CERTIFICATE OF INSURANCE (008)
COMPANIES AFFORDING COVERAGES
BOLLINGER'
499 Bloomfield Av en ue COMPANY A NATIONAL UNION FIRE INS. CO.
LETTER
Montclair, NJ 07042
COMPANY B
LETTER
NAME AND ADDRESS Of INSURED C
AMATEUR SOFTBALL ASSOCIATION of AMERICA COMPANY
LETTER
Insured L~ague: CLEARWATER BOMBERS 0
COMPANY
LETTER
No. of Teams: 1 Cert. #G8112 COMPANY E JD\~
LETTER
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time, Notwithstanding any reCij/i!'etner , r onditi n
of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the polici ~ed\bllrMr subject to all t e
terms, exclusions and conditions of such policies, ,\ \
Limits 0 iability in Thousan 5 )
EACH
OCCURRENCE
TYPE Of INSURANCE
POliCY
EXPIRATION DATE
AGGREGA E
POliCY NUMBER
GENERAL LIABILITY
X] COMPREHENSIVE FORM
A 0 PREMISES-OPERATIONS
o EXPLOSION AND COLLAPSE
HAZARD
o UNDERGROUND HAZARD
o PRODUCTS/COMPLETED
OPERATIONS HAZARD
o CONTRACTUAL INSURANCE
o BROAD FORM PROPERTY
DAMAGE
o INDEPENDENT CONTRACTORS
o PERSONAL INJURY
BODILY INJURY
S9949830-A
12-31-84
PROPERTY DAMAGE
$
$ 1, 000
AUTOMOBILE LIABILITY
o COMPREHENSIVE FORM
DOWNED
o HIRED
o NON-OWNED
BODILY INJURY
(EAC H PE RSON)
SODIL Y INJURY
(EACH ACCIDENT)
PROPERTY DAMAGE
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
EXCESS LIABILITY
o UMBRELLA fORM
o OTHER THAN UMBRELLA
FORM
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
WORKERS' COMPENSATION
and
EMPLOYERS' LIABILITY
OTHER
(EACH ACCID NT)
DESCRIPTION Of OPERATlONS/LOCATlONSNEHICLES Amateur Softball - Coverage appl ies to ASA registered teams only.
Provides coverage for injury or death to players only if accident pOlicy is in force.
CITY OF CLEARWATER is included as an additional insured, applicable to the use of the
fi e 1 d b the named insured.
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail -lO- days written notice to the below named certificate holder, but failure to
mail such noticeshall impose no obligation or liability of any kind upon the company,
NAME AND ADDRESS OF CERTIFICATE HOLDER,
CITY OF CLEARWATER
,