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<br />AC(JRD CERTIFICA TE OF LIABILITY INSURANCE I D'Y;~~ <br /> TII - <br />PRODUCER (843)785-7733 FAX (843)686-4369 THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMA nON <br />Coastal Plains Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />5 Bow Circle HOlDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES B8-OW. <br />Hilton Head Island, SC 29928 <br />Connie Dolan INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Professlonal TennlS Reglstry INSURER A: Capitol Specialty Insurance <br /> P.O. Box 4739 A -- ~Ol,-09~-O(1 INSURER B: <br /> Hilton Head, SC 29938 INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUFJ) TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHS <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT -6R OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS'O <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />II~~ ~rmJ TYPE OF INSURANCE POUCY NUMBER POUCY EFFEC1lVE POIJCY EXPIRATION <br />~ERALUA8IUTY CS00217967/19113 01/01/2007 01/01/2008 EACH OCCURRENCE <br />X COMMERCIAL GENERAL lIABilITY DAMAGE TO RENTED <br />~ tJ CLAIMS MADE m OCCUR <br /> <br />UMITS <br />$ <br /> <br />$ <br /> <br />1. 000. ooe <br />100.00e <br />5.oo{] <br />1.ooo.ooe <br />2 ooO.OO(J <br />2 OOO.oo(J <br /> <br />A <br /> <br />f-- <br />GEN'l AGGREG'I TE lIMIT APPliES PER: <br />Xl POLICY n '~g:. IllOC <br />AUTOMOBILE lIABlUTY <br />- <br />ANY AUTO <br />- <br />f-- AlL O\tvNEQ AUTOS <br />f-- SCHEDULED AUTOS <br />_ HIRED AUTOS <br />_ NON-OWNED AUTOS <br /> <br />- <br /> <br />'to fC ~ <br />_1"'\ ~S ~ <br />~~O'VfP' I""L.. ~ ;.7 <br />~ i~.J.4 ~~~~(~~ <br />~\..\S~ c\~ ~ <br />a,t\\ <br />~s\S . <br /> <br />$ <br />$ <br />$ <br />PRODUCTS - COMPIOP AGG $ <br /> <br />MED EXP CAAt 000 person) <br /> <br />PERSONAL & AOV INJURY <br /> <br />GENERAL AGGREGATE <br /> <br />COMBINED SINGLE liMIT <br />(Ea acOdett) <br /> <br />$ <br /> <br />BODilY INJURY <br />(Per""""",) <br /> <br />$ <br /> <br />BODilY INJURY <br />(Per aa:ident) <br /> <br />A <br /> <br />nE UAIllUTY <br /> <br />~ ANY AUTO <br /> <br /> <br />EXCESSIUMBREllA UASIUTY <br />t~:l OCCUR 0 CLAIMS MADE <br /> <br /> <br />h DEDUCTIBLE <br />IX1 RETENTION $ 10 , 00( <br /> <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIAIIIUTY <br />ANY PROPRIETORIPARTNERlEXECUTIVE <br />OFFjCE~EM8ER EXCLUDED? <br /> <br />PROPERTY DAMAGE <br />(Per aa::ident) <br /> <br />$ <br /> <br />CS00217910/19113 01/01/2007 <br /> <br />OTHER THAN <br />AUTO ONlY: <br /> <br />AUTO ONLY - EA ACCIDENT $ <br />EA ACC $ <br /> <br />TWCSTATU-T <br /> <br />AGG $ <br /> $ 5 000. OO(J <br /> $ 5.oo0.oo(J <br /> $ <br /> $ <br /> $ <br />TOJli- <br /> <br />01/01/2008 <br /> <br />EACH OCCURRENCE <br />AGGREG'lTE <br /> <br />~ j"S3, d&s...--:be ~'1dar <br />SPECIAL PROVISIONS below <br />OTHER <br /> <br />CS00217967/19113 01/01/2007 <br /> <br />01/01/2008 <br /> <br />E.L EACH ACCIDENT $ <br />EL DISEASE - EA EMPlOYEE $ <br />EL DISEASE- POliCY LIMIT $ <br />Abuse/Molestation $100,000 <br />Per Occurrence/ $100,000 <br />Aggregate <br /> <br />A <br /> <br />DESCRIPTION OF OPERATIONS IlOCAllONS I VEHIClES I EXCLUSIONS ADDED BY EHDORSEIIENT I SPECIAL PROVISIONS <br /> <br />Robert Manuel - Member # 50216 <br />Effective: January 6, 2007 <br /> <br />un. I'\I::D <br /> <br />A...."'... <br /> <br />Robert Manuel dba HistArt H. Renaissance Institute <br />Tennis Society <br />Santa Ana, CA <br /> <br />SHOULD AHY OF THEABOIIE DESCRIBED POUClES BE CANCalED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WIU. ENDEAVOR TO MAIL <br />2L DAYS WRITTEN NOllCE TO THE CERlIFJCATE HOUlER NAMED TO THE lEFT, <br />BUT FAJlORE TO MAIL SUCH NOTICE SltAU.IMPOSE NO OBlIGATION OR LIAIIUTY <br />OF At('( KIND UJION THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AU1llORIZED REPRESEHTAllIIE <br />M.D. Barker III/CAM <br /> <br />Jtti =wu::... <br />-.:.. <br /> <br />ACORD 25 (2001108) <br /> <br />@ACORD CORPORATION 1988 <br /> <br />