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_ , <br />ACORD CERTIFICATE OF LIABILI TY INSURANCE eileizooa <br />PROOUCSa THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Bollinger, Inc. ONLY AND CONFERS Np RIGHTS UPON THE CERTIFICATE <br />lol JFK Parkway HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Sh <br />t Hill <br />NJ 07078-5000 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />or <br />s, <br /> INSURERS AFFORDING COVERAGE <br />Phone No. 800_-52_6-1_374 Fax No. 973-921-2876 <br />~ ~ ~ <br />INSURED INSURER A: Markel In9UranCe Company <br />Amateur Softball Aa6ociatioa and Members pf the ASA INSURERS: Markel Insurance Company <br />JO SoCal InBiv Reg Bmgram .~_..... ___-_-__.____._,_-_...__.-__..______..__.._..._-...-..-___~ <br />Phil Gutierrez INSURERL: Everest National Iasurance Compare <br />PO Ho% 5026 INSUAER D: <br />Oceanside CA 92052 WSURER E: <br />COVERLC.FS <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REOUIREMEN7, TERM OR CONDITION OF ANY CDNTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED.HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID-0LAIMS. <br />~ <br />INSR TYPE OF INSURANCE POLICY NUMBER R YEFF POLICY EIIPIRgTION LIMITS <br /> GENERAL LMBILITY 36D2AHZ3DO68 <br />I <br />01 /01 /O8 <br />01/01/09 EACHOCCURRENCE $ Z, OOO, DDD <br />A X COMMERCIAL GENERAL UACILITY ; FIRE DAAUGE(Mry aAa fire) 5 3DD, DDD <br /> CLAIMS MADE ~ DCCUR i MED E%P Myonaperaonl $ 1D., DDD <br /> I $0 Deductible <br /> FERSONQ SADV INJURY f 2.000, DDD <br />' A g Participant Liable I i GENERAL AGGREGATE s 5, 000 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: I ! PRODUCTS-COMP/OP AGG f 2, DDD, DDD <br /> POLICY ;PRO- LOC <br /> Aur <br />-- osomLE l.wBIUTY i <br />COMBINED SINGLE LIMIT <br />$ <br /> __ ANY AUTO ;. lES ecWanp ' <br /> <br />ALL OWNED AUTOS <br />I <br />I <br />BODILY INAIRV -_ <br /> <br />f <br /> ~ SCHEDULEPAUTOS i IPofpeno^) <br /> HIRED AUTOS ~ ~ BODILY INAIRY <br />S <br /> NON-0WNED AUTOS I 1PoraweenQ <br /> { <br />PROPERTY DAMAGE <br /> f <br /> <br />M4 (Per acdoanD <br /> DAMGE LIABILITY ~ ` I AUTO ONLY-EA ACGDENT S <br /> ANY AUTO ~ ~ j <br />I EA ACC <br />OTHER THAN $ <br /> ' AUTOONLY: AOD S <br /> E%CESS OABILITY <br />~iciDOOOl3-Dn I <br />01/01/08 <br />01/01/09 EACH OCCURRENCE j f 3, OOOy DDD <br />C - I OCCUR CLAIMS MADE 4 <br />! AGGREGATE S 3, DDD, DDD <br /> Umbrella Form ! s <br /> I DEDDCTIBLE <br />~ { $ <br /> RETENTION $ 1 E <br /> WORKERS COMPENSATIONAND TA <br /> EMPLpYER$'LIABIDTY <br />E.L EAGI ACCIDENT - - - - <br />f <br /> E.L DISEASE-. EA EMPLOY ; <br /> E.L. DISEASE-POLICY LIM17 - f <br /> Acei dent Medical 4102AH220317 . Ol/Ol./OB' Ol/Ol/O9 Ned Max. $250,000 <br />B <br /> Full Excess <br />DESCRIPTION OF OPERATIONSA.OCATIONSNEHICLESIE%CWSIONS ADDED BY DIDORSEMENp$PECULPROVISIDN9 <br />Coverage applies to liability of the named inaured arising out of the administration, play or <br />practice of amateur softball. Certificate holder is named as an additional inaured. This <br />certificate is issued on behalf of: FOUntain Valley Girls Pastpitch Softball <br />' of Seater Ana, its officers, agenta,ea~lOyee SHOULD ANYOF 7HEABOVE DESCRIBED POLICES BE CANCELLED HEFORE THE E%PIRATON <br />vo111ateera 8r6 named ae additioaal inaUredB DATE 1HEREOF, THE ISSUxG INSURER WILL ENDEAVOR TO MNL 3 ~ DAYS WRITTEN <br />ay shall be Drimaxy aad nOa COatribatOry t0 NOME TO THE CERRFlCATE HOLDER NAMED TO THE LEFT. BUT FAILURE To. Do SO SHALL <br />'S8nCe Or 891E ineureaCe carried by IMPOSE NO OBLIWTION oR LIA&LITY OF ANY KING UPON THE INSURER IT9 AO[NTS OR , <br />city Of seats Ana .... REPNESENTATIVES. <br />