CERTIFICATE OF LIABILITY INSURANCE (2)®
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CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 FA ]1.12 /20 1'
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
NAME:
Willis of Colorado, Inc.
26 Centur
Blvd PHONE
A/c NO EXT: 877-945-7378 FNAX
C N : 888-467-2378
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.
P. 0. Box 305191 E-MAIL cert:ificates@willis.com
Nashville, TN 37230-5191
INSURER(S)AFFORDING0OVERAGE NAIC #
INSURERA:ACB American Insurance Company 22667-001
INSURED
The Phillies
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ited Partnershi INSURER B:
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Citizens Bank Park INSURER C:
One Citizens Way
Philadel
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PA 19148 INSURERD:
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INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 15458482 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
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TYPE OF INSURANCE DD'
N R SU8
WV
POLICY NUMBER POLICY EFF
M D YY POLICY EXP
M DD Y
LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY DAMAGES(RENTED
PREMISES E. occurence
$
CLAIMS-MADE OCCUR MED EXP (Any one person) $
PERSONAL& ADV INJURY $
GENERAL AGGREGATE $
GENI AGGREGATE LIMIT APPLIES PER: E
? E PRODUCTS -COMP/OP AGG $
POLICY PRO- LOC
E 7 {?
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$
AUTOMOBILE LIABILITY MBINED)SINGLE
Ea a . 4. LIMIT $
ANY AUTO A
FEB Q 4 011 BODILY INJURY(Per person) $
ALLOWNEO
AUTOS SCHEDULED
BODILY INJURY(Peraccident)
$
HIRDAUTOS H NON,OWNED
AUTOS (7?ICI?1L R DS
ANI?
PROPERTY AMA
Peraccident
$
MANE S S DEPT $
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
A WORKERSCOMPENSATION
' WLRC46130674 2/1/2011 2/1/2012 X T I l
AND EMPLOYERS
LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVEY
N/A
E.L. EACH ACCIDENT
$ 1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
it yes, d®scrlbe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required)
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.
CITY OF CLEARWATER
PARKS & RECREATION DEPARTMENT AUTHORIZED REPRESENTATIVE
ATTN: DEBBIE REID
PO BOX 4748
Clearwater, FL 33758
0011:3249031 Tpl:1217197 Cert:15458482 0 1988--2010ACORD CORPORATION. All rights reserved
ACORD 25 (2010/05) , A . n i TQe 4CORD nalpe and logo are registered marks of ACORD