DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT
PRODUCER Rainprotection Insurance 39 Ryder Avenue Dix Hills, NY 11746 www. Rainprotection.net
NAME: PHONE (A/C, No, Ext): E-MAIL ADDRESS:
FAX (A/C, No):
INSURER(S) AFFORDING COVERAGE Insurance Company Name
NAIC #
INSURER A :
SPORTS AND RECREATION PROVIDERS ASSOCIATION (PURCHASING GROUP) AND ITS PARTICIPATING MEMBERS:
INSURED
INSURER B : INSURER C : INSURER D : INSURER E :
Exhibitor Name Street City, State, Zip Code
INSURER F :
COVERAGES REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2 , 000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 2 , 000,000 CLAIMS-MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: MED EXP (Any one person) $ A X POLICY CERTIFICATE NUMBER: PRO- JECT S A M P L E LOC Policy Number 09/ 25 /202 4 12:01 AM 09/2 9 /202 4 11:59 PM AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS HIRED AUTO SCHEDULED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ x
DED
RETENTION $
$
OTH - ER
WORKERS COMPENSATION AND EMPLOYERS' LIABILITY
WC STATU- TORY LIMITS
$
Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED?
E.L. EACH ACCIDENT
$
N / A
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ AD&D MAXIMUM MEDICAL DEDUCTIBLE TERMS OF PAYMENT
If yes, describe under DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Additional Insured: Southwest Veterinary Symposium and Fort Worth Convention Center . As respects to claims arising out of the operations of Exhibiting Company at SWVS 202 4 . CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
Southwest Veterinary Symposium 801 E. Plano Parkway, Suite 208 Plano, TX 75074
AUTHORIZED REPRESENTATIVE
Rainprotection Insurance
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ACORD 25 (2010/05)
The ACORD name and logo are registered marks of ACORD
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