CERTIFICATE OF LIABILITY INSURANCE (9)�co � CERTIFICATE OF LIABILITY INSURANCE DATE�MM/DD/YYYY)
`••� 2/1 /2016
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
PRODUCER
BWD Group LLC
45 Executive Drive
Plainview NY 11803
INSURED
The Phillies
Citizens Bank Park
One Citizens Bank Way
Philadelphia PA 19148
PHILPHIL
�
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S) AFFORDING COVERAGE
� & Casualty Ins. Co
Fire Insurance Comi
FAX
10030
COVERAGES CERTIFICATE NUMBER: Z53974528 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. NOTIMTHSTANDING 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MM/DD/YYYY LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS-MADE � OCCUR DAMAGE TO RENTED
PREMISES Ea occurtence S
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO-
POLICY JECT � ��� PRODUCTS - COMP/OP AGG $
OTHER: $
AUTOMOBILE LIABILITY g
Ea accident
ANY AUTO BODILY INJURY (Per person) $
AUTOS NED AUTOSULED BODILY INJURY (Per accident) $
NON-OWNED PROPERTY DAMAGE
HIREDAUTOS AUTOS Peraccident $
$
A X UMBRELLA LIAB X OCCUR Y G27050360003 02/01l2016 02/01/2017 EACH OCCURRENCE $25,000,000
EXCESS LIAB CLAIMS-MADE . AGGREGATE $25,000,000
DED X RETENTION$25,000 $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY Y� N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? � N� A E.L. EACH ACCIDENT $
(Mandatory in NH) E.L. DISEASE - EA EMPLOYE $
If yes, describe under E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS below
B Excess Liability Y G24059224007 02/01/2016 02/01/2017 $5,000,000 ocGagg
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additlo�al Remarks Schetlule, may be attached if more space is requiretl)
Carrier B: $5,000,000 excess of primary $25,000,OOO;AII 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
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Clearwater Parks & Recreation Department ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Debbie Reid
PO Box 4748 AUTHORIZED REPRESENTATIVE
Clearwater FL 33758 ��'���
/� ��
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