CERTIFICATE OF LIABILITY INSURANCE Clientill: 3258 PHILPHIL
ACORD. CERTIFICATE OF LIABILITY INSURANCE
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.T141S CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORV.ED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER®
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROCATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement A stateiment on this cerfificate does not confer rights to the
certificate holder in lieu of such andorsement(S).
PRODUCER NAME-.
BWD Group LLC PHONE FAX
(AJC�N El)�616 327-2700 -2800
45 Executive Orive E-MAIL 0� ------
Plainview,NY 11803 ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC#
516 327-2700
ANSURERAACE Prop"&Casualty Ins.Co
INSURED
iNSU ER p a Westchester Fire insurance Co
The Phillies,A Pennsylvania Limited --------
Partnership,Citizens Bank Park INSURER ------
One Citizens Bank may INSURER 0
Philadelphia,PA 19148 INSURER E!
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER
-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE FLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY—PERIOD
INDICATED. NOTVVITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT VIATH 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,
IN §Ueie.................................. -"-F10-LI6YFFF POLICY EXP
LTVI TYPE OF INSURANCE INSFt POLICY NUMBER IMINIMMYYYY LIMITS
DDNY)O(L --------
............... -----
GENERAL LIABILITY
EACH OCCURRENCE S
COMMERCIAL GENERAL LLABILM 'rAARJ
Iplffl.a -1 "LINITE.D
EM b .
5 F. E
q.!qqL__$
CLAIMS-MADE OCCUR
NED EXP(Any ono person) $
PERSONAL&ADV INJURY II
(GENERAL A
GGREGATE __ 3
GENT AGGREGATE LIMIT APPLES PIER: PRODUCTS-COMPfOP AGG $
PRO-
—i��p LEY17-1 JECT LOG
AUTOMOBILE LIAIRLITY y COMBINED SINGLE LIMIT
ANY AUTO - INJURY iPer persar)
VN
ALL OVED 50hEDULED
BODILY INJURY I Per acadent)AUTOS AUTOS
NON-OI+ FD 1-�3-ROPERTY DAMAGE
HIRED AUTOS AUTOS IPer accidenil
A X UMBRELLA LIAR X OCCUR X I, G24906012 D2/0112012 02J 11201 EACH OCCURRENCE 5 000,000
- R -Z'--
EXCESS LIAR CLkMS-MADE AGGREGATE s25,D00,Q_qq____
DED X RETENTIotis25000 S
VV6—RKEii'COMIaENSAT1*N ::WTATU- DTI-I-
AND FMPknYFRS'LIARIUTV Y,
ANY PROPRIETORIPARTNEPiEXECUFTNE LN X
11IFFICERIMEMBER E NIA� E.L.EACH ACCIDENT $
(Mandatory In NNI E.L.DISEASE-E-A.EMPLOYEE
It yes,dqscrbe+uFdw
DESCRIPTION OF CJPFPAL[11()NS L.Ie. EL.DISEASE-POLICY LINT S
B, Excess Liability X I IG24059224003 Di6-1/i-0-12-r0ii61/2013 $5,000,000 occlagg
DESCRIPTION Of OPEIR&MNS I LOCATIONS i VEHICLES(Attach ACORD OIL Additional Remarks Schedu1s,if mrs space is"imcij
Carrier 0:$5,000,000 excess of primary $25,000,000;All clubs and league share the occurrence limit
City of Clearwater is included as additional Insurod as raspects Use Agreement
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED eEroRE
City of Clear"tor THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Parks&Recreation Department ACCORDANCE MTH THE POLICY PROVISIONS.
PO Box 4748
Clearwater,FL 33758 AUTHORIZED REPRESENTATIVE
0 1908-2010 ACORD CORPORATION.AH rights reserved,
ACORD 25(2DIO106) I of I The ACORD name and I o are regIstered mars of ACORN
#S261410IM251409 KAGAM
Clientill: 3258 PHILPHIL DATE(MMIODrp;�Y)
ACORD. CERTIFICATE OF LIABILITY INSURANCE TE'"0
=
IJ301'2012
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(tes)must be endorsed.H SUBROCATION IS WAIVED,subject to
the terns;and conditions of the policy,Certain policies may require an andomement.A statement on this certiflicats do"not confer rights to the
certificate holder in lieu of such endorsement(s)-
PRODUCER CONTACT
NAME.
BWD Group LL C Pa NE_
516 327-2700 516-327-2800
45 Executive Drive
AD
DRES&
Plainview,NY 11803 INSUkENS)AFFOWANG GaVERAGP NAIL_#
616 327-2700 1 NSURER A AC E Prop"&Casualty Ina,Co
..............
WSURFI) INSURER R
The Phillies,A Pennsylvania Limited
INSURERC:
Partnership,Citizens Bank Park
iN3U"R D
One Citizens Bank Way
I RER
Philadelphia,PA 19148 r INSU E:
1 INSURER F:
COVERAGES CERTIFICATE NUMBER: 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, NGTVMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION Of ANY CONTRACT OR OTHER OOCUMENT WTH RESPECT TO WHICH THIS
CERTIFICATE MkY 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.
kNSR TYPE OFMSURAMCP iADD US POLICY EXP LIMITS
LTR POLICY NUMBER
EACH OCCURRENCE $
GENERAL UABILITY
COMMERCIAL GENERAL LIADILRY RI 1.1,1
RE I E.o
M&P
CLAIMS-MADIF OCCUR M15,13 rXP(Any one person)
INJURY --------------
GENERAL AGGREGATE
_.qEN'L AGGREGATE LIMIT APPLES PER-
PRODUCTS,COMPIOPAGG
PRA
-PoLicle
AU fOMOBILE UABIUTY COMBINED SINGLE LIMIT
ANYAUTO BODILY INJURY IPar Wson) $
ALL OWNED
AUTOS AUTOS 8,00ILYINJURYIPeraruclerW S
PROPERTY DAMAGE
HIRED AUTOS AUTOS
uaneREtt�LIAR A Xi
X -OCCUR _7
G24906012 D2/0112012 02101/2013 EACH OCCURRENCE s3000000
EXCESS LhAb CLAIMS-MADE AGGREGATE sUM000
DED 1 X1 kFTENTION*25000 $
WORKERS COMPENSATION TATU-
,ANN EMPLOVERS'LIABILITY -------
A YPROPRIETMPARTNERJ�XECUTWr
N �_,I I E L,EACH ACCIDENT i$
OFFICERIMFMBER EXCLUDED? N I A t
(M_d.'.,y in NH)
E.L.DISEXSE-EA EMPLOYEE[S
yes,descrOe under
-PT ]MIT $
�2]t . OLICYLAMT
J_ E-L,DISEASE LT
CRIPTIQN OF OPERATOKS
DESCRIPTIONS OF 0 PERA'nON S i LOCATIONS I VEHICLES(Attach ACORD 101,Adefitionad Remarks Schedrde,if roote spaco is roqvlredI
The Certificate holder is only an Additonal Insured with respect to I iabHity caused by the negligent,acts
or omissions of the Named Insured. :1
CERTIFICATE HOLDER CANCELLATION
8"OULD ANY OF TWE AGOVE DESC RIGED POLIC I ES BE CANCELL ED BEPOP E
City of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELI RED IN
Parks&Recreation Department ACCORDANCE MTH THE POLICY PROVIISIONS,
PO Box 4748
Clearwater, FL 33758 AU .ED REP RESENTAMVE
Attn. De6ble Reld
@ 1988-201,0 AGORD CORP T* AR right s reserved,
ACUORD 25(2010106 1 of I The AC RD name and iogo are registered marks of ACORD
5t51 245557 IAAM
AXIS 80'00(08"10) CERTIFICATE OF INSURANCE l _
PRODUCER THIS CER12ICAT.;IS ISSUED AS, ER 04-'IIuORMAD NDNL�AND Cor If ERS IaiO —
RIGFT Jf-' N THP CERTIFI_.ATE HOLDER_°i`I S piinCA r ps No,p nkm,�TI'vi,v
g American te�mlty Insurance Risk'Se¢''vices Ific. OR awEItATKtl-V AMEND, Xlrbl),OR ALT RTE COVERAGE AFrORDE'D P VTiAE POLCIFS
F 142 Noith(flail Stieet FL{}\M1 HIS L= "TI
ER IG TEOF ,sU NCE LOO 6j—CJPIS T R.EA tTR C
It 6ETWE h17H 65 UING INSURE P...j A�jl"HLR.LLD RLPRES€NTAPVE OR PRGOJ(DER AND
Roanoke, Indiana 46783 THE CERTIFICATE HOILDER,
INSURERS AFFORMING COVERAGE
IThre Phltlles.A PennsyIvania Limited Park c-,hip dba Philadelphia Phillies htA A AXIS Insurance L:onya +
Citizens Bank Peak One Citizens�ank t iay IBS.r3_
hladelphia,PA '914B-5248 MS.C. - —
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F;�t�-I RCtur F r.TERM OR CON D TION�:,A1=AN ,l:uTG'ACl DR 0-i-iER DO C,;;ME19T vAT{-T EES E Ci TO AHICH THIS CER IR-?=I E MAY SE I.-S_I,E'n OR 6xn,PERTAIN `iE€."•i,^�jRAi4CE S. RDE.7 B'v
v. ;?LIr ES!)ESe.,r�B DIAE4 ._.STJBJc T""rE.',I.1 FCIFIRM'S E}CJUSION 3,]i�vC� ..i.l ?I,ELF J,,I;Pr1 E-;_L!tr�ir.�P._.d.:d PQ? r.!�'i�JE-�PE<c',rD .-,r P I MS-
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L „=GL04100400Q 02YO 1/2012 0210L1201 -r l c°� a Fete aT�e� C �w6.�9a�ah. . ��4GC1t3Cn7r
Perscgalarsd dv�rhisi, InLtr 000000
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Each Occurrence � 2'uuU€ytlr3
Damage to Premrses Rented To You(Any One Premrr De-; 2,000,000
10&dlna] -!Zj nv lty ty! tl Person u„ xEluded
,
G ortribined 8Inglo Limit
AUTO L0410020612 02M I20,12 02ffii,12013 khtsscaLD sage yr 4b1e C0I11TC( $0
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2 Ltt a-m. 12:01 a rm I crT-t7wne IN:red A Uto Liability a� 0,000
Hired auto Physical Damage Deductible Collision$0
Hired Auto,Physical amag Dedrat tIble iC,4 1FC°hC Ive` --__-- —
._. . ._..
DESCRIPTION OF OPERAT8O fLO TAB N$fVE ICLESIE GLUSfON ADDED BY 9e1DORSE NTISPECIAL PROVISIONS
s
r0Pt%srz Aaeiitar„n,ai tns.in±:fci wi rah 3asjp�_e S4 ,ablllCv caIxsed by he negG.garEt ac2r,or oIi„siors of+be Natned Insured I
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CERTIFICATE HOLDER - _ CANCELLATION
C TTY OF 0 LEARWATER S JUD A1,01 OFT 'Ev r DESCRIBED t�1LIC-S
A.TTW D--BPIE REI ,PARKA AND R rP T ,fi DET _ r r " rHr DATE
)BOX 4 E TL f NK! r t Ui. ELi
C R\' T /-, ,.UF)ANC H THF, uL,.t PiF� •�VS�-
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AUTHORIZED REPRESENTATIVE..
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AXIS 8000(08/10) CERTIFICATE OF NSURANCE
PRODUCEIR
"Etla..t f;YIr IG.4T U�._suE as1.e,R'#_�h^..n IYa._RPJ„41:1.x vMi SnptlG..�icf-Rl�a qdu
RIGH f
UPON TH L C R-i`'C.A J L L kHI 4 ,"Ti A r DO NOI A F AMLL Arne PIean Specia4 Insrancs& Risk Servlces, c, OR NE.ATVFLY
0.1,.'0,EXTf'&D OR ALTER H.E=aERACF FORDED Py T11E
42 NaFth main Street BE OW THVS CERTIF1c TEOFn UR W1F DOZa NOT a QT A09i RV
8ETIAEEN TH5 ISSUING INSJRER.S5 2rrHORI, .R—[,LS N1 A-NE R PROD"UER AND
Roanoke,media 46783 THL CERT TicuTi-z AOLDLr.
yhe Phillies,A Fen sylvania Lfinted R Itnership dba Philaselphia Pful fe INFS. k: AXIS lnsur2nce-Company
C,tizens Bar k Park One Citizens Ldp.?k 10,lay INS,B.
--— -... ---- -----
''if:at.EfF��EC1;i}� 19148,5248
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COVERAGES
TI C L' Cl� Lu OL HAVE d
,Lf t i'.- it L -L Lr ,r A L. 1 I N L., T' 1 L T+I L;I NO,9l,"y-
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G nLra A I1'f'Cg ti-�
G!_ P,<4 04 100400-12 dJ2,l.}1,t.4 i.,: t}„jti7+,tf,1 F'fCdE.§c CS C�r177 18t }GratlCt1 „'•qgreq. a1.c � 40 Uvs„r
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2, t a.rrt. 12.01 TIrI, _ — --
arch r�ccur cr�ce � ���Gtlf�
Darnaee fa Prernisr s Rcmfe y tl- dr,af r rdy rfF err 1.. ...�
iv9 dl ert e Lrrr t i I One F fscn+-_.-- Lx,]uded
fi
E L.rtim rca riri-le Limit 2,000,000
AUTO O � A'XAL-d4100206 12 02[01120111: X021,0 112-013 Phy.cai Dattuge L3~uriLajEi L evil= leer cwt
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Hired Auto Physical
i� 3cia tlt g C. l a x nen ry
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S RIPTION OF OPE° RATS 'OFdSILOC 5°E°kO SSadVEHICLES[E CLUSIONS ADDED BY EeVC ORSEMEN t SPECIAL PROVISIONS
`h-r rt fi—t.h.1det is oolf an A,1di6.nw Ins. e-wish res_pcct W ficdit'Arj on,= od by the gogflcvw tL ols of,I Ee Named!Rsured i
LJQLJor liability i3 ncludcd vditnin Me policy irnits.
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CERTIFICATE HOLDER __-CANCELLATION
ITY OF GLR NTRl1u r E ABOVE e �o F is
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ATT , DEPETE RF_IC E,r`C,l'"KVAND('Ez;;RE.ATION LkEPT s_c N L_=_:, CRET E,Arti-:, Cvu.,*E
F 090X'4748 -H REC) ',Uv E h1fl,,.rL _l `.E,�E'-!N
C „F%irmZ[tbTtTFR,FL 3758
r,C„ rzr .IS]F APTH 'H .A�_LV'i'v„i, t!4.
AUTHORIZED REPRESENTATIVE
li
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ACC)RO DATE,�NIMAJWYYYY)
CERTIFICATE OF LIABILITY INSURANCE v. I
ge I of 1 1 01/27/2012
THIS CERTIFICATE 19 ISSUED AS MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.-1 HI S
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,FXTFND OR ALTER THE COVERAGE AFFORDED BY THE P-OLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUT14ORIZED
REPRESENTADVE OR PRODUCER,AND I-HE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. it SUBROGATION IS WAIVED,subject to
the torms and condiflonq of the-,policV,rprtsin polini pq may require 2n endorsernent,Asta for pnt an this cortificate does not confer rights to the
certificate holder in fieu of such endorsement(s).
PRODUCER
NAME ---:
Willis af colcraao' laa 1 PHONL FAX
87 7 -2378
-y _j 1 1-1-1—-
/o k -945-7378 888-467
c 26 Centur Blvd. �c
-MAIL
p O� Box 105191 i f i c a t a @v I I i g c,oiii
Nashv ille, TN a?230-51E�l
-----------
NSUREPA, ACE Anerican inrurance Company 22667-001
FHNSURED
The ?h4Ll-',es, A Pezaxasylvanll,cj, Limited Paxtner�whlip,
Ci-Azen-S Bank Park N "'R L,1 C
one Ci t iz ex-l" Way
Philadelphia, PA 19148 h Ls L iz;L F,u,
COVERAGES CERTIFICATE NUMBER.17371150 REVISION NUMBER.e
THIS IS TO GF-RTIFY THAT IHEE POLICIES OF INSURANCL- _�S I-ED 8'ELOW HAVE RIFFN IS S1,'!ED RD THE NSURED NAMED'ABCVE FOR THE POLICY P E R.I
NDIC,'AFED. ?,,,'O-,WITr1STANMNG ANY REQUIREMENT- TERM OR CONDIT�ON OF ANY CON t'HA(,,'T_OR' OTHIEPH DOGLi1`01ENT WITH RESPECT 10 W ICH THIS
CEDTIFICATE MAY B_ GSUED OR MAY PERIAX FHE NS,',.,,RANCF_' APFORDED BY THE POL.ICI--S DESCI !BED HEREIN 'IS TFRNC
R � .F A:L'
l JSIONS,AND COND,I HUNSOFSUCH POLIGIFS LIMITSSHOWN MiAY HAVE 8I:_L-,N H DUCED BY PAID M
E 01 Al S
dMnj p6b&V'�� r X0-� SJLt SUBR
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LTR T(PE OF INSURANCE C wvb� POUCYNUAABL"A IMMID'Ay", 'I r__Ampwy -1 LIMI'TS
GENERAaL LIAOILITY
I I T 1,E�C
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PF RSONA� At I
GEN1_AC',GREGATE 1A',AT, APPLIESPER PR,00JGT C0V-,01-AG,3 Is
jI_c- 1
SINOLLIAMT
AUTOMOBILE LIABR.ITY
1 ra acciue'0
ANY AUM
—---------
I co""'i"C� -T
AA'10VA140', SCHEDUI 0 '0 N,�URY(Pti aicc�uem)
A_�Cls AUTOS
NON-OWNED Flkoll�.H` r,A'M A"I
HtREDAUTOS
AUTOS
UIMBRELLAUAD EACH OCCURRENCE
EXCESS LAB I CLAMS-4,4ADE AGGCLpG1AJ
DEo
RETEN71ONS
A WORKERs COMPFNRAT�ON WLD-C4 G 23 114 9 Z, 1/2 0 12 1/201 Talta
AND EMPLOYE T�
RS'LIABILI '
1* 1,000,000
YI
NIA
E_D SEAI,�',E-EA E 1$ 1,000,000
m NHi
uF OPERATIONS 1,000,000
CERTJFlCATE HOLDER CANCELLATION
t7,11 11 ANY CF 71+--AROVP P�,',I 1CIE9 ;F CANICR i F-D
THE EXPIRATON DATE T EREOF, NOTICE W _= B- DE NFRFU !N',
ACCCRDANCEVVIT h THP POLICY PROWSIC)NS.
CITY OF CLEARWATRR .......
PARK$ A RECRERTION DEF&RTYEN-1 AUTHORIZFD REP REaFNTATWE
ATTND DEBBIE REID
PO 20X 4748
Cllaanwate-_�, FL a'7 5 6
---—---------------
13 9,97 1 5 Ce x- C x 3 7 11 0 @.f988-2010 ACORD CORPORATI ON,A H right.,rose rved.
1 3'6 18 1 1
ACORD 25(12010/05) The AC.OR nuwrne and toga Ur.r r,c g hst eR ed naa,.ks of ACOFIC