CERTIFICATE OF LIABILITY INSURANCE (2) CERTIFICATE OF LIABILITY INSURANCE t)ATEfMhI TJi YY Yr
5/3/216
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(Sb AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT'. It the certificate holder is an ADDITIONAL INSURED, the Policylies,) must be endorsed. If SURROGATION IS WAIVED, .subject to
the terns 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 j
PRODUCER
N��AxAGT
x4a Gagliardi Insurance Services, Inc. PHONE 408 414--8180 F X 408) 41a-s199
2380 S. Bascom Ave. Suite 1.41 EMAIL ,sa e s�acnr'tsar�srrs�ziwe.ccaret
0791300,l l, CA X5'16 8' INSIIRER. AF'FOREI NG COVERAGE NAIC4
NS RFRA7 New York Marine & General Ins 16608
INSUFRE.IT S�wawacoast.Youth Football GQaf,er�.r,,ce, Inc.. IN8URF:R H: Federal Insurance. Company 202..81
15,21. Slueheron Way
Palm Harbor, FL 3468'3 INSCIRER D7
72'7-458--893'5 INRLIR,ER E,_
IN.SI4RFR F:.
COVERAGES (TERTIFICATF MIN ER: RFVIEION NUMBER
THIS Y a TO CERTIFY THAT THE POLIQIES OF INSURANCE LISTED B LOW H'A.'dE SEEN GSUED TG THE INSURED NAMED ASOVE FOP THE POUCY PERIGO I
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESFECT TO WHICH H THIS
CEPTTIPICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLIOES CESCRIBEIn HERF..IN IS SNJ8.1E'CT TO ALL THE TERMS.,
EXCLUMCNS AND C=)TTICN.S OF SUCH Pr,NUcfES.LIMIT'S SHOWN TJAYHAU'E BEEN REDUCED 8YFAID CLAIM'S.
fdwr4 POLICY E F F PCM.ICY C:)if
LrR TYPE CF INSURANCE Y' MITE
COMMERCIAL GENERAL LIAWLITY i... EACH OC:'CIARRENCE $ 1 0100.. 000
CLAWS-MADE OtQUR MI+C.^a 0 HER I ED
Pro &a $ 300,000
Abuse & Molestation PK201600007674 4/20/2016 41217,201'1 MEDE P Ah nne:Mo $ 0
A x PERSONAL&AOV NJURY t 1&000,Id00
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000
PUtl GY LGG PROtauGTS G01hPN7PAGG s 2 008 000
OTHER, � a:t �v.�. x. 1u,000,.000
AUTOMOBILE UABIUTY cS:7Me4I EDS1NGY_Ea.IFAIT $,...
ANYAUTO
A . BQDILMtNIJRYFerrep) 6
ALL� SCHEDULED PK20160'0007674 4/20/2016 4/20,2)3-`?
a au
a B..W IWURY era ddem) S
NON?OINN 1 Ei. J AMAG'E� ••••
IgIRE�C7 ALIT[IS AUTO'S `P f. ,�� S.
UMBRELLA.L'IAB CIG!CtlR '... '.... EF.CH..OCCURFtE'NCf° $
EX4ES5 LMAty CLAIMS,MADE' AGGREGATFi..... $
RFTFNTN N'..
WORKER$COMPENSATION I."TpR,T'I '_xNi-
AND EMPLOYERS°LIASIt,ITY N
OFFICGrtr&l EMBEt X CL'40E'OP:CECUTiwr'E NIA' E.l..EACH ACGYDENT' E
(Mandatary In NN'D EL DISEASE EA EMKOYF.E S
If dcew%be under
PTf IQF PERAT1 N, law I.•.' Is t"I,,,'.:M... Is
1 Accident Medical 9907-1406 4,r20/2016 4J20/201-2 Limit $100K / $250 DED
ADO $25K
DESCRIfrTll]NY.7Ft:E^ERAYId7N51LGQ.'1'Tp17NS fVEHCCLES jA.GC7RG 1tl1,aLid�'.analRrw.nsa4et 9ehedwwde,may ba atCar,.V�edlE mire sparse iu regp�ur�dy
The Certificate holder is included as an additional insured, but only with
respect to the liability arising out of the negligence of the named insured. A.11
policy terms and conditions apply.
For use by associations of Clearwater Jr Tornados, Countryside Jr Cougars.
CERTIFICATE HOLDER wR AN
LgL
AT
City of Clearwater Parks SHOULD ANY OF THE ARCNE t]ESCRraCC PCkZIES 19F CANCELCE6 BEFORE
Recreation Risk Ma.rnagement THE EXPIRATION GA E T"HEREOF, NoTIcE wuL sE DELNE;RED IN
'..4T48
.C+.'S'enzc ACCOACCORDANCE W$THTHE.POLICY'PRGfSION;s
Clearwater, FL 337:58 AUTHORI7F.0 REPR UNTATI
01,,98 4 ACO7RtD CORPOATION.111 rights reserved.
AGO RO 25(2014101) The ACO RtD rlame and logo are registered marks of ACCRd:D