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<br />~!~!!~I!;I_~_!~.~.~~=- <br /> <br />PRODUCER " . . .... ................. ..... .... ........ ..... ................"..,................ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POUCIES BELOW. <br /> <br />CK PILCHER INSURANCE <br />2 E. Highland <br />Suite #202 <br />Phoenix, AZ 85016-4665 <br /> <br />INC. <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />COMPANY A SPHERE DRAKE mSURANCE P.L.C. <br />LEliER <br /> <br />~- <br />.~. <br /> <br />INSURED <br /> <br />COMPANY 8 <br />lETTER <br /> <br />American Bicycle Association <br />P.O. Box 718 <br />Chandler, AZ 85244 <br /> <br />COMPANY C <br />LEliER <br />COMPANY D <br />LEliER <br /> <br />COMPANY E <br />lETTER <br /> <br />:@:9Vgm\$.g~tm:tfftirftt:::itf@ttf@tft@}:::::ffittfiWNlli!iiWffitttlIl:1II1Mmmt:I1I:ti=ttf&1l11iliiEiIIliI::II:!}f:: <br /> <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 /> <br /> <br /> <br />CO TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRATION UMITS <br />LTR DATE (MMJODIYY) DATE (MMJO::' ~ <br />A GENERAL LIABILITY GENERAL AGGREGATE S 1,000,000 <br /> X COMMERCIAL GENERAL UABIUTY SDM00911-01 02/02/97 02/02/98 PRODUCTS-COMPIOP AGG. $ 1,000,000 <br /> ClAlMS MADE [!:] OCCUR I PERSONAL & ADV. INJURY S 1,000,000 <br /> OWNER'S & CONTRACTOR'S PROT., EACH OCCURRENCE S 1,000,000 <br /> PARTICIPANT LEGAL I FIRE DAMAGE (Anyone lire) S <br /> I . MED.EXPENSE(Anyoneperson S <br /> MOBILE LIABILITY COMBINED SINGLE Is <br /> 8 ANY AUTO UMIT <br /> -.--. <br /> ~ ALL OWNED AUTOS laoDIL Y INJURY IS <br /> l-.J SCHEDULED AUTOS (Per person) I <br /> ; ~ HIRED AUTOS I r-------.. --- <br /> I BOOIL Y INJURY <br /> _J NON-QWNED AUTOS I (per accident) <br /> ~ GARAGE L1ABIUTY I PROPER~ DAMAGE I <br /> is <br /> I <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELlA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM <br /> STATUTORY LIMITS <br /> WORKER'S COMPENSATION EACH ACCIDENT S <br /> AND <br /> DISEASE..POUCY UMIT S <br /> EMPLOYERS' L1ABIUTY DISEASE..EACH EMPLOYEE <br /> S <br />A OTHER <br /> (X]DEDUCTIBLE SDM00911-01 02/02/97 02/02/98 $500 PER CLAIM <br />DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/SPECIAL ITEMS <br /> <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 />SgmlflgA!g:H9W~.g.l~!ff:::=1::JIJ:::t::1:}f::I\:.%t:t::f:::@}::m%::/:/t:::://e::t}@i?1J:gAN91;@AT@!ii::j::::::i1t:j:?::}=!':@:::=V'. <br />... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF. T:-iE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT. BUT FAILURE TO MAIL SU:::H NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KINO UPON TH: COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE. . 7 <br />I~/ .~ /'/, ~ <br />'-r iXA'.( ~~/Vu~t__ __MMH~'_.. ,___ <br /> <br /> <br />." <br /> <br />SAMPLE CERTIFICATE <br /> <br />ACOR[)25~Sr7/90\'" <br />