Laserfiche WebLink
1 A,/„'1•"s CE RTIFICA TE OF NSURAN <br /> C i - ISSUE DATE(MM/00/YY). ....... <br /> 27 97 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CK PILCHER INSURANCE INC. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE <br /> DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br /> 02 E. Highland • POLICIES BELOW. <br /> Suite #202 <br /> Phoenix, AZ 85016-4665 COMPANIES AFFORDING COVERAGE <br /> COMPANY A SPHERE DRAKE INSURANCE P.L.C. <br /> LETTER <br /> INSURED COMPANY B <br /> LETTER <br /> American Bicycle Association COMPANY c <br /> P.O. Box 718 LETTER <br /> Chandler, AZ 85244 COMPANY D <br /> LETTER <br /> COMPANY E <br /> LETTER <br /> COV <br /> ��0 . iFi`idi:3:`iii::;. ,:::: :f:;:;::::::;;2:.::i: :;:;;^:?'i:::a:::.:::::�... <br /> :� . l:;::; ::::i::::;;::i::`;::i::is�:::::5:�::;:::;::: ;';::i: :;; :i;;:•r:::;;:::?::>:<:.. -: ifi : : :iS::;a:: •::::<::.:e:i::;;;:.::::...:. ;:: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LT RI TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> DATE(MM/00/YY) DATE(MM/D C,"Y) <br /> A GENERAL LIABILITY GENERAL AGGREGATE S 1, 000, 000 <br /> X COMMERCIAL GENERAL UABIUTY i S DMO 0911-03. 0 2/0 2/9 7 02/02/98 PRODUCTS-COMP/OP AGG. $ 1, 000,000 <br /> CLAIMS MADE X OCCUR. PERSONAL S.ADV.INJURY S 1,000, 000 <br /> OWNER'S 8 CONTRACTOR'S PROT. !EACH OCCURRENCE $ 1, 000, 000 <br /> X PARTICIPANT LEGAL ,FIRE DAMAGE(Any one lire) S <br /> I !MED.EXPENSE(Anyoneperson) S <br /> .UTOMOBILE LIABILITY <br /> COMBINED SINGLE <br /> ANY AUTO ! LIMIT $ <br /> _J ALL OWNED AUTOS BODILY INJURY <br /> j �SCHEDULED AUTOS ; j (Per person) I $ <br /> HIRED AUTOS I I BODILY INJURY <br /> NON-OWNED AUTOS <br /> l(Per accident) S <br /> GARAGE LIABILITY ---- <br /> ' PROPERTY DAMAGE S <br /> EXCESS LIABILITY I EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM <br /> STATUTORY LIMITS <br /> WORKER'S COMPENSATION - - <br /> • EACH ACCIDENT $ <br /> AND — -- <br /> EMPLOYERS'LIABILITY DISEASE--POLICY LIMIT 5 — <br /> DISEASE--EACH EMPLOYEE S <br /> A OTHER <br /> [X]DEDUCTIBLE I SDM00911-01 02/02/97 02/02/98 $500 PER CLAIM <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br /> CERTIFICATE HOLDER, TRACK OWNERS, OPERATORS, LANDLORDS AND PARTICIPANTS <br /> ARE ADDITIONAL INSUREDS FOR ALL OPERATIONS ARISING OUT OF SANCTIONED ABA <br /> RACING EVENTS AND/OR TRACKS. <br /> CERTIFICATE RaDEEi? :::: "::ai ... . ::.,.:CtLNC WA:I lit;:.,:: :;: ..;.:. <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> • EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> SAMPLE CERTIFICATE MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br /> LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE; <br /> AOORI7.25'$(7190) o: C•RD CORPORATION 1990• <br />