Procession - Hoosier Hikers - Laserfiche WebLink

Home Browse Search

DATE (MMroorYYYY) CERTIFICATE OF LIABILITY INSURANCE 6/22/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE. OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE.R(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 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 may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1NAMPOT Frazier Insurance Agency, Inc. Frazier Insurance Agency, Inc. P.O Box 1250 Midlothian, VA 23113-1250 FAX (Arc. No, EAL (804) 754-7610 1 wc. Noy (804) 754-7613 E-MAiL ADDRESS- ifrazi INSURER(S) AFFORDING COVERAGE INSURERA: United States Fire Insurance Company NAIL N 21113 INSURED 211 l 3 Spoils &RecrealionProviders Assn. Risk Management.Inc , INSURERB:United States Fire Insurance Company INSURERC: American Volksspori.Association, Inc, 1001 Pat Booker Road, Suite 101 INSURERID_ Universal City, TX 78148 INSURERE. INSURERF: COUERRGES CERTIFICATENUMBER`. REVISION NUNh3ER: . 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 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 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE REEN REDUCED BY PAID CLAIMS- ISR rR ,TYPE OF INSURANCE '. .. ACDL INSR 5UBR WVD POLICY NUMBER POLICY GFF (MIAJDDlYYYY) POLICY EXP (MwC`OfYYYY) LIMITS A GENERAL LIABILITY X COVAAaEFFCInLGENERALua&LITY CLAIMS -MADE Fx] OCCUR.. - SRPGP-101-0716 01/01/2017 01/01/2018 12:01 AM GENERA(_ AGGREGATE $ 2,000,000.00 PRODUCTS • COMPIOP AGG g 2,000,000.00 PERSONAL& ADV INJURY $ 1,000,000.00 EACH OCCURRENCE s 1;a00.a0o.00 K INCLUDES ATHLETIC PARTICIPANTS FIRE DAMAGE (Any one fire) $ 300,000,00 GEMLAGGREGATE LIMIT APPLIES PER: X POLICY IPE� LOG MED EXP (Any one person) $ : 000,00 $ AUTOMOBILE .. LIABILITY AtKAUTO ALLOWNEO -SCHEDULED AUTOS AUTOS HIREOAUTO NON -OWNED AUTOS COMBINED SINGLE LIA9T (Ea acddcm) $ BODILY INJURY (Per pefsonl $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE (P—Oddem) - UMBRELLALIAIR EXCESS LIAR OCCUR CLh1ASS-MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION 5 $ $ B Accident/Medical US506352 01/01/2017 01/01/2018 12:01AM MAXIMUM MEDICAL BENEFIT ADBD I 5 10,000.00 $ 2,500,00 Per Claim DESCRIPTION OF OPERATIONS f LOCATIONSIVEHICLES (AltachACORD 101, AddilionalRemarksSchedule,if more space is required) POLICY DEDUCTIBLE: $0.00 PER EACH BODILY INJURY OR PROPERTY DAMAGE CLAIM, Event: Walk Location: South Bend, IN Date: 10/22/17 Club: Hoosier Hikers Certificate Holder is An Additional Insured, But Only As Respects The operations Of The Named Insured. CERTIFICATE HOLDER CANCELLATION South Bend Venues, Parks & Arts 321 B. Walter St. South Bend, IN 46614 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE John W (Frazier 0 1988-2010 ACORD CORPORATION. All rights reserved. 7D 26 (2010105) Thp Af .nPn names and Innn ara raniafamrl mnrkc of Al nPn