CERTIFICATE OF LIABILITY INSURANCErt:..." 9-Ieo
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ACORD. CERTIFICATE OF LIABILITY INSURANCE °2/0112011??
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 WANED, 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 andorsement(s).
PRODUCER NCONTACT
AME:
BWD Group LLC PHONE E 516 327.2700 0191 X No ; 516-327-2800 EM, BWO Plaza, P.O. Box 9050
ADDRESS:
113 South Service Road PRIM
cusroM ; IQ t. Jericho, NY 11753 INSURER(S) AFFORDING COVERAGE MW O
INSURED INSURER A: ACE American Insurance Company 22667
The Phillies, A Pennsylvania Limited
Partnership; Citizens Bank Park INSURER e
One Citizens Bank Way INSURERC
Philadelphia, PA 19148 INSURERD
INSURER E :
INSURER F :
COVERAGES
CERTIFICATE NUMBER:
. KtV101ON NIJMtltK:
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.
TYPE OF INSURANCE
NSR POLICY NUMBER M POLICY FFF M fDD EXPOrfYrf) LIMITS
GENERAL I IABRITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY PREMISES Ea ocairrence $
CLAIMS-MADE 1:1 OCCUR MEO EXP (Any one Person) $
PERSONAL 8 ADV INJURY $
GENERAL AGGREGATE $
GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
L POLICY PRO- LOG - $
AUT OMOBILE LIABILITY .. COMBINED SINGLE LIMIT
(Ea aoddent) $
ANY AUTO BODILY INJURY (Per person) $
ALL OWNED AUTOS p 11 BODILY INJURY (Per accident) $
SCHEDULED AUTOS PROPERTY DAMAGE
HIRED AUTOS ,.r
C'?
,
ev
DS (Paracddent) $
NON-0WNEDAUTOS t"..IAL RC
'
_ .
r
? DEPT $
1V,
t y
LEGi$IATIV C7 $
A X UMBRELLA LIAS X OCCUR X G24906102 2/01/2011 02101/201 EACH OCCURRENCE s3,000,000
EXCESS LAB CLAIMS-MADE w AGGREGATE s3,000,000
DEDUCTIBLE $
X RETE o 25,000 $
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS' UAINLITY
ANY PROPRIETOR/PARTNERIEXECUTIVE -]
E.L. EACH ACCIDENT
$
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH) NIA
E-L. DISEASE - EA EMPLOYEE
$
If yes, describe kinder
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEFMCLEB (AfWdt ACORD 101, AdMkmW Rwr4 tf SprdtYrr, N mom epam to roqukW)
The Certificate holder is only an Additional Insured with respect to liability caused by the negligent acts
or omissions of the Named Insured.
HOLDER
City of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Parks 8t Recreation Department ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 4748
Clearwater, FL 33758 1 AUT14DRIZED REPRESEWATIVE
Attn: Debbie Reid
(01988-2009 ACORD CORPORATION. All rights reserved.
ACORD 20 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S1950561M195055 KAGAM
_V
AXIS 8000(08110) CERTIFICATE OF INSURANCE
PRODUCER 02/01/2011
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
American Specialty Insurance & Risk Services
Inc. RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY
,
142 North Main Street OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTEA CONTRACT
Roanoke
Indiana 46783 BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND
,
INSURED THE CERTIFICATE HOLDER.
The Phillies
A Penns
lva
i
Li
it
d P INSURERS AFFORDING COVERAGE
,
y
n
a
m
e
artnership dba Philadelphia Phillies INS
A
AXIS I
C
Citizens Bank Park One Citizens Bank Wa .
:
nsurance
ompany
y
Philadelphia, PA 19148 INS. B,
INS. C:
CERT NUMBER: 1000937532
t?nlICG A fl-C0
?1?/"\V VV
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH REt
THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CON
INS POLICY POLICY POLICY
LTR TYPE POLICY NUMBER EFFECTIVE EXPIRATION
A
A
GL I AXGL03100400-11 02/01/2011 I 02/01/2012
12:01 a.m. 12:01 a.m.
AUTO AXAL03100206-11 02/01/2011 I 02/01/2012
12:01 a.m. 12:01 a.m.
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSION:
- The Certificateholder is only an Additional Insured with respect to liability caused by 1
Liquor liability is included within the policy limits.
CERTIFICATE HOLDER
CITY OF CLEARWATER
ATTN: DEBBIE REID, PARKS AND RECREATION DEPT
P O BOX 4748
CLEARWATER, FL 33758
1 TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT WTHSTANDING ANY
PECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY
JITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LIMITS
General A re ate 4,000,000
Products-Completed Operations A re ate 4,000,000
Personal and Advertising Injury 2,000,000
Each Occurrence 2,000,000
Dam a to Premises Rented to You An One Premises 2 000 000
Medical Expense Limit An One Person Excluded
Combined Sin le Limit 2,000,000
Physical Damage Deductible - Collision $0
Physical Damage Deductible - Comprehensive 0
Non-Owned/Hired Auto Liability 2,000,000
Hired Auto Physical Damage Deductible - Collision 0
Hired Auto Physical Damage Deductible - Com rehensive $0
ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
ie negligent acts or omissions of the Named Insured
L;ANI:tLLA I ION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES
BE CANCELLED BEFORE THE EXPIRATION DATE
THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE