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INSURANCE <br />e0212R/12 <br />USABA-2 OF ID: AY <br />,ql?.t?, CERTIFICATE OF LIABILITY INSURANCE DATE <br />1 <br />02/28/12 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsements . <br />PRODUCER 800-526-1379 <br />Bollin <br />er <br />Inc CONTACT <br />NAME: <br />g <br />, <br />. <br />101 JFK Parkway 973-921-2876 pHC NNO E.b: NFAX <br />C No: <br />Short Hills, NJ 07078-5000 <br /> <br />AJ Morgan <br />ADDRESS: <br />ADDRESS: <br /> <br /> INSURERS AFFORDING COVERAGE NAIC0 <br /> INSURERA: Markel Insurance Company 38970 <br />INSURED USA Badminton <br />INSURER B: <br />& its member clubs <br />One Olympic Plaza <br />INSURERC: <br />Colorado Springs, CO 80909 INSURER D <br />t \ _ <br />(`? <br />yi ('? <br />O2 INSURERE! <br />? <br />J <br />! D <br />(} /l.?? v <br /> INSURERF: <br />COVERAGES <br />CERTIFICATE NUMBER: <br />REVISION NHMRFR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br />, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE SUB POLICY NUMBER MMILDOY EFF POLICYEXVPY LIMBS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br />A X COMMERCIAL GENERAL LIABILITY X 8502AH024504 03/01112 03101113 PREMISES Ea occurrence $ 100,00 <br /> CLAIMS-MADE OCCUR <br /> MED EXP(Any one pereon) S 5,00 <br /> X Incl Participants PERSONAL S AOV INJURY $ 1,000 000 <br /> X IROI Drug Testing <br />.. , <br />, ' <br />I <br />! GENERAL AGGREGATE S 5,000,000 <br /> . <br />. <br />. <br />V <br /> GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGO $ 1,000,000 <br /> POLICY 71 PR0. X LOC -- ---'---'- .- - -- - - Abuse/Mol $ $lmil/$2mi <br /> AUT OMOBILE LIABILITY COMBINED <br />SINGLE LIMIT <br /> <br />a accident <br />E <br /> ANY AUTO BODILY INJURY (Per pereon) $ <br /> ALL OWNED <br />AUTOS SCHEDULED <br />AUTOS - - <br />- BODILY INJURY Peraaldenl <br />( ) $ <br /> <br />HIRED AUTOS NON-OWNED <br />AUTOS PROPERTY DAMAGE <br />Per accident) <br />$ <br /> $ <br /> UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,00 <br />A EXCESS LIAR CLAIMS-MADE 4602AH024505 03/01112 03101113 AGGREGATE $ 1,000,00 <br /> <br /> DEO RETENTIONS $ <br /> WO RKERS COMPENSATION WCSTATU- OTH <br /> AND EMPLOYERS' LIABILITY I TORY LIMITS I <br /> YIN <br />ANY PROPRIETORIPARTNEPo XECUTIVE <br />OFFICERNEMBER EXCLUDED] ? <br />N I A E.L. EACH ACCIDENT E <br /> (Mandatory In NH) <br /> <br />N E.L. DISEASE - <br />EA EMPLOYEE <br />$ <br /> yee deecdbe antler <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE. POLICY LIMIT <br />$ <br />A Accident Insurance 4102AH022026 03101112 03101113 Mod Max 25,00 <br /> Full Excess Ded 1,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Abmch ACORD 101, Additional Remadus Schedule, If more spec. Is required) <br />The certificate holder is listed as an additional insured on the liability <br />policy. Coverage is provided under this policy only for sponsored/supervised <br />activities of the named Insured for which a premium has been paid. The <br />certificate is Issued on behalf of USBNF - Irvine Badminton Club. <br />Salgado Community Center <br />706 North Newhope Street <br />Santa Ana, CA 92703 <br />USBNCA2 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD CORPORATION. All rlahts raterved <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD