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Jf?,tC-' A 2':T <br />USPTA-1 OP ID: PLC <br />CERTIFICATE OF LIABILITY INSURANCE <br />OATE(N2811 ) <br />05/20!14 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER$ NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY, GR 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(les) 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 center rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Altus Specialty OroUp <br />InterContinental Ins Solutionsac <br />175 Federal Street Suite 725 - <br />Boston, MA 02110 <br />Christopher M Price <br />CONTACT <br />pHONk P <br />N. e.n• (AK'N9): _ <br />E•MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE 'AIC# <br />INSURER A: HCC Specialty Insurance CD 11243 <br />`... <br />INSURED United States Professions <br />Tennis Association, Inc. . <br />3535 Briar ark Drive, Suite 1 <br />Houston, X 77042.5233 <br />INsuRER s:American Insurance Company - 21557 <br />p Y <br />INsuRER C : <br />INSURER O: <br />INSURER E: <br />- <br />INSURER F; <br />... <br />anVFPAnPA -CERTIFICATE NUMBER, REVISION NUMBER. <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 />EXCLUSIONS AND CONDITIONS AF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS. <br />IN <br />TR <br />TYPe OFINSURANCE <br />POLICYNUMBER <br />MII,YEFF MU <br />Mn9obMrw <br />UNITS <br />GENERAL LMBILrrY <br />EACHOCCURRENCE $ 1,000i000 <br />P Is-^ y n, L $ 500,000 <br />A <br />X COMMERCIALGENERALUABIUTY <br />CLNM&MADE 7X OCCUR <br />S1S77051235 <br />12131!13 <br />12/31/14 <br />MEOEXP(AbyOnepelson) $ <br />PERSONAL &ADV INJURY $ 11000100 <br />GENERAL AGGREGATE $. 2,000,00 <br />L AGGREGATE LIMIT APPLIES PER <br />Gxll <br />PRODUCTS-COMPIOPAGG $ 2,000,000 <br />POLICY PRO- LOC'- <br />S <br />AUTOMOBILE LIABILITY <br />Cq BIN 3 NGL"c LIMIT <br />Eaa Idant <br />BODI LY INJURY (Per person) S <br />ANY AUTO <br />Ai1T08 NED r^ AUTOSULcO <br />- <br />HIRED AUTOu NONOWNED AUTOS <br />! <br />BODILY INJURY (Peracddenq S <br />PRGP'cRTY DAMAGE <br />Paractidenl $� <br />3 <br />)( <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE $ 3,000,000 <br />pGGREGFlTE $ 8,000,000 <br />B <br />UCEss uaa <br />CLAIMS -MAGE <br />$SE00015090087 <br />12131113 <br />12131!14 <br />DED I I RETENTIONS - <br />S <br />WORKERS COMPENSATION <br />AND EMPLOYER$' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBEREXGLUDEDt ❑ <br />(Mandatory lR NH) <br />Nfp' <br />WC 9TATLL 0TH-• <br />R <br />EJ- EACHACCIDENT S <br />EL. DISEASE -EA EMPLOYE- $ <br />ayyes DeeCllbNUCdar <br />OESdRIPTIOOF OPERATIONsb low <br />E.L. DISEASE•POLIOY OMIT $ <br />DESCRIPnONOFOPERMONSILOCATIONStVEHICLES(AttschACORO 107.AOdI(kMalR6ma0MSEM1eddM,ff MOM Spa00 is MgUIMM <br />Anhtuan Nguyen 61704. The, City -of Santa An'a, its officers, agents, <br />employees and, volunteers is named as. additional. insured when required by �• 1r, <br />written contract. VSPTA Members are insured for General Liability for <br />playying ng teaching or officiating in tennis or operating a tennis ball <br />viabhine for practicin4 or teaching ., <br />UCn L1rMNIc nv��elc sTrv�o�uSnvn <br />SHOULD ANY OF THa ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />The City Of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />1826 W CIVIC Centel' Or ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 02703 <br />AOTNOPILEDAEPRE$ENTATIVE <br />© 1908.2010 ACORD CORPORATION, All riahte reserved. <br />ACORD 26 (2010105) The ACORO name and logo are registered marks of ACORD <br />I <br />