CERTIFICATE OF LIABILITY INSURANCE
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ACORD", CERTIFICATE OF LIABILITY INSURANCE 16/7/2006
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bollinger, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
101 JFK Parkway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Short Hills, NJ 07078-5000
INSURERS AFFORDING COVERAGE
Phone No. 800-526-1379 Fax No_ 973-921-2876
MUREO INSURER A:; Markel Insurance Company
Aaeteur Softball Association and Members of West Markel Insurance Company
Central FL ASA JO I:ndiv Reg Program INSURER B:
Carlton Benton INSURER C:
1843 Bedivere INSURER D:
Lakeland I FL 33813 INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS.
.~ TYPE OF INSURANCE POLICY NUMBER POUCY EFfECTIVE POLICY EXPIRATION LIMITS
~RAL UABlUTY 3602AB230069 01/01/06 01/01/07 EACH OCCURRENCE 52,000,000
A X 3MMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anv one fire) 5 300,000
- CLAIMS MADE [!] OCCUR
- MED EXP (Anv one petSon) 510,000
PERSONAl.. & ADV INJURY 52,000,000
A X Participant Liabi GENERAL AGGREGATE 55,000,000
GEN1. AGGREGATE LIMIT APnS PER: PRODUCTS - COMPIOP AGG $ 2,000,000
II POlICY n ':R;: LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ee eccIdenl)
t--
I-- ALL OWNED AUTOS BODILY INJURY
(Per penlOlI) $
I-- SCHEDULED AUTOS
t-- HIRED AUTOS BODILY INJURY
(Per accident) $
f-+- NON-OWNED AUTOS
I-- PROPERTY DAMAGE $
(Per accldent)
~ARAGE UAmUTY AUTO ONLY- EAACCIDENT $
ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESS LlABIUTY EACH OCCURRENCE $
~ OCCUR 0 CLAIMS MADE AGGREGATE $
Umbrella Form $
~ DEDUCTIBLE $
RETENTION $ $
WO~CO~SATIONANO I WCSTATU-.I IOJ;tl-
EllPLOYERS' L1ASIUTY
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
OTHER
Accident Medical 4102AH220317 Med Max. $250,000
B Full Excess
IlI!8CftIPTlON OF OPERATlONS/LOCATIONSNEHlCLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Coverage applies to liability of the named insured arising out of the administration, play or
practice of amateur softball. Certificate holder is named as an additional insured. This
certificate is issued on behalf of: Clearwater Bullets
CERTIFICATE HOLDER I I ADDl110NAL ~ IIf8URER LETTER: CANCELLATION
City of Clearwater SHOULD Nf'( OF THE MOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE T1lEREOF, THE IllSUNJ INSURER WILL ENIlEAVOR TO MAIL ~ OAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAlWRE TO DO so SHALL
IMPOSE NO 08UGATION OR LIABILITY OF ANY KIND UPON lHE INSURER, ITS AGENTS OR
~learwater FL -..... ~
AIJTHORIZED REPRESENT AlIVE
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ACORD 25-S (7/97) ':::] ~ ACORD CORPORATION 1988