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Page 1 of 1 <br /> 5 <br /> Issue Date: <br /> CERTIFICATE OF INSURANCE 1/20/2009 <br /> Producer THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> Callrish Insurance Services CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE <br /> Dalton Brown AFFORDED BY THE POLICIES BELOW. <br /> 3736 Mt Diablo Blvd 301 <br /> Lafayette,CA 97549 INSURERS AFFORDING COVERAGE <br /> 877-345-4309 <br /> Insured: INSURER A: National Casualty Company <br /> United States Specialty Sports Association INSURER B: <br /> 611 Line Drive INSURER C: <br /> IGssimmee, FL 34744 INSURER D: <br /> 321-697-3641 INSURER E: <br /> COVERAGES <br /> The policies of insurance listed below have been issued to the Insured named above for the policy period Indicated.Not withstanding any <br /> requirement,term,or condition of any contract or other document with respect to which this certificate may be issued or may pertain,the <br /> insurance afforded by the policies described herein is subject to all the terms,exclusions and conditions of such policies.Aggregate limits <br /> shown may have been reduced by paid claims. <br /> Type of Insurance Policy Number Policy Policy Limits <br /> Effective Date Expiration Date <br /> A General Liability KR00000000525300 1/1/2009 1/1/2010 Each Occurrence $2,000,000 <br /> Commerce'General llabalaty Damage to Rented Premisee(ea occ) $1,000,000 <br /> Occurrence Basis Med Exp(any one person) $Excluded <br /> General Aggregate $None <br /> Personal and Adv Injury $2,000,000 <br /> pmducte-Com p.'OPAgg $2,000,000 <br /> Participant Legal Liability $2,000,000 <br /> Description of operations/vehicles/exclusions added by endorsements/special provisions: <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 <br /> caused by the negligent acts or omissions of the named insured and only with respects to losses resulting from amateur <br /> play and practice during USSSA sanctioned activities occurring between the coverage effective date listed below and the <br /> policy expiration date. <br /> Certificate Holder. Coverage Effective Date: 11/20/2009 1:46:00 PM <br /> Cancellation: Should any of the above described policies be <br /> City of Everett cancelled before the expiration date thereof,the issuing insurer <br /> Cory Rettenmier will endeavor to mail 30 days written notice to the certificate <br /> holder named to the left, under Certificate Holder, but failure to do <br /> 802 Mukilteo Blvd so shall impose no obligation or liability of any kind upon the <br /> Everett WA 98203 insurer, its agents or represenatives. <br /> Certificate# USSSA-72752 Authorized Represenatives: <br /> Insure-pad Insurer B <br /> 4 5 <br /> http://www.usssa.com/sports/IC.asp?Seqno=873421B0-BC6D-4F4E-BADA-7928D 1E09CC5&Ce... 1/20/2009 <br />