CERTIFICATE OF LIABILITY INSURANCE (2) CERTIFICATE OF LIABILITY INSURANCE 57:3�12 0 16
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA71ON 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. Ifthe certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, Subject to
the temrs and condftions of the policy� certain policies may require an endorsement A statement on this ceAffirate does not confer rights to the
certificate holder in liets of such endorsement(s),
Gagliardi Insurance Services, Inc. PHONE
2380 S. Bascom Ave- Suite 100 t-WIL sales0gsportsinsurance.com.
Campbell, CA 95008 6"Uss� INCURER�S) AFFORDING COVERAGE NA1C#
INSURERA�New Yo Marine & General Ins, 161508
INSURED Suncoast Youth Football Confazeace, Inc. IMSUAERB rederal Insurance Company -20-281
Palm Harbor, FL 34683 INSURER D'
727-458-8995 INSUR�RE_!
COVERAGES CERTIFICATE NUMBER REMSION NUUBER.
THIS 0 To CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW RAVE BEEN ISSUED TO THE:INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRA07 OR:OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO'ALL THE TERMS,
EXCI_UsONS AND CONOiTIONSOF SUCH POLICIES,LIMITS SHOWN MAYHAVE BEEN REDUCED SYPAIC CLAJMS,
LTR TYPE OF INSURANCE .2iu POLICY Ert POLICY EXPC_
X COMMERCIAL 0ENEIRAL LIABILITY VLM- eQzVUWMER.. (MM/DU==) IMMIDD�= EACH OCCURRENCE LIMrTS$ 1 000'000—
'L AGGREGATE LIMFTAPPLIES PER, GENERAL AGGREGA7E , 5,000,000
POLICY[D PRO- [D LOC
ALL CMFD SCHEDULED
A AUTOS AUTOS BODILY INJURY(Per accIdmt) S
NON-OWNED PROPERTY UA—MAGE
HIRED AUTOS AUTOS $
P — $
WORKERSQOMPENSATION
ANY PROPMETOPJPAPTNER;EXEOUTEV�
BlAccident Medical 9907-1406 4/20/2016 412 012 0 17 Limit $100K / $250 DED
AD&D $25K
DESCRIPMON OF OPERATIONS e LOCATIONS�VEHICLES
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.
iFor use by as,sociations of Clearwater Jr Tornados, Countryside Jr Cougars-
CERTtRr
,,A CANCELLATIQN
HOLDER
City of Clearwater Parks & SHOULD ANY OF THE ABOVE DESCRMED POLICIES RE CANCELLED BEFORE
Aecreation Risk Management THE EXPIRATION DATE THEREOF, N0TjCE WILL BE DEUVERED IN
P.O.Box 4748 ACCORDANCE WITH THE POLICYPROASONS.
Clearwater, FL 33758 AUTHOR12FD REPRA-,ENTATI
C�L M!�s
(