2015-12-09 CC Packet - Laserfiche WebLink

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INSURED MEMBER GENERAL DECLARATIONS CERTIFICATE This Declaration Certificate Is Not An Insurance Policy. It Represents An Outline of The Insurance Provided By The Group Policy Identified As Covering The Sports And Special Event Risk Purchasing Group, Inc. Insurance Provided Is Subject To The Application,Quotation, And The Provisions. Exclusions, Terms, Representatives, Special Representations,Limitations,Warranties. Conditions. And Agreements Of The Coverage Issued. Coverage Is Restricted To Benefits Provided Under The Policy Issued To The Named Insured Purchasing Group And Is Subject To Laws In The Commonwealth Of Virginia. It Is Expressly Understood And Agreed By The Named Insured, Insured Member, And All Other Parties Who May Have An Interest In The Insurance,That Neither The Purchasing Group, Nor Any Contracted Service Provider Of The Purchasing Group Are To Be Considered The Insurance Company Hereunder, And Are Not,Nor Shall Be, Liable For Any Loss Or Claim Whatsoever. The Insurer Is The Company Identified On This Certificate As The Insurance Company. NO FLAT CANCELLATIONS ARE PERMITTED. ALL COVERAGE CHARGES AND FEES ARE MINIMUM AND FULLY EARNED COVERAGE CHARGES AS OF THE COVERAGE EFFECTIVE DATE OF COVERAGE. FORM NUMBERS: AES3012; IL7268DL;IL0017; AES3005; CG7400;CG0001; AES3013; AES3210;CG2026; CG2101;CG2149;AES3258: 1L0021; AES3228, CG361. CG2147; AES3018; CG7794: AES3229: IL7324;IL8802;CG2132; CG8479; CG8015: VASN -Surplus Lives VA: ! I1.7210. CG2175; CG2176; CG7407;CG0033: AES3039 i I SPECIAL CONDITIONS: Major Exclusions,but Not All Included: War Liability;Contractual Liability Limitation; Fungi or Bacteria; Hazardous Materials;Assault and Battery: Employment- Related Practices;Participants; Aircraft; Non-Owned/Hired Automobile; Rap/Hip-Hop/Heavy Metal: TRIA,Terrorism Not Covered By TR1A CANCELLATION: Should The Policy Or The Insured Member Declarations Certificate Be Cancelled Before Its Expiration Date,The Issuing Company Will Endeavor To Mail Thirty (30) Days Written Notice To An Additional Insured Or Certificate Holder. But Failure To Mail Such Notice Shall Impose No Obligation Or Liability Of Any Kind Upon The Insurance Company. i Great American E&S Insurance Company Is Authorized To Do Business Pursuant To The Surplus Lines Insurance Laws Of The Commonwealth Of Virginia. NOTICE ' 7Md NONAMM a t8sllllm 7pT TO THE MINNESOTA SURPLUS LNM INSURANCE ACT. THE INSURER M AN ELKMBLE SURPLUS LIKES IW SURER BUT IS NOT OTHF"GE LC CVOW WY THE STATE OF WNNOWA, IN CASE OF WA)LYENC3Y.PAr"OF CLAW It Wr oIfI1RANiE1i�.' SSERPG-0I-GL(01/10) Page 2 of-1 i I 103