CERTIFICATE OF LIABILITY INSURANCE (5) Client#: 3258 PHILPHIL
DATE(MMID[IfYYYY)
ACORD., CERTIFICATE OF LIABILITY INSURANCE 02105(2013
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 AMENDEXTEND 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(les)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 1CONTACT
NAME:
BWD Group LLC PHONE
IA)C,No,Et): 516 327-2700 516-327-2800
45 Executive Drive
Plainview, NY 11803
1 INSUREI AFFORDING COVERAGE HAIC
—---------
56 327-2700
MSUIRERA,ACE Property &Casualty Ins. Co
INSURER
INSURER 6:Westchester Fire Insurance Co
The Phlifies,A Pennsylvania Limited
INSURER C:
Partnership dha Philadelphia ghillies
INSURER D:
Citizens Bank Park,One Citi7ens Bank Way
Philadelphia, PA 19148 INSURER E
INSV RCR r:
COVERAGES CERTIFICATE NUMBER: REVISION NUII)i
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY FERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 'WITH RESPECT Vic) VVHICH THS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE T FIRM,&
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES- LIMITS SHOWN IMAY HAVE BEEN REDUCED BY PAID CLAIMS.
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GENERAL LIAMLITY
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1 AUTOMOBILE LIABILITY COMBINED SINGLE-IMfT
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I i �NVAIJTO SODI LY INJURY(Per Parsoq
ALL OWNED SCHEDULED
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X-1 OCCUR X G27050360 260112013)0210112014(EACH OCCURRENCE $3000 000
EXCESS LIAB
CLAIMS-MADE
AGG RE GAI E 3 00 000
DED I X1 RETENTION 5 2r,nOD $
WORKERS COMPENSATION WC STATU-
ANU EMPLOYEKS'LIABILII Y
ANY PROP RI ETORJPARTN E R,E)(EC UT IVE-,� E.L.EACH ACCIDENT $
OFFICERJMEMBER EXCLUDED? NIA1
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DESCRIPTION OF OPERATIONS bekyw
E.L.DISEASE'-POLICY LIM WT]$
B 'Excess Liability X i G24059224004 2101/201310210112014 $5,000,000 occlagg
DESCRIPTION OF OPERATIONS F LOCATIONS J VEHICLES(A tack ACORD 101,AddlConal Remarks Schedule,if M0 re spate is required)
Carder 8, $6,000,000 excess of primary$25,000,000; All clubs and league share,the occurrence limit,
City of Clearwater is included as additional Insured as respects Use Agreement
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Parks&Recreation Department ACCORDANCE WITH THE POLICY PROVIS[ONS.
PO Box 4748
Clearwater, FL 33758 AU FHORIZED REPRESENTATIVE
Attn: Debbie Reid
(s,1988-2010 ACORD CORPORATION.AP rights reserved,
ACOR D 25(20 10105) 1 of I The ACORD mane and logo are registered narks of ACORD
#S288538/M286664 JENLO