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AID41111/. CERTIFICATE OF INSURANCE EDAT M <br /> E(M /0 /YY) <br /> ISSU p <br /> PRODUCER <br /> - � 01/27/97 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY At <br /> WICK PILCHER INSURANCE INC. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CE ICA' <br /> 1702 E E. Highland DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORD TI- <br /> POLICIES BELOW. <br /> Suite #202 <br /> Phoenix, AZ 85016-4665 COMPANIES AFFORDING COVERAGE <br /> COMPAAIY LETTER A SPHERE DRAKE INSURANCE P.L.C. <br /> INSURED COMPANY B <br /> LEIitH <br /> American Bicycle Association COMPANY C r. <br /> P.O. Box 718 LETTER <br /> Chandler, AZ 85244 COMPANY D <br /> LETTER <br /> COMPANY E <br /> LETTER <br /> COVE a ES ;.;.;>::::. <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE BEEN ISSUE...T....T.E : :::E �:R TH POLICY .::: .:D <br /> CE 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 /> I <br /> LTR f TYPE OF INSURANCE POLICY NUMBER I POLICY EFFECTNE POLICY EXPIRATION <br /> DATE(MM/OD/YY) GATE(MMD^„ LIMITS <br /> A I GENERAL LIABILITY I I GENERAL AGGREGATE S 1,000,00 <br /> X COMMERCIAL GENERALLIABIIJrt SDM00911-01 02/02/97 02/02/98 PRODUCTS-COMP/OPAGG. S 1,000,00 c <br /> CLAIMS MADE I X I OCCUR l PERSONAL 8 ADV.INJURY IS 1,000,0 0 <br /> IOWNER'S&CONTRACTORS PROT. l E A C H OCCURRENCE I s 1,000,0 0 c <br /> X PARTICIPANT LEGAL I FIRE DAMAGE <br /> (Any one fire) i S <br /> I I MED.EXPENSE(Anyoneperson/1 S <br /> AUTOMOBILE LIABILITY i I <br /> I COMBINED SINGLE <br /> 1_11 ANY AUTO <br /> I I LIMIT I S <br /> I ALL OWNED AUTOS <br /> I !SCHEDULED AUTOS <br /> 1 BODILY INJURY <br /> i_ i I(Per person) S <br /> ____I HIRED AUTOS <br /> BODILY NON-OWNED AUTOS i(Per accident) 5 <br /> GARAGE UABIUTY ! I <br /> IPROPERTYDAMAGE IS <br /> EXCESS UABIUTY <br /> I II OCCURRENCE S <br /> I EACH UMBRELLA FORM I AGGREGATE S <br /> OTHER THAN UMBRELLA FORM I <br /> I WORKER'S COMPENSATION - <br /> STATUTORY LIMITS <br /> AND EACH ACCIDENT S <br /> EMPLOYERS'LIABILITY DISEASE-POLICY LIMIT S <br /> A OTHER i DISEASE-EACH EMPLOYEE S <br /> [X]DEDUCTIBLE SDM00911-01 02/02/97 02/02/98 I $500 PER CLAIM <br /> I <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/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 HOLDER .,:. CANCEL ATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF. 77-1E ISSUING COMPANY WILL ENDEAV O <br /> SAMPLE CERTIFICATE MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED E <br /> LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br /> LIABIUTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> ACQRD•25-5:(7I90) ../v" -- <br /> �, <br /> ' ; ' :' C RD"COFtP.CrRATION:1990 <br />