08) 1 of 2
#S59460/M59459
CERTIFICATE OF INSURANCE I 01/28/2008
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
American Specialty Insurance & Risk Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND, OR
142 North Main Street ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW.
r 'Jke, Indiana 46783
JRED INSURERS AFFORDING COVERAGE
The Phillies, A Pennsylvania Limited Partnership dba Philadelphia Phillies INS. A: Philadelphia Indemnity Insurance Company
Citizens Bank Park One Citizens Bank Way INS. B:
Philadelphia, PA 19148 INS.C:
CERT NUMBER: 1000602169
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOT WITHSTANDING 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 CONDITION OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INS POLICY POLICY POLICY
LTR TYPE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS
General Aaareaate 4,000,000
GL PHPK855632-PHP 02101/2008 02101/2009 Products-ComDleted ODe rations Aaareaate 4,000,000
A Personal and Advertisina Iniurv 2,000,000
12:01 a.m. 12:01 a.m. Damaae ta Premises Rented to You (Any One Premises) 2,000000
Each 2 000 000
Medical Exoense Limit (Any One Person) Excluded
Combined Sinale Limit 2,000,000
AUTO PHPK855632-PHP 02/01/2008 02/01/2009 Phvsical Damaae Deductible - Comorehensive ~1 000
^ Phvsical Damaae Deductible - Collision ~1 000
12:01 a.m. 12:01 a.m. Non-Owned/Hired Auto Liability 2,000,000
Hired Auto Phvsical Damane Deductible - Collision ~1 000
Hired Auto Phvsical Damaae Deductible - Comorehensive $100
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
- The Certificateholder is only an Additional Insured with respect to liability caused by the negligent ads or omissions of the Named Insured
CERTIFICATE HOLDER
CITY OF CLEARWATER
ATTN: DEBBIE REID, PARKS AND RECREATION DEPT
POBOX 4748
CLEARWATER, FL 33758
CANCELLA liON
SHOULD ANY OF THE ABOVE DESCRIBED
POLICIES BE CANCELED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING
COMPANY WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE
HOLDER, BUT FAILURE TO MAIL SUCH NOTICE
SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS
AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
,,~