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CERTIFICATE OF LIABILITY INSURANCE ACCOR CERTIFICATE OF LIABILITY INSURANCE 4/28/2015DYYYY' ` 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(ies) 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 CONTACT Gagliardi Insurance Services, Inc. PHONE (408) 414-8100 r_FA_X N (408) 414-8199 2380 S. Bascom Ave. Suite 100 E-MARL s al es @gsports insurance.com Campbell, CA 95008 0791300 INSURERS AFFORDING COVERAGE NAIC# New York Marine & General Ins. 16608 INSURED suncoast Youth Football Conference, Inc. INSURER B: Federal Insurance Company 20281 1921 Blueheron Way Palm Harbor, FL 34683 INSURER D: 727-458-8995 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. 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, EXCLUSIONSAND CONDITIONSOF SUCH POLICIES.LIMITSSHOWN MAYHAVE BEEN REDUCED BYPAIDCLAIMS. INSR Y POLICY EFY POLICY EXP LTR TYPEOF INSURANCE LIMITS K COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 O000,000 CLAIMS-MADE D OCCUR $ 300 000 K Abuse & Molestation MED EXP(Anyone person) $ 0 A PK201500006054 4/20/2015 /20/2016 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 X POLICY D PRO- [D LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT Pait c pant Laga Li $ 1,000,000 AUTOMOBILE LIABILITY COM BINED SINGLE LIMIT $ 1,000,000 BODILY INJURY(Per person) $ ALLOWNE PK201500006054 4/20/2015 /20/2016 AUTOS SCHEDULED BODILY INJURY(Per accident) $ A AUTOS AUTOS X HIRED AUTOS PX NON-OWNED PROPERTY DAMAGE $ AUTOS rJUMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ _ DE. I I RETENTION$ I I $ WORKERS COMPENSATION PTR T OTH- AND EMPLOYERS'LIABILITY X1 N A U1 ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION TI N B Accident Medical 9907-1406 4/20/2016 /20/2016 Limit $100K / $250 DED AD&D $25K DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) The Certificate holder is included as an additional insured, but only with respect to the liability arising out of the negligence of the named insured. All policy terms and conditions apply. �,tse � asso �� .��s„cif Clearwater rTr;Tor,:�a�ios,, p�' h, `�� ' CERTIFICATE I fty w(�^ W„ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE . � THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O.Box 4748 Clearwater, FL 33758 AUTHORIZED REPRESENTATIVE ©1988-2014 ACO ORPORATION.A fights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD