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<br />,.. -' <br /> <br />rage;; L U.L L <br /> <br />I.UO:lWJ.(..UI.~"" ........""'iW....o:Ihll <br /> <br />IACORDTMCERTIFICATE OF LIABILITY 01/08/2009 <br />INSURANCE <br />PRODUCER HIS CERTIFICATE IS ISSUED AS A MAnER OF <br />Bollinger, Inc. NFORMATION ONLY AND CONFERS NO RIGHTS UPON THE <br />101 JFK Parkway CERTIFICATE HOLDER. THIS CERTIFICATE DOES NO' <br />Short Hills, NJ 07078.5000 !AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED B~ <br />IrHE POLICY BELOW. <br />Phone Number 800-526-1379 Fax No. 973-921-2876 INSURERS AFFORDING COVERAGE <br /> NSURER A. Markel Insurance Comoanv <br />NSURED NSURER B. Markel Insurance Company <br />Amateur Softball Association and NSURER C. Everest Nat.. Insurance Company <br />Members Of ASA JO SoCallndiv Reg Program <br />Phil GutierreZ INSURER D. <br />PO Box S028 <br />Oceanside CA 92052 NSURER E. <br /> <br />COVERAGES <br /> <br />ITHE POLICIES OF INSURED LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLIC'I <br />PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE <br />AFFORDED BY THE POLICY DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS Of <br />UCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN PRODUCED BY PAID CLAIMS. <br />INSR frvPE ef INSURANCE POLICY E..!CTIV! POUCY <br /> peLlCY NUMBER DATI! E'~~":;';'~~, ~~TE UMITS <br />LTR 'MM"..",yv\ MM DD YV <br /> EACH ~ 2,000,000 <br /> OCCURRENCE <br /> IGENERAL UABIUTY FIRE DAMAGE (Any ~ 300,000 <br /> lone flrel <br /> ~OMMERCIAL GENERAL LIABIUTY MED EXP (anyone <br /> DCLAIMS MAOEI!!IOCCUR !Person, non- \$ 10,000 <br /> 0 IOarticioants onlvl <br />A I; PartlciDant Uabllitv 602AH230069 01/01/2009 01/01/2010 <br /> [GEN'L AGGREGATE UMIT APPUES PER PERSONAL & ADV $ 2,000,000 <br /> NJURY <br /> PPOUCYDPRO-JECTDLOC [GENERAL $ 5,000,000 <br /> !AGGREGATE <br /> IPROOUCTS - 2,000,000 <br /> '-OM plOP AGG <br /> ~~MBINED SINGLE <br /> D~TOMOBILE UABIUTY MIT <br /> ANY AUTO each accident) <br /> DALLOWED AUTOS I~~DILY I~~~RY <br /> DSCHEDULEO AUTOS er Derson <br /> "i-HIRED AUTOS BODILY INJURY <br /> o NON-ALLOWEO AUTOS Irper accident' <br /> 0 PROPERTY <br /> :J DAMAGE <br /> 'oer accident) <br /> UTO ONLY - EA $ <br /> GARAGE LIABILITY CCIDENT <br /> THER <br /> DANY AUTO HAN EA Ace <br /> 0 <br /> UTO AGC <br /> NLY <br /> XCESS LIABILITY ACH OCCURANCE 3 000 000 <br /> iii OCCUR 0 CLAIMS MADE GGREGATE 3 000 000 <br />C Umbrella Form 71Gl000013 01/01/2009 01101/2010 $ <br /> g DEOUCTIBLE <br /> RETENTION $ <br /> we <br /> " '.) \.!Vi STATU- OTH- <br /> \ /1.9t TORY ER <br /> ,,,;/.1 J /1- UMITS <br /> ~ORKERS COMPENSATION AND (~ .L. EACH <br /> EMPLOYER 's LIABIUTY f'\/\I'" '."---" CCIDENT <br /> E.L. DISEASE - EA <br /> ., MPLOYEE <br /> E.L. DISEASE. <br /> POUCY LIMIT <br /> ~THER 102AH22031J Med Max. $250.000 <br />B Accident Medical 01/0112009 01/0112010 524Week Benefit Period <br /> Full Excess <br /> <br />file://C:\Documents and Settings\lsheedy\Local Settings\Temporary Internet Files\Content.... <br /> <br />1/8/2009 <br />