PRACTICE THIRD PARTY CERTIFICATE OF INSURANCE PRACTICE THIRD PARTY CERTIFICATE OF INSURANCE
AMATEUR ATHLETIC UNION OF THE U.S.,INC.
CERTIFICATE HOLDER Pinellas County School Board COVERAGE DATES:
301 4th Street SW
Largo,FL 33770 04/29/2015-8/31/2015
This certificate is issued as a matter of information only and confers no rights upon the certificate holder.Thm rttfic e, of affirmatively or
negatively amend,extend or alter the coverage afforded by the policies below. This certificate of insuran n Mute a contract between the
issuing insurers authorized represent e or producer,and the certificate holder.
PRODUCER INSURED M TIFICATE ID: 5KFL5664
Foy Insurance Amateur Athletic Union ofthe U.S.,Inc. CLUB CODE: WW99136
64 Portsmouth Ave Walt Disney World Resort in a hi
PO Box 1030 P.O.Box 10000
Exeter,NH 03833-1030 Lake Buena Vista,FL 32830-100 b e e 7
(407)934-7200
R(S) IG V
t
Company A United State Fire Insurance Compa A C III
Company B Everest National Insurance C mpan C 0 0 oipbe TR r ers to Company A or B.
COVERAGES-This is to certify o 'e of ins a Ii of a n i insured named above for the policy period indicated.
Notwithstanding any requirement e o c di o otft rdo a re e t hich this certificate may be issued or may pertain,the insurance
afforded by the policy(ies) crib rem is s alt s, "ua 's, d co i ns ch policy(ies),limits shown may have been reduced by paid claims.
INSR TYPE F P F. ERA COVERA LIMITS
LTR INSURA N (MM ) AT'E',
A Participant 6 /O]/2 A4 2 AM. 201 12.. A cal 50,000
Accident • Ac n e it, mbennent 10,000
B Excess E I - 1 /2012: 9/01/2015 1201 A Per Club 9,000,000
Liability � � P 'c A gate Per Club 9,000,000
B General N,4 7 1 PA 1/ 12 Each Occurrence Limit 1,000,000
Liability General Aggregate Limit Per Club 3,000,000
Participant Legal Liability 1,000,000
Personal and Advertising Injury Limit 1,000,000
Products-Completed Operations Aggregate 3,000,000
Fire Damage to premises Rented to You
(Any One Premises) 1,000,000
Medical Expenses Limit(Any One Person) 5,000
Sexual Abuse Liability 1,000,000
Sexual Abuse Aggregate 2,000,000
ADDITIONAL INFORMATION E T /S 71 EMS
Coverage applies to Blazin ven T ub, n K 5664 Practice,Blazin Ravenz Track Club from
04/29/2015 through 08/31/201 t e o n n d/or liabilities of the AAU Cl ub(s)or registered members. For said club to have coverage,all membership
requirements in the AAU must be _et.
The Certificate holder shall be an Addit Insured,but only with respect to the operations of the Named Insured,subject to the provisions and limitations of
the policy(ies),attached CG 20 26 0413 applies.
CANCELLATION—Should any of the above described policies be cancelled before the expiration date thereof,notice will be delivered in accordance with
the policy provisions. But,failure to mail such notices shall impose no obligation for liability of any kind upon the insurer,its agents or representatives.
REVOCATION OF MEMBERSHIP-will result in cancellation of coverage.
FACILITY OWNER SHOULD VERIFY THIS CERTIFICATE.
Go to www.aausports.org,Insurance Overview,and choose`Print/View'>Certificates
Certificate No.20155288 F3]
Authorized Representative n ccnfadtib'.p
POLICY NUMBER:SI8NL00176-141 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED-DESIGNATED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE
SCIIEDU ,
Name of Person or Organization: Pinellas Cou c` 11 oai
301 4th qtr
Largo,) • �....t
Event: Practice,Blazin Ravenz Track Club
Date: 04/29/2015 through 08/31/201
THE ABOVE PERSON(OIrGW G� O I71� A A AS REQUIRED BY WRITTEN CONTRACT.
IN
33
endorsement#20155288
w yr �
(If no entry appea�sa bc � � d toA e this err ore rtt b stew ��] clarat�n •a'applicable to
this endorsement.) v
A. Section 11 Wh r In r e I t•'ona sured he aers'n Q 3rtizations(s)shown in the
Schedule,but only with ct i r` y ini op rty raa a 'or`kp&4,o a d advertising injury"caused,in
whole or in part,by your a o _ o s ing o
1. In the performance of r or
2. In connection with your p n d to
Howev-x:
1. The Insuran o such its ns $ t th, xtent permitted by law;and
2. If coverage p to e ddition fi re t b ntract or agreement,the insurance afforded to such
additional insured wt . er th hi It eq red by the contract or agreement to provide for such
additional insured.
B. With Respect to the insur ce t di onal insureds,the following is added to Section III-Limits Of
Insurance:
If Coverage provid t ift u: d is required by a contract or agreement,the most we will pay on behalf of the
additional insured is t o fIt ce:
1. Required by the co ni a or age ment;or
2. Available under the ap>,i ,ble Limits of Insurance shown in the Declarations;whichever is less.
This Endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
CG 20 26 0413 Copyright,Insurance Services Office,Inc.,1984 Page 1 of I