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INSURED MEMBER GENERAL LIABILITY DECLARATIONS CERTIFICATE
Insurance Company: BERKLEY ASSURANCE COMPANY
Address: RICHMOND, VA
Policy Number: VUMC1080001 Certificate Number: 0049-A
Policyholder: Sports And Special Event Risk Purchasing Group, Inc. A Risk Retention
Purchasing Group Filed Under The Risk Retention Purchasing Group Act
Of 1986.
Address: P.O. Box 1250, Midlothian, VA 23113-1250
INSURED MEMBER AND ADDRESS
O'Bannon's Inc. Coverage Effective Date: 03/16/12
103 Boyett St. Coverage Expiration Date: 03/19/12
College Station, TX 77840 Both At 12:01 AM At The Address Of
The Insured Member.
Insured Operations: St. Patrick's Day Party
Location: College Station, TX
$2,000,000
General Aggregate Per Participating Member
$2,000,000
Products -Completed Operations Aggregate Limit
$1,000,000
Each Occurrence Limit
$1,000,000
Personal And Advertising Injury Liability Limit
$ 100,000
Fire Damage (Any One Fire)
$ 5,000
Medical Expense Limit
$ 0
Deductible Each Claim
The Coverage Afforded Is Subject To Policy Limits, Terms And Conditions. The Above Is A Recitation
And Does Not Provide Separate, Increased Or Additional Limits. This Certificate Evidences That
Coverage Exists For The Insured Operations.
Additional Insured: City of College Station
1101 Texas Ave
College Station, TX 77840
This Endorsement/Certificate Is Issued At The Request Of.
Dated At Richmond, Virginia
2/13/2012
SSERPG-01-GL (01/05)
Service Insurance Group
John `.. Frazier
John W. Frazier, Authorized Representative
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