Sports Information Handbook - Special Olympics New Jersey

AXIS 8000(08/10)CeRTiFiCaTe OF iNSURaNCePRODUCERAmerican Specialty Insurance & Risk Services, Inc.142 North Main StreetRoanoke, Indiana 46783INSUREDSpecial Olympics, Inc., All Special Olympics Accredited U.S. Programs1133 19th Street NWWashington, DC 2003612/19/2012THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NORIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELYOR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACTBETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER.iNSUReRS aFFORDiNG COVeRaGeINS. A: Philadelphia Indemnity Insurance CompanyINS. B:INS. C:SPECIAL OLYMPICS NEW JERSEY3 PRINCESS ROADLAWRENCEVILLE, NJ 08648CERT NUMBER: 1001081186COVeRaGeSTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT WITHSTANDING ANYREQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.iNSlTRAPOLICYTYPEGLPOLICY NUMBERPHPK947621POLICYEFFECTIVE12/31/201212:01 a.m.POLICYEXPIRATION12/31/201312:01 a.m.LIMITSEach OccurrencePersonal and Advertising InjuryGeneral AggregateProducts-Completed Operations AggregateDamage to Premises Rented to You (Any One Premises)Medical Expense Limit (Any One Person)1,000,0001,000,0005,000,0001,000,0001,000,000ExcludedAAUTOPHPK94762112/31/201212:01 a.m.12/31/201312:01 a.m.Non-Owned/Hired Auto Liability*1,000,000DeSCRipTiON OF OpeRaTiONS/lOCaTiONS/VeHiCleS/eXClUSiONS aDDeD By eNDORSemeNT/SpeCial pROViSiONS* The Hired Auto Physical Damage limit contains a $1,000 collision deductible and a $100 other than collision deductible (for commercially rented vehicles only). Nonowned and HiredAuto (NOHA) liability is excess of any valid and collectible insurance.--Coverage for property you rent or occupy, property loaned to you and property in the care, custody, or control of the Insured, $100,000 limit subject to a $2,500 deductible per loss,excluding watercraft, aircraft, and autos.CeRTiFiCaTe HOlDeRSPECIAL OLYMPICS NEW JERSEY3 PRINCESS ROADLAWRENCEVILLE, NJ 08648CaNCellaTiONSHOULD ANY OF THE ABOVE DESCRIBED POLICIESBE CANCELLED BEFORE THE EXPIRATION DATETHEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.aUTHORiZeD RepReSeNTaTiVe102014 Certificate will be available in mid-December 2013Please keep in mind that President Marc Edenzon is the only personauthorized to sign any document on behalf ofSpecial Olympics New Jersey.Sports Information Handbook 2013-2014