The URL can be used to link to this page

CERTIFICATE OF LIABILITY INSURANCE (10) ACC> CERTIFICATE OF LIABILITY INSURANCE oATE(MMIDD/YYYY) 02106/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO FIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES HOT 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 have ADDITIONAL INSURED provisions or 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 _.... NAME: American Specialty Insurance&Risk Services, Inc. PHONEFArAX_c,_nr®1• 260-969-4729 E-MAIL _.... .___... ........... ADIaREss; 7609 W.Jefferson Blvd„Suite 100 --—wlusullER(sJ AFFORDING COVERAGE NA€C Fort Wayne_ _ IN 46804 INSURERA: Arch Insurance Company 11150 INIS URE0 ...INSURER B` The PhIII€es ,. IN SURER.C'. Citizens Bank Park -- –— INSURER D One Citizens Bank Way INSURER E Philadelphia PA 19148-5248 INSURER F COVERAGES CERTIFICATE.NUMBER: 1001511158 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. =1Y POLICY Ei=1F POI.IB••.Y 1=7LP �_ _ LTR! TYPEOFINSURANCE POLICYNUM:BER !_MWDDfYYYYJ JMMIDDNYYY I LIMITS .X I COMMERCIAL GENERAL LIABILITY j EACH OCCURRENCE 1 s 2,000,000 a�, I CLAIMS MADE /ti. ]CCUR 9AMAGE TCJ RENTED_..— - ..... _.__.... ._ _J t. .) PREMISES fEa cccuREncE]TS 2,000,000 MED EXP(Any one person) Is Excluded_. --- A Y ISI SSCGL0002701 021011201810,210 1 12 0 1 9 PERSONAL&A]VINJURY�-S 2.000000 GEN'LAGGREGATELIMIT APPLIES PER ( ! —� { GENERAL AGGREGATE...... �S 4,000 000 v�/ ..-- X POLICY i. ] 3PE T L .,,. LOG - .... .. ....._ .........—.._. PRODUCTS-COMPJOPAGG (s 4,000,000 y� ..,., ----------- X, _ X,OTHER: EVENT ( i -- S .._....._ AUTOMOBILE LIABILITY _.... COMBINED SINGLE LIMIT c, 2.000,000 IES accidEnt) .. ANYAUTO - BOOILY INJURY(Per person) Is (JWNEt7.. -�SCHEDULED 1 _..... .......----- ._ A N N SSAUT0000901 0210112018 0210112019 BODILY INJURY(Per accidently$ AtJT6s ONLY i AUTOS E ..—.— AUTO ATOS ONLV] 'PROPERTY DP.h9AC,E l AUTOS ONLY AUTOS ONLY _ .LP�er amident) 5 ..' N-O+H AUTO LIABILITY S. 2,000,000 ..„UMBRELLA LIAR F t7CC.19R EACH OCCURRENCE $ EXCESS LIAR ... ,,... . �. ._L �CLA.IMS-MADE; AGGREGATE S -- DED ( .. RETENTVON S WORKERS COMPENSATION � PER ©TI. ANDEMPLOYERS'LIAB.ILITY YIN ANYPROPRIETORIPARTNER/EXECUTIVE '" N f A P L..EACI-B ACCIDENT C�FF'iCERtMEMBERE7tGLI1DED7 ,,,. ... ._ �...... (Mandatory In NHI - E.L.DISEASE-EA EMPLOYEE $ �It es,describe under � i ( ....... —. - i.._ ._ B SCRIPTION OF OPERATIONS below E.L..DISEASE.-POLICY LIMIT S 1 i DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD let,Additional Remarks Schedule,may he attached if more space is required). The Certificate Holder is only an Additional Insured with respect to the liability Caused by the negligent acts or emissions of the Named Insured. -All Automobile Physical Damage claims are subject to a$20,000 per occurrence:Self-Insured Retention(Collision,Comprehensive,Hired Auto Comprehensive,Hired Auto Collision). CERTIFICATE HOLDER CANCELLATION CITY OF CLEARWATER 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 0 BOX 4748 AUTHORIZED REPRESENTATIVE CLEARWATER FL 33758 P 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD a- CERTIFICATE OF LIABILITY INSURANCE DATEfRkalt7DY5YY7 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(les) must have ADDITIONAL INSURED provisions or be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER II,TO CT BHO WD Sports and Entertainment, LLC PHONE FAX 45 Executive gives , No extlz 516-327-200 7 (Aic.N.):516-327-2800 rAI Plainview NY 11803 A-MDDRLESS: INSURER(S)AFFORDING COVERAGE NAIC 9 1 SNSURERA-National Casualty Company 11991 INSURED PHILPHIL INSURER B!Allied World Assurance Co(U'&)inc, 19489 The Phillies Citizens Bank Park €NSURERC; One Citizens Bank Way INSURER D: Philadelphia PA 19148 MSURERE! INSURER F! COVERAGES CERTIFICATE NUMBER.,2124220534 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED F3E1,OW HAVE BEEN iSSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ?NIDICATED- 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 Tf,iE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POUCiES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY Pr'QC[-A!,'15' INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE j1MMfDUN POLICYNUMBER (XY MMJDDYYY'O LIMITS COMMERCIAL GENERAL.LIABILITY -,:ACI'OCCURRENCE AMAGE TO RENTED ,,XAiMSAAA0F QCUR PREMISES,E3 MED EX?IAny One person) $ PERSONAL&ADV INJURY $ .E.N't..AGGIREGATF LMIT APPLIES PER GENERAL AGGPLGA FE S POI .Y P Ro- L13C AU(� -,EICT PRODUCTS-COMPIOP $ �,"THER- $ a. AUTOMOBILE LIABILITY C(,M B 1 N E D S,I NGLE LIMIT $ ALTO '�NY A 80PILY INJURY'P€,perg/ie) :IWNED SCHEDULE D ALTOS ONLY AUTOS SOCILY INJURY(Psraa,•dent) Ib I!3REO NON-0,1ANED PROPERTY DAMAGE A,U T08 ONLy AU TOS ONLY Pr,.r uccidenl,' A UMBRELLA LIAS X OCCUR XK072A6200 2? 18 -,`!"2019 EACH OCaJRRFNCE a %0'000'000 X EXCESS LIAR CLAIMS MADE, IIGQREu ATF, $ 10,000 000 DED RETEN'TIONS a. v;—oRKrkiCOMPENSATION TIER CTI-- AND EMPLOYERS'LIABILITY YIN STATL,TE IFIR ,'kNYPP i, I- L.L.EACH ACCIDENT S 0 F F i C E R1 M F 9�B E R F.X Q'.UE"DFD? NIA i Ma nd arlory in NH} DISEASE-FA EMPLOYEE S closer be i navff _ZSCPIPTION F L.015EASE-POI.CY LIMIT $ A Excess bah-lity 2; 2018 2li2o'19 1-:1nit 0 0 0 0 0'x B Excess bal)[lity v �3�5-290 )8 2,11�2018 2;1:2019 I-IflA c.000,000 m'ciaqg DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES{ACORD 101,Additional Remarl;5 Schedule,may ba attached V more space S5 requiredl Carrier A(as shown in additional coverage section):$15,000,000 excess of primary$10,000,000 Carrier 6:$5,000,000 excess of$25M0L000 aLy of Ctearwater 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 ACCORDANCE WITH TH E POLICY PROVISION S. City of Clearwater Parks &Recreation Department Attn: Debbie Reid PO Box,4748 AUT H ORiZED REPRESENTATIVE Clearwater FL 33758 OL 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD PHILAPE-01 ]MBEN-[QN DATE(MMIDDTYYYYJ CERTIFICATE OF LIABILITY INSURANCE 01/29/2018 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 PR,ODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 NAME: Fairly Consulting Group,LLC PHONEFAX 1800 S.Washington,Suite 400 (AIC,No, Ext):(806)376-4761 (Aic,No):(806)376-5136 Amarillo,TX 79102 E-MAIL ADDRESS: INSURER(S)I AFFORDING COVERAGE NAIL# INSURER A.ACE American Insurance Company ,22667 j INSURED INSURER 8 The Phillies INSURER C One Citizens Bank Way INSURER D: Philadelphia,PA 19148 INSURER E: 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 iND;CAT ED, 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ADDLSUBR POLICY EFF POLICY EXP TYPE OF INSURANCE ..... POLICY NUMBER (MWDDfYY)M-JMMfO (YYYY1 LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea o=jrrancel $ MED EXP�Any one person; $ PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY JPERef LOC PRODUCTS,COMPIOP AGG S OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT !Ea accident) ANY AUTO BODILY INJURY(Per person) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY[Per accident) H1% NON-OWNED PROPERTYDAMAGE AU, I'S ONLY AUTOS ONLY 'Pea=dept) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE DED RETENTIONS $ A WORKERS COMPENSATION x PER OTH- ANDEMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETORYID WLRC64785394 02101/2018 0,210112019 1,000,000PARTNERIEXECuTiVE E L.EACH ACCIDENT $ OFFICERIMEMBER EXCL. N NIA IMandatory in NH) EL DISEASE-EA EMPLOYEE S 1,000,000 If yQs,describe under DESCRIPTION OF OPFQATC)'.-Cr h.. E L DISEASE_-POLICY1,000,000 A Workers Compensation WLRC64785424 02/0112018 0210112019 See Below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schodufe,may be attached if more space is required) 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 ACORD 25(2016103) @ 1988-2015 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID.PHILAPE-01 MBENTON LOC AC"R0 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Fairly Consulting Group, LLC The Phillies One Citizens Bank P 'Wad POLICY NUMBER A 1914 SEE PAGE 1 CARRIER NAIC CODE - SEE PAGE 1 SEE P 1 EFFECTIVE DATE: F ........... ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance WC Per Statute $1,000,000 E.L. Each Accident $1,000,0130 E.L. Disease—Policy limit $1,000,000 E.L. Disease—Each Employee Ii .............. ACORD 101 (2008101) (r-7,2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD