HomeMy WebLinkAboutNATIONAL ASSOCIATION OF SPORTS OFFICIALS (NASO) - INSURANCE CERTIFICATECERTIFICATE OF INSURANCE
INSURERS AFFORDING COVERAGE
INS. A:
INS. B:
INS. C:
INSURED
COVERAGES
INS
LTR
POLICY
TYPE POLICY NUMBER
POLICY
EFFECTIVE
POLICY
EXPIRATION LIMITS
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
ADDITIONAL INSURED CANCELLATION
AUTHORIZED REPRESENTATIVE
General Aggregate
Each Occurrence
Medical Expense Limit (Any One Person)
Damage to Premises Rented to You (Any One Premises)
Each Occurrence
Personal and Advertising Injury
Products-Completed Operations Aggregate
General Aggregate - Per Official
XS
GL
08/01/2017
12:01 a.m. 12:01 a.m.
National Association of Sports Officials (NASO)
2017 Lathrop Avenue
Racine, WI 53405
SEAN GROGAN
120 WHITNEY COURT
WINDSOR, CO 80550
A
A
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
AXGL04100089-11
AXIS Insurance Company
AXXS03100311-11
08/01/2017
08/01/2017
12:01 a.m. 12:01 a.m.
2,000,000
2,000,000
Excluded
300,000
1,000,000
1,000,000
2,000,000
2,000,000
08/01/2018
08/01/2018
AXIS 8000(08/10)
CERT NUMBER: 1000987606
-
-
-
Other Named Insured:National Association of Sports Officials(NASO) & NASO-member officials, including officials enrolled by associations, contracted with NASO for which a premium
has been paid under this policy,
The Certificateholder is only an additional insured with respect to liability caused by the negligence of the Named Insured as per Form AX IS1003- Additional Insured - Certificateholders,
effective April 27, 2015.
Other Named Insured (cont'd):but only while acting in their capacity as officials during sports events organized by a recognized sanctioning body, such as local Park Department or any
formal organized association, and while assigning, acating as a board member or committee member of an officials associaiton, and while attending seminars, conferences, and similar
meetings designed to improve their officiating knowledge and skills.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES
BE CANCELLED BEFORE THE EXPIRATION DATE
THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
American Specialty Insurance & Risk Services, Inc.
142 North Main Street
Roanoke, Indiana 46783
THIS 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 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.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY
OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT
BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND
THE CERTIFICATE HOLDER.
PRODUCER