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2/5/2021 web.usssa.com/sports/IC.asp?Seqno=005CB53C-4364-4A62-8E9E-F2EF22397178&Cert=0 <br /> CERTIFICATE OF INSURANCE <br /> I Issue Date:2/4/2021 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT <br /> AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT <br /> CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(s),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> Important:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies <br /> may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> Producer: INSURERS AFFORDING COVERAGE <br /> EPIC Brokers INSURER A:Scottsdale Insurance Company <br /> License No.OB29370 INSURER B: <br /> P.O.Box 13847 INSURER : <br /> D <br /> INSURER : <br /> Sacramento CA 95853 INSURER E: <br /> 888-880-3602 Email: insurance@usssa.com <br /> Insured: <br /> United States Specialty Sports Association <br /> 5800 Stadium Parkway <br /> Melbourne,FL 32940 <br /> 800-741-3014 <br /> Coverages: <br /> 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 <br /> 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 <br /> and conditions of such policies.Limits shown may have been reduced by paid claims. <br /> INSR ADDL SUBR Policy Policy <br /> LTR Type of Insurance INSD WVD Policy Number Effective Expiration Limits <br /> Date Date <br /> A Commercial General Liability y N KRS0000008644900 1/1/2021 12:01:00 AM 1/1/2022 12:01:00 AM Each Occurrence$2,000,000 <br /> Occurrence Basis Damage to Rented Premises(ea occ)$300,000 <br /> Med Exp(any one person)$Excluded <br /> General Aggregate$5,000,000 <br /> Personal and Adv Injury$2,000,000 <br /> Products-Comp/OP Agg$2,000,000 <br /> Participant Legal Liability$2,000,000 <br /> Sexual Abuse&Molestation(Per Occurrence)$1,000,000 <br /> Sexual Abuse&Molestation(Aggregate)$2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule may be attached if more space is required) <br /> Coverage includes amateur play and practice in the insured sport for:City Of Everett <br /> The Field/Facility Owner shown as the certificate holder shall be an additional insured but only with respects to liability caused by the negligent acts or omissions of the named insured and only <br /> with respects to losses resulting from amateur play and practice during USSSA sanctioned activities occurring between the coverage effective date listed below and the policy expiration date. <br /> Certificate Holder: I Coverage Effective Date:2/4/2021 9:17:00 PM <br /> City Of Everett CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br /> THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 802 Mukilteo Blvd <br /> Everett WA 98203 <br /> Certificate# USSSA-425138 Authorized Representatives: 4rirrt1-1-"Lai <br /> web.usssa.com/sports/IC.asp?Seqno=005CB53C-4364-4A62-8E9E-F2EF22397178&Cert=0 1/1 <br />