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CERTIFICATE OF LIABILITY INSURANCE (2)
Sather Sports:AYF Insurance Plan DATE(MM/DD/YYYY) ACORDi, CERTIFICATE OF LIABILITY INSURANCE 07/1012013 T H!S1 T C�RTIFICATET E IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER 4IS CERTIFICATE DOES NOT AFFIRMATIVELY OR 1 NEGATIVE-Y AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANGi=_70E5.NC7 CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS),AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IM?OR1 AN I!Ine certificate holder is an ADDITIONAL INSURED.the policyn-)must be endorsed.If SUBROGATION IS WAIVED,subject tc the terms and conditions of the policy.certain policies may reouire an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT NAME:Sports Dept SADLER&COMPANY,INC. PHONE(A/C,No.E#):800-622-7370 i FAX(A/C,No):803-256-4017 P.O.BOX 5866 E-MAIL ADDRESS:ayf @sadlerspo is corn COLUMBIA,SOUTH CAROLINA 29250-5866 PRODUCER CUSTOMER ID#: INSURED AMERICAN YOUTH FOOTBALL,INC.AND AMERICAN YOUTH CHEER AS MEMBERS OF ERS RISK PURCHASING GROUP ASSOC.,INC. Greenwood Panthers and Culture Sports Organization INSURER(S)AFFORDING COVERAGE NAIC# c/o Joe Marshall 1380 South Madison Ave INSURER A:NATIONAL CASUALTY COMPANY Clearwater,FL 33756 INSURER B:NATIONWIDE LIFE INSURANCE INSURER C! Application ID:85808 INSURER D: 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 INDICATE., NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BYTHE 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 TYPE OF INSURANCE ADDL SUBR POLICYNUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD (MM/DD/YYYY) (MM/OD/YYYY) A GENERAL LIABILITY EACH OCCURRENCE $1,000,000 ®COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $300,000 (Ea occurrence) []CLAIMS MADE ®OCCUR MEDICAL EXPENSE(Any one i El $5,000 12:03PM ET 12:01AM ET person) El KR00000003438300 07/10/2013 06/3012014 PERSONAL 8,ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES GENERAL AGGREGATE none PRODUCTS-COMP/OP AGG $1,000,000 PER: LEGAL LIAR TO PARTICIPANTS $1,000,000 POLICY [JPROJECT ❑LOC I i AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT(Ea $1,000,000 Accident) E]ANY AUTO BODILY INJURY(Per person) ALL OWNED AUTOS ❑SCHEDULED AUTOS BODILY INJURY(Per accident) HIRED AUTOS PROPERTY DAMAGE(Per accident) ®NON-OWNEDAUTOS IA ®SEXUAL ABUSE I MOLESTATION 12:03PM ET 12:01AM ET EACH OCCURRENCE $1,000,000 KR00000003438300 07/1012013 06/30/2014 AGGREGATE $2,000,000 ❑UMBRELLALIAB [-]OCCUR EACH OCCURRENCE N/A ❑EXCESSLIAB ❑CLAIMS-MADE NIA N/A NIA AGGREGATE N/A ❑DEDUCTIBLE ❑RETENTION WORKERS COMPENSATION ❑WC STATUTORY LIMITS AND EMPLOYERS'LIABILITY EJOTHER ANY PROPRIETOR/ PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT OFFICER/MEMBER ❑ NI A EXCLUDED? (Mandatory in NH) EL DISEASE-EA EOMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT (g PARTICIPANT ACCIDENT 1 EXCESS MEDICAL $100,000 JXS0000025935800 12:03PM ET 12:01AM ET DEATH.SPECIFIC LOSS $5,DOo 07/10/2013 06/30/2014 DEDUCTIBLE $0 DESCRIPTION OF OPERATIONS f/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) J l RE: COVERED SPORTS 1 J Tackle Football-Ages 9&Under(1 teams),Tackle Football-Ages 15&Under(1 teams),Cheer I Dance I Step/Majorette Squads/Contender- Class 1(no charge)(2 teams) 1 NOTE:The Participant Accident policy,if included above,is not a part of the ERS Risk Purchasing Group Association,Inc. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE EVIDENCE OF COVERAGE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE(company A) AUTHORIZED REPRESENTATIVE(company B) Coverage is only extended to U,S.events and activities ..N01 ICE TC TEXAS INSUREDS:The Insurerforthe purchasing grouo may nog.be subject to all the insurance laws and regulations of the Sia;e o' exas ACORD 25(2009109) ©1988-2009 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD OL