HomeMy WebLinkAboutInsurance Certificate: United States Figure Skating Association
CERTIFICATE OF INSURANCE 10/21/2008
PF:JDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
,%merican Specialty Insurance & Risk Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND, OR
142 North Main Street ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW.
Roanoke, Indiana 46783
INSURED INSURERS AFFORDING COVERAGE
'ted States Figure Skating Association 9 INS. A: Philadelphia Indemnity Insurance Company
irst Street INS. B:
-,)lorado Springs, CO 80906 INS. C:
ASHLAND PARKS & RECREATION SS
340 S PIONEER ST
ASHLAND, OR 97520
CERT NUMBER: 1000711033
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOT WITHSTANDING 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 CONDITION OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INS POLICY POLICY POLICY
LTR TYPE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS
General Aggregate 3,000,00,
GL PHPK325020 07/01/2008 07/01/2009 Prod ucts-Com leted Operations Aggregate 3,000,00
.'A Personal and Advertising In'ur 1,000,001
12:01 a.m. 12:01 a.m. Each Occurrence 1,000,00,
Damage to Premises Rented to You An One Premises 100,00
Medical Expense Limit An One Person Exclude
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
The Certificateholder is only an additional insured with respect to liability caused by the negligence of the Named Insured as per Form PI-AM-002- Additional Insured - Certificateholders
as respects to the United States Figure Skating Association 2008 Basic Skills Member Club Program from July 01, 2008 through June 30, 2009.
CERTIFICATE HOLDER CANCELLATION
DAREX ICE RINK SHOULD ANY OF THE ABOVE DESCRIBED
340 S PIONEER ST POLICIES BE CANCELED BEFORE THE
ASHLAND, OR 97520 EXPIRATION DATE THEREOF, THE ISSUING
COMPANY WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE
HOLDER, BUT FAILURE TO MAIL SUCH NOTICE
SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS
AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE