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12/8/2017 web.usssa.com/sports/IC.asp?A=332186&B=242998 <br /> CERTIFICATE OF INSURANCE I Issue Date: 11/30/2017 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(s),AUTHORIZED REPRESENTATIVE <br /> 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 <br /> 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 <br /> such endorsement(s). <br /> Producer: INSURERS AFFORDING COVERAGE <br /> EPIC Brokers INSURER A:National Casualty Company <br /> License No. OB29370 INSURER B:National Casualty Company <br /> P.O.Box 13847 INSURER D: <br /> INSURER D: <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 <br /> 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 <br /> 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. <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 KR00000007148300 1/1/2018 1/1/2019 Each Occurrence$2,000,000 <br /> Occurence Basis Damage to Rented Premises(ea occ)$300,000 <br /> Med Exp(any one person)$Excluded <br /> General Aggregate$None <br /> Personal and Adv Injury$2,000,000 <br /> Products-Comp/OP Agg$2,000,000 <br /> Participant Legal Liability$2,000,000 <br /> B Excess Liability y N XK00000007148400 1/1/2018 1/1/2019 EachOccurrence$1,000,000 <br /> Aggregate$1,000,000 <br /> DESCRIPTION OF OPERATIONS I 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 <br /> omissions of the named insured and only with respects to losses resulting from amateur play and practice during USSSA sanctioned activities occurring <br /> between the coverage effective date listed below and the policy expiration date. <br /> Certificate Holder: I Coverage Effective Date: 1/1/2018 <br /> City of Everett CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED <br /> 802 Mukilteo Blvd IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Everett WA 98203 <br /> Certificate# USSSA-332186-242998 Authorized Representatives: �-I <br /> http://web.usssa.com/sports/IC.asp?A=332186&B=242998 2/2 <br />