1998-0323_CAPISTRANO VALLEY BOBBY SOX_Insurance Certificate ACORDTMCERTIFIL-ITE OF LIABILITY INS w RANCE DATE IbIWDD,Y„
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Special Markets Insurance Consultants, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
108 McDill Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
StevensOMPANIES AFFORDING COVERAGE
tevens Point,WI 54481
COMPANY BCS Insurance Company
A
INSURED Bobby Sox Softball (Teams & Leagues) COMPANY 600 • ?:10
Capistrano Valley Bobby Sox League COMPANY
33781 Shamrock Lane C
San Juan Capistrano, CA 92675 COMPANY
D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 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.
CO TYPE OF INSURANCEPOLICY EFFECTIVE POLICY EXPIRATION
POLICY NUMBER
LTR DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS
A GENERAL LIABILITY GENERAL AGGREGATE $ 3,000,000.
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 3,000,000.
, , CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $ 3,000,000.
OWNER'S&CONTRACTOR'S PROT. GL40-01-00013-005-05 1-05-98 12-31-98 EACH OCCURRENCE $ 3;000,000.
X SPORTS LIABILITY FIRE DAMAGE(Any one fire) $ 50.000.
MED EXP(Any one person) $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
(Per person)
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per person)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE _$
OTHER THAN UMBRELLA FORM
WORKER COMPENSATION AND WC STATUTORY LIMITS
EMPLOYERS' LIABILITY
OTHER
THE PROPRIETOR/ INCL. EL EACH ACCIDENT $ _
PARTNERS/EXECUTNE EL DISEASE-POLICY LIMIT $
OFFICERS ARE: EXCL. �,. EL DISEASE-EA EMPLOYEE $
OTHER MEDICAL MAX $
ACCIDENT/MEDICAL(EXCESS) ACCIDENTAL DEATH&DISMEMBERMENT $
DEDUCTIBLE(Cash) $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
City of San Juan Capistrano is listed as an additional insured for liability arising from
Capistrano Valley Bobby Sox League.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of San Juan Capistrano DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
32400 Paseo Adelanto
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
San Juan Capistrano, CA 92675 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25-S (096) ACORD CORPORATION 1988