CERTIFICATE OF INSURANCE | Issue Date: 3/5/2018 |
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 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 condistions 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: EPIC Brokers License No. OB29370 P.O.Box 13847 Sacramento CA 95853 888-880-3602 Email: insurance@usssa.com | INSURERS AFFORDING COVERAGE
INSURER A: National Casualty Company INSURER B: National Casualty Company INSURER C: Nationwide Life Insurance Company INSURER D: INSURER E:
| Insured: United States Specialty Sports Association 5800 Stadium Parkway Melbourne, FL 32940 800-741-3014 |
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Coverages: |
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. |
INSR LTR | Type of Insurance | ADDL INSD | SUBR WVD | Policy Number | Policy Effective Date | Policy Expiration Date | Limits | A | Commercial General Liability Occurence Basis | Y | N | KRO0000007148300 | 1/1/2018 | 1/1/2019 | Each Occurrence $2,000,000 Damage to Rented Premises(ea occ) $300,000 Med Exp (any one person) $ Excluded General Aggregate $ None Personal and Adv Injury $2,000,000 Products - Comp/OP Agg $2,000,000 Participant Legal Liability $2,000,000 | B | Excess Liability | Y | N | XKO0000007148400 | 1/1/2018 | 1/1/2019 | Each Occurrence $1,000,000 Aggregate $1,000,000 | C | Participant Accident | | | SPX0000028519100 | 1/1/2018 | 1/1/2019 | AD&D $ None Primary Medical $ None Excess Medical $100,000 Weekly Indemnity $ None |
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DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule may be attached if more space is required) Coverage includes amateur play and practice in the insured sport for : 8U Cyclones BBboys8-MP-AAA - [2018-9184302620008] Certificate holder shall be an additional insured but only with respect to liability caused by the negligent acts or omissions of the named insured and only with respect to losses resulting from the team / league listed and occurring between the coverage effective date listed below and the policy expiration date.*$500.00 Deductible for excess medical
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Certificate Holder: | Coverage Effective Date: 3/5/2018 12:39:00 PM |
8U Cyclones Saul Kittelson 8901 NE 89th St. Kansas City MO 64157
| CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. |
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Certificate # USSSA-339975 Authorized Representatives: |
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