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i <br /> ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE:10/17/2016 <br /> PRODUCER: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE <br /> DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br /> Chappell Insurance Agency, Inc. POLICIES BELOW. <br /> 25807-A Cox Road <br /> Petersburg, VA 23803 <br /> (804) 733-2020 <br /> INSURED: INSURERS AFFORDING COVERAGE <br /> Nations Baseball Tournament Association, Inc. INSURER A: Nationwide Mutual Insurance Company <br /> 216 Statesville Blvd. INSURER B: Hartford Life and Accident Company <br /> Salisbury, NC 28144 USA INSURER C: <br /> INSURER D: <br /> TEAM NAME: Florida Dodgers Blue INSURER E <br /> COVERAGE'S <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br /> PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> POLICY <br /> EFFECTIVE <br /> INSR ADDL POLICY DATE POLICY EXPIRATION <br /> LTR INSD TYPE OF INSURANCE NUMBER (MM/DD/YYYY) DATE(MM/DD/YYYY) LIMITS <br /> A GENERAL LIABILITY EACH OCCURRENCE $2,000,000.00 <br /> DAMAGE TO RENTED <br /> X X COMMERCIAL GENERAL LIABILITY RPG272375 01/01/2016 01/01/2017 PREMISES(EA OCC) $300,000.00 <br /> CLAIMS MADE MED EXP(Any one person) EXCLUDED <br /> X OCCUR PERSONAL&ADV INJURY $2,000,000.00 <br /> AGGREGATE PER TEAM $5.000,000.00 <br /> PRODUCTS-COMP/OP AGG $2,000,000.00 <br /> PARTICIPANT LEGAL LIAR. $2,000,000.00 <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) $ <br /> BODILY INJURY <br /> ALL OWNED AUTOS (Per Person) $ <br /> BODILY INJURY <br /> SCHEDULED AUTOS (Per Accident) $ <br /> PROPERTY DAMAGE <br /> HIRED AUTOS (Per Accident) $ <br /> NON-OWNED AUTOS <br /> GARAGE LIABILITY AUTO PNLY-EA ACC $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY AGG $ <br /> B SECONDARY PARTICIPANT ACCIDENT 36-SB-206418 1/1/2016 1/1/2017 AD&D $5,000.00 <br /> Excess Accident Medical Expense $100,000.00 <br /> Deductible $250.00 <br /> Benefit Period 52 Weeks <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> The county shown as a certificateholder is an additional insured as respects the insureds negligence resulting from the insureds' usage of owned or <br /> controlled premises of the certificateholder.The additional insured status only applies during such times that the insured is utilizing said premises. <br /> Coverage effective from: 10/17/2016 - 01/01/2017 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> Indian River County Commissioners BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL <br /> 1801 27th Street ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE <br /> HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO <br /> Vero Beach, FL 32960 OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS <br /> OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> Certificate Number: Nations-BB-50-051855 iT' <br />