Certificates of Insurance A ye w i \ ISSUE DATE (MM /DD /YY)
• ® A Am�� e �A ��'.
,' "' � �� w�� A x y r @v`~, ��� \�\ � r ' X �; � � �� < . � ` ,` � `� 3 -31 -92
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
INSURANCE MANAGEMENT ASSOCIATES, INC. COMPANIES AFFORDING COVERAGE
999 18th Street, Suite 3250
Denver, CO 80202 -2432 COMPANY A
(303) 293 -8888 LETTER St. Paul
INSURED
LETTER 000260
COMPANY `.
LETTER
TRIATHLON FEDERATION /USA AND ALL
SANCTIONED EVENTS INCLUDING THE RACE COMPANY
LETTER D
DIRECTOR, CLUBS, SPONSORS, COMMITTEE
MEMBERS OR VOLUNTEERS FUNCTIONING ON COMPANY
LETTER E
f BKT T �e , A 3.A,➢TCTIQ'd Tl g,11� r 4 t �rhe�ua�`^F r m w+4
COVERAGES , gga � a � a ro�
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 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 INSURANCE POLICY NUMBER POLICY EFFECTIVE! POLICY EXPIRATION LIMITS
LTR DATE (MM /DD /YY) ! DATE (MM /DD /YY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS- COMP /OP AGG. $
2,000,000*
X CLAIMS MADE OCCUR CK O83O 8357 PERSONAL & ADV INJURY $
2,000,000
A
OWNER'S &CONTRACTQ R'SPROT, 3/31/92 3/31/93 EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Any one fire) $
1,000,000
MED. EXPENSE (Any one person) $N /A
AUTOMOBILE LIABILITY COMBINED SINGLE
LIMIT $N /A
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS (Per person)
HIRED AUTOS
BODILY INJURY
NON -OWNED AUTOS (Per accident)
GARAGE LIABILITY PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION STATUTORY LIMITS
EACH ACCIDENT $
AND
DISEASE — POLICY LIMIT $
EMPLOYERS' LIABILITY
DISEASE —EACH EMPLOYEE $
OTHER
"IT IS HEREBY UNDERSTOOD AND AGREED THAT THE CERTIFICATE HOLDER NAMED BELOW, INCLUDING
ITS OFFICERS, AGENTS, AND EMPLOYEES IS ADDED AS AN ADDITIONAL INSURED, BUT ONLY FOR LIABILITY
ARISING OUT OF THE NAMED INSUREDS ACTIVITIES."
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS
* $2,000,000 r Event General Aggregate
Oct. 10, 1992 Is�1amorad FL
Date of Event: Locatipn: ,
�('[�(s� (U SCI,.( Sp Kids Triathlon # #10 Islamorada
lificATt SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Monroe County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
416 Fleming St. MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Key West, FL 33040 LEFT, E615 FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25.9 (1190) CA CORD CORPORATION' 1990
DATE: April 30, 1992
TO: Beth Leto
FROM Lynda Stuart
RE Bud Sprintman Triathlon
Attached is the revised insurance certificates for the Triathlon as
discussed today.
The correct address as been so noted.
Acknowledge Receipt: Date:
•
�/,/1t1/® € ' c I SSUE DATE ( I Df /DD /YY)
THIS IS fNSUR�,NCE MANAGEMENT ASSOCIATES, INC CONFERS T NO C RIGH S C RT FICA E CERTIFICATE
999 18th Street, Suite 3250 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
Denver, CO 80202 -2432 POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
St. Paul
COMPANY A
LETTER
COMPANY B
INSURED LETTER
TRIATHLON FEDERATION /USA AND ALL COMPANY
000450
SANCTIONED EVENTS INCLUDING THE RACE LETTER C
DIRECTOR, CLUBS, OFFICIAL SPONSORS,
COMMITTEE MEMBERS OR VOLUNTEERS COMPANY D
LETTER
FUNCTIONING ON BEHALF OF A SANCTIONED
EVENT. LETTER E
COVERAGES .....
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 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 INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM /DD /YY) DATE (MM /DD /YY)
GENERAL LIABILITY GENERAL AGGREGATE $ 3 000 000
2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS- COMP /OP AGG. $
A CLAIMS MADE X OCCUR. CK08305357 3/31/92 3 / 31 / 93 PERSONAL & ADV. INJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT, EACH OCCURRENCE $ 1 , 000, OOO
N/A
FIRE DAMAGE (Any one fire) $
MED. EXPENSE (Any one person) $ N/A
AUTOMOBILE LIABILITY COMBINED SINGLE
ANY AUTO LIMIT
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY
NON -OWNED AUTOS (Per accident)
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION STATUTORY LIMITS
EACH ACCIDENT $
AND
DISEASE— POLICY LIMIT $
EMPLOYERS' LIABILITY
DISEASE —EACH EMPLOYEE $
OTHER "IT IS HEREBY UNDERSTOOD AND AGREED THAT THE CERTIFICATE HOLDER NAMED BELOW, INCLUDING
ITS OFFICERS, AGENTS, AND EMPLOYEES IS ADDED AS AN ADDITIONAL INSURED, BUT ONLY FOR LIABILITY
ARISING OUT OF THE NAMED INSUREDS ACTIVITIES."
DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES /SPECIAL ITEMS * $3,000,000 per E vens General AggregaLe
Date of Event: October 11, 1992 Location: Islamorado, FL
Covered Tri- Fed /USA Sanctioned Event: Budlight Sprintman Triathlon #10 - Islamorada
CERTIFICATES HOLDER ;, a cA U$'
Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
3406 N. Roosevelt Blvd. EXPIRATdIN DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Suite 201 MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Keywest, FL 33041 LEFT, BUT FAILURE TO MAIL SUCH NOTI E SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE PA , ITS AG TS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACCORD 254'M �by�,.,.� �, � � �� ��, n �� , � , E�' A ? RP
����,a��,�� �� u RQ CORPORATION 1990
�v =` ` ,
� APR 2 1282
\
as \ � w H �` a 0;
a 1 P r' � � \y 1, U DATE (MM /DD YY)
°.• '4\ ", � �. r F AQv \\*. ‘ A 's„ ,� E4- 21 -92/
Iss
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
INSURANCE MANAGEMENT ASSOCIATES, INC. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
999 18th Street, Suite 3250 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
Denver, CO 80202 - 2432
POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
St. Paul
COMPANY A
LETTER
COMPANY B
INSURED LETTER
TRIATHLON FEDERATION /USA AND ALL 000451
COMPANY
SANCTIONED EVENTS INCLUDING THE RACE LETTER C
DIRECTOR, CLUBS, OFFICIAL SPONSORS,
COMMITTEE MEMBERS OR VOLUNTEERS LETTER D
FUNCTIONING ON BEHALF OF A SANCTIONED
EVENT. LETTER
* .,
COVLRAGIES . . 1
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 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 INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM /DD /YY) DATE (MM /DD /YY)
GENERAL LIABILITY GENERAL AGGREGATE $ g 9 000, 000
X COMMERCIAL GENERAL LIABILITY PRODUCTS- COMP /OP AGG. $ 2 , 000, 000
A CLAIMS MADE X OCCUR. CK08305357 3/31/92 3/31/93 PERSONAL &ADV.INJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1 , 000, 000
FIRE DAMAGE (Any one fire) $ N/A
MED. EXPENSE (Any one person) $ N/A
AUTOMOBILE LIABILITY
COMBINED SINGLE $
ANY AUTO LIMIT
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY
NON -OWNED AUTOS (Per accident) $
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION STATUTORY LIMITS
EACH ACCIDENT $
AND
DISEASE— POLICY LIMIT $
EMPLOYERS' LIABILITY
DISEASE —EACH EMPLOYEE $
OTHER
"IT IS HEREBY UNDERSTOOD AND AGREED THAT THE CERTIFICATE HOLDER NAMED BELOW, INCLUDING
ITS OFFICERS, AGENTS, AND EMPLOYEES IS ADDED AS AN ADDITIONAL INSURED, BUT ONLY FOR LIABILITY
ARISING OUT OF THE NAMED INSUREDS ACTIVITIES."
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS 4-i, UUU, UUU per la:vent (seneral Aggregate
Date of Event: October 10, 1992 Location: Islamorada, FL
Covered Tri- Fed /USA Sanctioned Event: Sprint Kids Triathlon #10- Islamorada
CERTIFICATE 1 " ° ` \, \•
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Monroe County EXPIRA 1 N DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
3406 N. Roosevelt Blvd. MAIL �� DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Keywest, FL 33041 LEFT, BUT FAILURE TO MAIL SUCH NO E SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON T OMP Y, ITS 1NTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
t04:04.
ACORD 254 (7190 ""' OACOAD CORPORATION 1990
• - p
• INSURANCE
MANAGEMENT
ASSOCIATES, INC.
WICHITA • TOPEKA • DENVER
TO: ALL RACE DIRECTORS AND CERTIFICATE HOLDERS FOR
TRIATHLON FEDERATION/USA SANCTIONED EVENTS
FROM: ROBERT COHEN
INSURANCE MANAGEMENT ASSOCIATES, INC.
RE: INSURANCE COVERAGE
Dear Race Directors:
The attached certificates for your up- coming race reflect the recently secured
Comprehensive Liability policy written through the St. Paul Insurance Company.
As part of Tri- Fed/USA's total insurance program, we have negotiated a large
deductible, or self- insured retention. This retention amount of $50,000 is being
taken care of by Tri- Fed/USA and will not be the responsibility of any race
director or certificate holder. The showing of the $50,000 SIR is for your
information only and to let you know that in the event of an occurrence, Tri -
Fed/USA will be taking care of the first $50,000 through a fund that they have
set up specifically for that purpose.
I hope this clarifies any concerns that you might have in regards to the
application of the SIR. If you are needing further clarification, please call
either Sara Drapkin (719) 597 -9090 or myself at (303) 293 -8888.
Sincer ,
Robert Cohen
Vice President
attach.
RC/11 -2 -89 /Trifed /TF106
999 18TH STREET
SUITE 3250 � 303-293-8888
DENVER, COLORADO 80202 lr \ INTERNATIONAL FACSIMILE 303 - 293 -8618
•
A t ii ` ,V Z k\ \\ ISSUE DATE (MM /DD/YY)
• ak iY�� �p� rv2 "` #� , XA \A `\� ��v
• `� " X k �X`x.��,. °7 � � " °��1 ` R \ \F" �, 'C'xV ,,. �X�a�� � �„ �a \�X `��,? :.�5 � � \� • 4 — 13 - 93
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
€ . NSURANCE "MANAGEMENT ASSOCIATES, INC . DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
18TH STREET, SUITE 2800
ENVER, CO 80202 - 2432 COMPANIES AFFORDING COVERAGE
I �
LETT NY R A NORTH AMERICAN SPECIALTY INSURANCE COMPANY
COMPANY B
INSURED LETTER
TRIATHLON FEDERATION /USA, ADDITIONAL
COMPANY
INSURED: ALL SANCTIONED EVENTS INCLUDING LETR 000329
THE RACE DIRECTOR, CLUBS, OFFICIAL C
TE
SPONSORS, COMMITTEE MEMBERS OR VOLUNTEERS L E T M T EA R NV D
FUNCTIONING ON BEHALF OF A SANCTIONED
COMPANY E
EVENT . LETTER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 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 INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM /DD /YY) DATE (MM /DD /YY)
GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000
x COMMERCIAL GENERAL LIABILITY PRODUCTS- COMP /OP AGG. $ 2,000,000
A CLAIMS MADE X OCCUR. 13001GA00030-00 1/1/93 1 / 1 / 94 PERSONAL & ADV. INJURY $ 1 , 000 , 000
OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $
1 ,000,000
FIRE DAMAGE (Any one fire) $ N/A
MED. EXPENSE (Any one person) $
AUTOMOBILE LIABILITY
COMBINED SINGLE
ANY AUTO MINAGFMfNT LIMIT
O •Y
ALL OWNED AUTOS AP _ , BODILY INJURY $
SCHEDULED AUTOS BY U / 22 – (Per person)
HIRED AUTOS C `J
J � BODILY INJURY
NON -OWNED AUTOS (Per accident)
GARAGE LIABILITY
W •sate°s m"...nnuie PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION STATUTORY LIMITS
EACH ACCIDENT $
AND
DISEASE— POLICY LIMIT $
EMPLOYERS' LIABILITY
DISEASE —EACH EMPLOYEE $
1 W r_.
OTHER
THE CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED, BUT ONLY WITH RESPECT TO
LOSSES RESULTING FROM THE BUD LIGHT SPRINTMAN TRI ON OCTOBER 23, 1993.
SCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /SPECIAL ITEMS * $2,000,000 PER EVENT GENERAL AGGREGATE
IDATE OF EVENT:OCTOBER 24, 1993 LOCATION:ISLAMORADA, FL
!COVERED TRI- FED /USA SANCTIONED EVENT: BUD LIGHT SPRINTMAN TRI
CERTIFICATE HO :R
MONROE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
3406 N. ROOSEVELT BLVD. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
,Y WEST, FL 33041 MAIL 60 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE C NY, TS AGENTS OR REPRESENTATIVES.
AUTHORIZED 4$4°;;/"'7--
ACORD 25.5
....................:::: :::::. _ ....., ..,... • • •ii ::::• •: :: :i:i:i:• ••• • • • - • • -• • ••••: iii::'''''' '; ::: i ''''' :::;;::: Gi::;::;ii :> is ::.::.:
::::::::;.; :::.::::::::::;.;:.::::::::::::.:::::::<:<::::•:::::•::.::•:::::::::_:::::::;. I SSUE DAT (IAM IY(
C: >:` �E
;:: '� : :::. ATE: ��� 1� :.:::::::::::. ::.:.: :.::::::.:::.:::. / /........
1 ::::::::::.::.:::.: ..... ::::.::.::. ..... . �. :.:::::<.::::::::.:::: : ::::.:::.:::::::.::. ::::::::.::.;:::::::.:::.:.::: i:if: .. ::n::..::.::m: i
:P >:.;:. :.;;;::::;:.:.:,r. ::.._,, •,:..:,.,.: ,:.,,,.;,•: •:, :.,.,, ::.:.::.............
"""��• � THIS CERTI FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 1
• PRODUCER CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
(3 0 5) 9817.6622 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE •
Brown 6 Brown, Inc. POUCIES BELOW.
300 South Park Road, #105 COMPANIES AFFORDING COVERAGE
Hollywood, FL 33021
cmPANY autilus Insurance Company
I II, NEC11Z E I V L f • ;' Li ‘) 1993 COMPMY B APPROVED BY RISK MANAGEMENT
tEnER
INSURED 9Y i -... . {... r: ) . I
Exclusive Sports Marketing Inc C I
1060 Holland Dr. Suite 3L 'IATE ✓ ( ?l• f)'..
Boca Raton, FL 33487 COMPANY D Al re
LETTER vr•c
CCOMPANY E :
LE 7ER
. MS' �i`: �M`: :<` 2:r .. ..;. :.......................:,..... .ii.:.. .i:..i.. ....iii:...: .i::.:..:........:....:....... ;::: i::;:::::.;>; :.;:.;x:;:.;::::�;:.:::,:.;:.;Y PE
:.. .... .:..........................,:.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE OUCH THIS
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W!TI-I RESPECT ,
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
N)IJCY EFFECTIVE •POLICY EXPIRATION LENTS
CO ME OF INSURANCE POLK Y � DATE (MMIDDM/) DATE (MMIDDM )
LTR
N8016941 GENERAL GENERAL AGGREGATE $ 1, 0 0 0, 0 0 0
X A GENERAL. COMMERCIAL LusEiTY PRODUCTS-COMP/OP AGG. $ 1,000,000 COMMERCIAL LIASLrrY Pr�LSONAL a ADV. N,uRY s 1,000,000
CLAMS MADE g OCCUR. 04/01/93 04/01/94 EACH OCCURRENCE $ 1, 000, 000
OWNERS A. CONTRACTORS F ROT. FIRE DAMAGE (My one Ike) $ 50 , 0 0 0
MED. EXPENSE (MY one Pereon) $ 0
AUTOMOBILE LIABEJTY COMBINED SINGLE $
LIMIT ANY AUTO
ALL OMRED AUTOS BODLY INJURY $ SCHEDULED AUTOS (Per person)
BODLY INJURY s
HIRED AUTOS (Per accident NON OVMED AUTOS
GARAGE LIABLITY PROPERTY DAMAGE $
EACH OCCURRENCE $
EXCESS LJABEITY '.
AGGREGATE $
UMBRELLA FORM �
a
OTHER THAN UMBRELLA FORM
STATUTORY LS
J
::: ......'
WORKER'S CORM ENSATION EACH IMB ACCIDENT $
AND ;
DISEASE - POLICY LIMIT $
EMPLOYERS' UABIlTY DISEASE - EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONWLOCATIONSIYEHICLE WSPECIAL ITEMS
Florida Keys 10 -23 -93
Certificate Holders is also named as additional insured
:..:. y
..........................:... ;:
..........;;: :;.;:
.; ::;:.
:; .;;:.;
;; .;; :.;:. >:.;:.;;;:.;:.::.:.; ;.;;
.> ::.;;;: ..:.;:.;:. # �l �HS::.;;:. ;;;:.;:.: ;;:.;:.:;; :::; ::;::;::: ;::.;:i;:ii:: :::::::
; :::::ii::
iii;::: SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
Monroe County >? EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
3406 N Rossevelt Blvd.
MAIL • DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Key West, FL 33040 >> LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR t
UABIUTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
..; :• :•; ;.: •: i:: ..... : .. : ::::;::?:%$::::: :; :::::; i :: i;: ii:;;:::;: ii:;::::: is :i:::::ti:;::::::: :•:; " ,.; ;;:;.;;:.; : >;;;:::::::::. �:...................
A E G:: 1 ::»;;:<::<:»;<:<:::;:>;::>::»«<::: :;::»>:::> ;'::. . ::::: ::::::::::::................... . . ,
= =I CERTIFICATE OF INSURANCE I I 4/ 5/1993 I
-.7
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF 1
Brown & Brown, Inc. INFORMATION ONLY AND CONFERS NO RIGHTS UPON
300 South Park Road, #105 THE CERTIFICATE HOLDER. IT DOES NOT AMEND,
Hollywood, FL 33021 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
(305) 981 -6622 POLICIES BELOW. 1
1 COMPANIES A �, , a.
INSURED COMPANY A: Montecei ' � 'e'b.
Exclusive Sports Marketing of COMPANY B: -- C' )
BY - ' _ / ` , )
Florida, Inc. COMPANY C
COMPANY .
1060 Holland Drive #3 - L C DATE ?/-)4,///
Boca Raton, Fl 33487 COMPANY E:
WAVER! VA - Y FC - -
I COVERAGES 1 I
This is to certify that policies of insurance listed below have been issued to the insured 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.
IC0I = =I INSURANCE I = = = = =I POLICY NUMBER I = = = =I DATES I I
GENERAL LIABILITY Effective $ Bodily Inj Oc
[ ]Comp [ ]XCU / / $ Bodily Ind Ag
[ ]OCP [ ]BFPD Prop Dmge Occ
[ ]Premises /Ops $ Prop Dmge Agg
[ ]Prod /Comp Ops Expiration $ BI &PD Comb Oc
[ ]Personal Injury / / $ BI &PD Comb Ag
[ ]Contractual Liab $ Pers Inj Agg
- - + + + +
AUTO LIABILITY Effective
[ ]Any Auto / / $ BI (Person)
[ ]A11 Owned (PP) BI(Accident)
[ ]A11 Owned(other) $ Prop Damage
[ ]Hired $ BI &PD Comb
[ ]Non -owned Expiration
[ ]Garage Liab / /
[] + +
- + + EXCESS LIABILITY / / $ Occurrence
[ ] Umbrella Aggregate
[ ] Other / / ] Statry Limts
- + + WORKERS COMP / / Ea Accident
AND
$ Disease -Lmt
1 EMPLOYERS LIAB / / $ Disease -Empl
F- +
A + Liquor Liability + 04/01/93 $ 1,000,000 occurrence
I 1LL2275 1 04/01/94 I$ 1,000,000 aggregate
Description of operations /locations /vehicles /other
Florida Keys 10 -23 -93
Certificate holder is additional insured
1 CANCELLATION I
1 CERTIFICATE HOLDER 1 Should any of the above described policies
be cancelled before the expiration date
thereof, the issuing company will endeavor
Monroe County to mail 10 days written notice to the k
3406 N Rossevelt Blvd. certificate holder named to the left, but
Key West, FL 33040 failure to mail such notice shall pose no
obli•ation or liability of any kind upon
th= ci.a• its agents or reps.
.0 -- I . •rued R eprese tive 1
A4 /s1:11. CERTIFICATE OF INSURANCE _ ISSUE DATE (MM /00 /YY)
5/12/93 AL
PRODUCER 4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
CRUFS INSURANCE SERVICES OF FL INC DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
1211 SEMORAN BLVD., SUITE 227 - POLICIES BELOW.
CASSELBERRY, FL 32707 COMPANIES AFFORDING COVERAGE
LETTER
COMPANY A MONTICELLO INSURANCE CO •
-
COMPANY B _
LETTER
I
•
NSURED _ — APPROVED RY g}�K
1 .k.ANAC€REIVT--
EXCLUSIVE SPORTS MARKETING, INC DER Y C - BY .ial
1060 HOLLAND DRIVE, SUITE 3L ------- - - - - -- /-- - -- - -
A n y BOCA RATON, FL 32707 COMPA Y D DATE •
COMPANY E W*VtR NSA YES
LETTER �7� ��
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 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,
j EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
ILTR DATE (MM/DD/YY) DATE (MWDO/YY)
GENERAL LIABILITY GENERAL AGGREGATE S
COMMERCIAL GENERAL LIABILITY PRODUCTS- COMP /OP AGG. S
SURPLUS LINES AGENT Frances L. Brown
PERSONAL 3 ADV. INJURY S
CLAIMS MADE OCCUR. LIG. n 0118267237 1211 Semoran Blvd. - - -- - - --
i OWNER'S - B CONTRACTOR'S PROT. Suite 227 EACH OCCURRENCE S
Casse.berry FL 32707 PRE DAMAGE (Any one fire) S
— — - -- aapn BROWN & BROWN INC MED. DtPENSE (Any one person) $ --
1 AUTOMOBILE LIABILITY $
COMBINED SINGLE
ANY AUTO CITY _HOLLYWOOD FL UMIT
ALL OWNED AUTOS This Insurance rs ssued p::.,uant to the BODILY INJURY S
- Florida Surplus Line Lave Pry rnsur- (Per person) -
_ SCHEDULED AUTOS ed by Surplus Lines Carriers do not have
HIRED AUTOS the protection of the Fionda Insurance BODILY INJURY S
Guaranty At to the extent of any right of (Per accident)
NON OWNED AUTOS recovery for the obligation or any insolvent •
GARAGE LIABILITY unircensed insurer PROPERTY DAMAGE S
FILE ++ 1004 -93 2ND
EXCESS LIABILITY EACH OCCURRENCE S
UMBRELLA FORM Received AGGREGATE $
OTHER THAN UMBRELLA FORM Risk Mgm.t & Loss Control
WORKER'S COMPENSATION Q -1.3 D� STATUTORY LIMITS
DATE a.-- .-- . - . - �c -
AND 149 EACH ACCIDENT S
INITIAL DISEASE - POLICY LIMIT S
EMPLOYERS' LIABILITY }
DISEASE -EACH EMPLOYEE S
OTHER
A LIQUOR MLL200067 4/1/93 4/1/94 $1,000,000 EACH OCC /AGG.
DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /SPECIAL ITEMS
FLORIDA KEYS 10/23/93
•
THIS CERTIFICATE SUPERCEDES ALL PREVIOUSLY ISSUED CERTIFICATES TO THIS CERTIFICATE HOLDER •
F
CERTIFICATE HOLDER - CANCELLATION
& ADDITIONAL INSURED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MONROE COUNTY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
3406 N ROSSEVELT BLVD MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
KEY WEST, FL. 33040 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
/ Oef
ACORD 25 -S (7/90)
16-5.141 CORPORATION 1990
CERTIFICATE OF INSURANCE
GENERAL AGENT ISSUE DATE (MM/D0/YY) 5/13/93 AL
• CRUMP INSURANCE SERVICES OF FL INC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
1211 SEMORAN BLVD., SUITE 227 NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND.
CASSELBERRY, FL 32707 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANY AFFORDING COVERAGE
AGENCY NO. 0918. , �- - - ' r' 1.', C
• i
INSURED _
•EXCLUSIVE SPORTS MARKETING, INC NAUTILUS INSURANCE COMPANY
1060 HOLLAND DR., STE 3L APPROVED DI' RPM MANAGEMENT
BOCA RATON, FL 33487 p
et ' � ; -.. ;x' 93
- I>iE. L4Q f , _
COVERAGES ►n* wrm —
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONOITION 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 ANO CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
• POUCY EFFECTIVE POUCY EFFECTIVE
TYPE OF INSURANCE POUCY NUMBER DATE (MM/DD/YY) DATE (MMIOO/YY) AU. OMITS IN THOUSANDS
GENERAL UABIUTY GENERAL. AGGREGATE t 1000
COMMERCIAL GENERAL UABILITY PRODUCTS-0OMPrOPS AGGREGATE i 2XC 1
PROFESSIONAL UABIUTY ENO.
OTHER NS016941 4/1/93 4/1/94 PERSONAL a ADVERTISING INJURY i
Pxel
EACH OCCURRENCE i
1000
FIRE DAMAGE (My on. M.) S
PXrl
MEDICAL EXPENSE (Any one poison) iexc 1
CI IPo$ r IS I I!1CC netPNT F.enrx I Ryconv -
EXCESS UABIUTY LIC. i? 0118267237 1211 Semoran Blvd. EACH AGGREGATE
— Suite 227 OCCURRENCE
Casselberry FL 32707
-- OTHER THAN UMBRELLA FORM i S
PROD AGT rno
B,,, Z 3rr" -'i Inc
RpCL'1[ .:-d
OTHER Risk Mgrnt. Ss Loss Control
CITY T3ollTa�d, F1 _
Th:s Insurance :s IssreC �;:rsuant to ne DATE ! q - 9-3 Ule___
Ronca __ c!us Lines 1.34•4 Pe-sz s :n! ur-
ed by S: ;:'us L :r. s C3rr.e el n;; misve II\TTIAL
the prG.o_t!C'.. 7.. ; - • _. :r3nce
Guaranty Act tc : ^e e: : -", :: ' -•v r;s;:, of
recovery for the -oo!:Gat:on u: aav inso : ent
unlicensed insurer
DESCRIPTION OF OPERATIONS / LOCATIONS / FlifetTICTIONS /SPECIAL REM
1005 2nd
EVENT: FLORIDA KEYS 10/23/93
THIS CERTIFICATE SUPERCEDES ALL PREVIOUSLY ISSUED CERTIFICATES TO THIS CERTIFICATE HOLDER
CERTIFICATE HOLDER & ADDITIONAL INSURED CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MONRO� COUNTY _ EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
3406 N ROSSEVELT BLVD LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
KEY WEST, FL 33040 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
r ^ l
+T ,•, l• ,..,,,,:#7,7v
i I,
5 R48 (1/92)