• Certificate of Insurance

    Issue Date:
    {{cert.certificate[0].pretty_coverage_effective_date}}
  • Producer:
    James C Jenkins Ins Srvc Concd
    License No. 0545478
    P.O.Box 5668
    Concord CA 94524
    888-880-3602     Insured:
    United States Specialty Sports Association
    5800 Stadium Pkwy
    Melbourne, FL 32940
    800-741-3014
    THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
    INSURERS AFFORDING COVERAGE INSURER A: National Casualty Company
    INSURER B: Nationwide Life Insurance Company
    INSURER C:
    INSURER D:
    INSURER E:
  • COVERAGES
  • 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 conditions of such policies. Aggregate limits shown may have been reduced by paid claims.
    INSR
    LTR    		 Type of Insurance Policy Number Policy
    Effective Date    		 Policy
    Expiration Date    		 Limits
    A General Liability KRO0000002669100 2/1/2012 8/1/2012 Each Occurrence $2,000,000
    Commercial General Liability Damage to Rented Premises(ea occ) $300,000
    Occurrence Basis Med Exp (any one person) $ Excluded
    General Aggregate $ None
    Personal and Adv Injury $2,000,000
    Products - Comp/OP Agg $2,000,000
    Participant Legal Liability $2,000,000
    B Participant Accident SPX0000025519200 12:01 AM
    2/1/2012    		 12:01 AM
    8/1/2012    		 AD&D $ None
    Primary Medical $ None
    Excess Medical * $100,000
    Weekly Indemnity $ None
  • Description of operations / vehicles / exclusions added by endorsements / special provisions:
    Coverage includes amateur play and practice in the insured sport for:   {{cert.certificate[0].TeamName}}
    Certificate holder shall be an additional insured but only with respect to liability caused by the negligent acts or omissions of the named insured and only with respect to losses resulting from the team / league listed and occurring between the coverage effective date listed below and the policy expiration date. *$250.00 Deductible for excess medical
  • Certificate Holder:
    Coverage Effective Date:
    {{cert.certificate[0].coverage_effective_date}}
  • {{cert.certificate[0].TeamName}}
    {{cert.certificate[0].FirstName}} {{cert.certificate[0].LastName}}
    {{cert.certificate[0].Address}}
    {{cert.certificate[0].City}} {{cert.certificate[0].ContactState}} {{cert.certificate[0].Zip}}
    Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, under Certificate Holder, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives.
    Certificate #
    USSSA-{{cert.confirmationNumber}}
    Authorized Representatives: