CERTIFCATES OF INSURANCE (ALSO 0101-1994)
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C"~r BOLLINGER
499 BLOOMFIELD AVENUE
HONTCLAIR~ NJ
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COM~ANIES AFFORDING COVERAGE
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CIGNA COMPANIES
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Registered Teams of the
Amateur Softball Association:
CLEARWATER BOMBERS
CLEARWATER FL
34617
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$500 DEDUCTIBLE APPLIES TO
MUST BE CURRENTLY REISTERED WITH
INSURED
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CITY
FL
OF
CLEARWATER
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I" '. 'ISSUE DATE (MM/DD/YYI
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..04112/9411 04/08194 .
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMMION ONLY AND CON FEnS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
'\~2~~9'lf.C)ATE:IOF IN~lJ.RAN,CE
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PRODIJCFn
BOLL~
499 BLOOMFIELD AVENUE
MONTCLAIR NJ 07042
TELEPHONE: 1-800-526-1379
COMPANIES ^FFORDlNG COVERAGE
INSURED REGISTERED TEAMS OF THE AMATEUR
SOFTBALL ASSOCIATION OF AMERICA
CLEAR~ATER ~OM8ERS INC SH TM
I3RUCE KAUFMANN
11151 66TH ST NORTH
LARGO FL 34643
COMPANY
LETTER B
COMPANY
LETTER A INSURANCE CO. OF NORTH AMERICA (CIGNA)
RE"CEIV
(; 2.5 199
CODE 429492
SUB-CODE
COMPANY
LETTER C
COMPANY
LETTER 0
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, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CFRTlFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICieS DESCI1IBED HEREIN IS SURJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COMPANY
LETTER E
CO
LTR
TYPE OF INSURMICE
POLICY NUMBER
POLICY EFFECTIVE POLICY rXPIRA nON
DATE Ir-.<MIDD/YYI DATE (MM/DDfYYI
LIMITS
A GENERAL LIABILITY
X COMMERCI/,L GENERAL LIABILITY
~uJ CLAIMS MADE [~ OCCUR.
OWNER'S & CONTRACTOR'S PROTo
SVP-O 13437518
1/01/94
1/01/95
GENERAL AGnRrnATE $5,000,000
PRODUCTS-COMP/C1PS AGGREGATE $5,000,000
PERSONAL & ADVERTISING IN,JURY $2,000,000
---.. .---.-----
EACH OCCURRf'NCE $2,000,000
FIRE DAMAGf' (Anyone Iii e) $ 50,000
MEDICAL EXf'f'fISrC (Any cne r""on) $NOT COVERED
CERTIFICATE tI
NO. OF TEAMS
350~O
1
$500. DEDUCTIBLE APPLIES TO PROPERTY DAMAGE CLAIMS ONLY
* · * IMP 0 R TAN T * * *
COVERAGE fOR TEAM/LEAGUE IS EffECTIVE 04/08/94
TEAMS MUST HE CURRENTLY REGISTERfD WITH ASA TO BE ELIGIBLE FOR COVERAGE.
* * * * * * * * * * * * * * * *
TEAMS COVERED UNDER T~IS CERTIFICATE
CLEARWATER aOMBERS 1
ADDITIONAL INSUREDS
1- CITY OF CLEAR_ATER f
R THIS POLICY SHALL APPLY TO LIABILITY OF THE INSURED TEAM/LEAGUE LISTED ABOVE ARISING OUT OF THE ADMINISTRATION,
F AMATEUR SOFTBALL, BUT ONLY FOR INCIDENTS INVOLVING BODILY INJURY, PERSONAL INJURY OR PROPERTY DAMAGE.
NT ATTACHED).
CANCELLATION'
fL 34b43
SHOULD ANY OF THE ABOVE DE'SCRIBED POLICIES RE CANCFLlED 8EFORE
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL .1Q.. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO HIE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBliGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REf'RESENTA TlVES
. AU~~OR~EDRE", ES~
ACORD CORPORATION 1""0
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ATER aOMBERS INC sa TM
Uf"'ANN
60 H ST NORTH
ACORO 2S-S (3/88)
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AMATEUR SOFTBALL
ASSOCIATION
OF AMERICA
TEAM INSURANCE IDENTIFICATION CARD
CLEARHATER aOHBERSiINC,Sf
CLEARWATER BOM8ERS:INClSt
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'';>:i .DATE
35080
, 35080
01 ~01 ,:,,95.,
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