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SNIDE-2 OP ID: CS <br />'4� o CERTIFICATE OF LIABILITY INSURANCE <br />DATE 012016Y) <br />06/20/2016 <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 <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />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 <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Cooper Insurance Service, Inc <br />Playground Book <br />P.O. Box 638 <br />Lapel, IN 46051 <br />CONTACT Steve B. Carraway <br />NAME: <br />n"c°N Eae:765-534-3152 ac No): 765-534-2067 <br />E-MAIL <br />ADDRESS: <br />INSURERS) AFFORDING COVERAGE <br />NAIC# <br />Steve B. Carraway <br />INSURER A: Scottsdale Insurance Co. <br />41297 <br />INSURED Snider Recreation, Inc. <br />10139 Royalton Rd, Ste K <br />INSURER B: <br />Cleveland, OH 44133 <br />INSURER C: <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: RFVI.CInM NI IMRI:P- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCEINSO <br />ADDLrUBRPOLICY <br />POLICY NUMBER <br />EFF <br />MM/DDIYYYY <br />POLICY UPLTR <br />MMIDD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE aOCCUR <br />RBH0000626 <br />06/23/2016 <br />06/23I2017 <br />EACH OCCURRENCE <br />$ 1,000,00 <br />PREMISES Eacccunence <br />$ 100,00 <br />MED EXP(Any one person) <br />$ 1,00 <br />PERSONAL S ADV INJURY <br />$ 1,000,00 <br />GEN'L <br />AGGREGATE U MIT APPLIES PER: <br />POLICY JET LOC <br />OTHER: <br />GENERALAGGREGATE <br />S 2,000,00 <br />PRODUCTS-COMP/OP AGG <br />E 2,000,00 <br />Prof Liab <br />$ 1,000,00 <br />MOBILELIABILITY <br />LLOWNED SCHEDULED <br />UTOS AUTOS <br />AUTOS NON -OWNED <br />AUTOS <br />COMBINED SINGLE LIMIT <br />Ea accidentNYAUTO <br />$ <br />BODILY INJURY(Per person) <br />$ <br />FHIRE <br />BODILY INJURY Per accident <br />( )D <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />UMBRELLA LWB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEO I <br />I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? ❑NIA <br />(Mandatory In NH) <br />If Yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE -EA EMPLOYE <br />$ <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required) <br />For Informational Purposes <br />Only <br />FIPOCLO <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />© 1988-2014 <br />TION. All riahts reserved <br />ACORD 25 (2014101) <br />The ACORD name and logo are registered marks of ACORD <br />