2014-435 Finance - Ligo Dojo - Outside Agency Performance Agreement $2,000

Browse Search

CERTIFICATE OF LIABILITY INSURANCE DATE 12/3012/2 O0(30YYW) 13 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 INSURER(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 CONTACT FRANCIS L.DEAN&ASSOCIATES OF FLORIDA, LLC. NAME: 6027 SW 54TH ST STE 200 PHONE Ext: (877)671-3326 FaAic No: (352)854-6380 OCALA, FL 34474-5547 E-MAIL infofl @fdean.com www.fdeanfl.com ADDRESS: (877)671-3326 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: United States Fire Insurance 21113 INSURED SPORTS AND RECREATION PROVIDERS ASSOCIATION(PURCHASING GROUP)AND INSURER B: ITS PARTICIPATING MEMBERS INSURERC: Society for the Betterment of the Human Condition through the INSURERD: Training, Instruction and Propagation of Budo Karate 2518 Millwood Court Apt A INSURERE: Chapel Hill, NC 27514 INSURERF: COVERAGES CERTIFICATE NUMBER: USP135775 REVISION NUMBER: 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 BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MMIDDIYYY MMIDDIYYYY GENERAL LIABILITY GENERAL AGGREGATE $1,000,000.00 PGEN'L COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $1,000,000.00 CLAIMS-MADE 7 OCCUR PERSONAL&ADV INJURY $1,000,000.00 A X SRPGP-101-0413 12/30/2013 12/301 AM EACH OCCURRENCE $1,000,000.00 12:01 AM 12:01 AM FIRE DAMAGE(Any one fire) $300,000.00 AGGREGATE LIMIT APPLIES PER MED EXP(Any one person) $0,00 PRO- X POLICY JECT LOC AUTOMOBILE LIABILITY EOa aBDiSINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTO NON-OWNED PROPERTY DAMAGE AUTOS Per acadent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION $ EACH OCCURRENCE $ GENERAL AGGREGATE $ EACH OCCURRENCE $ GENERAL AGGREGATE $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) The certificate holder is added as additional insured but only with respect to liability arising out of operations of the named insured during the policy period. Martial Arts Activities CERTIFICATE HOLDER CANCELLATION Orange County Government SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED PO BOX 8181 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Hillsborough, NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Francis L. Dean ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD