Laserfiche WebLink
<br />~!~~~~!;-_._.~~~-=. <br /> <br />PRODUCER ... . ......... ..... ". ...... ....... . ......""" 'VoW. '.W 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 />a.K PILCHER INSURANCE INC. <br />02 E Highland <br />Suite #202 <br />Phoenix, AZ 85016-4665 <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />~ANY A SPHERE DRAKE INSURANCE P.L.C. <br /> <br />INSURED <br /> <br />American Bicycle Association <br />P.o. Box 718 <br />Chandler, AZ 85244 <br /> <br />COMPANY 8 <br />LETTER <br /> <br />COMPANY C <br />LETTER <br /> <br />COMPANY D <br />LETTER <br />COMPANY E <br />LETTER <br /> <br />~- <br />.:f. <br /> <br />::g;g:\{;!@;€g~t:t~ttf@lllitfmMiM@Nit:::ttt~Wl@}iMgmgMtNMimi1MMmmWm~Wm.ilw.M@KK:}fY ,lltM1MI1ii:\W;11@@Kil:i&tilJttti'fJ:It:r/i{/::;:nir; <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 />co <br />LTR <br /> <br />POUCY NUMBER <br /> <br />POUCY EFFECTIVE POUCY EXPIRAnON <br />DATE (MMlOOIYY) DATE (MMIO:::'YY) <br /> <br />TYPE OF INSURANCE <br /> <br />A I GENERAL L1ABIUTY <br />X COMMERCIAL GENERAL UABIUTY <br />q ; I CLAJMS MADE [!] OCCUR. I <br />f- OWNER'S & CONTRACTOR'S PROT., <br />X PARTICIPANT LEGAL <br /> <br />.TOMOBILE LIABILITY r <br />U ANY AUTO ~ <br />P ALL OWNED AUTOS : <br />L ~ SCHEDULED AUTOS i <br />; ~ HIRED AUTOS I <br />~= J NON-OWNEO AUTOS J <br />r-~ GARAGE LlABIUTY <br /> <br />EXCESS LIABILITY <br />'I UMBRELLA FOAM <br />I OTHER THAN UMBRELLA FOAM <br /> <br />UMITS <br /> <br />GENERAL AGGREGATE S <br />PROOUCTS-COMPIOP AGG. $ <br />PERSONAL & ADV. INJURY $ <br />EACH OCCURRENCE $ <br />FIRE DAMAGE (Anyone lire) $ <br />MEO.EXPENSE(Anyoneperson $ <br /> <br />SDM00911-01 <br /> <br />02/02/97 <br /> <br />02/02/98 <br /> <br />COMBINED SINGLE <br />UMIT <br /> <br />I BODILY INJURY <br />(per person) <br /> <br />i BODILY INJURY <br />I (Per accident) <br /> <br />I PROPER~ DAMAGE <br /> <br />I EACH OCCURRENCE <br />AGGREGATE <br /> <br />I <br /> <br />~,ooo,ooo <br />~,OOO,OOO <br />~,OOO.OOO <br />~.OOO,OOO <br /> <br />1$ <br />1$ <br />t-------=~ <br /> <br />I <br />'$ <br />I <br />I~--- <br /> <br />WORKER'S COMPENSATION <br />AND <br />EMPLOYERS' UABIUTY <br /> <br />I STATUTORY LIMITS <br />EACH ACCIDENT $ <br />DISEASE-POLICY UMlT $ <br />DISEASEooEACH EMPLOYEE $ <br /> <br />A OTHER <br />(X]DEDUCTIBLE <br /> <br />SDM009~1-0~ <br /> <br />02/02/97 <br /> <br />02/02/98 <br /> <br />$500 PER CLAIM <br /> <br />DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/sPECIAL ITEMS <br /> <br />CERTIFICATE HOLDER, TRACK OWNERS, OPERATORS, LANDLORDS AND PARTICIPANTS <br />ARE ADDITIONAL INSUREDS FOR ALL OPERATIONS ARISING OUT OF SANCTIONED ABA <br />RACING EVENTS AND/OR TRACKS <br />q.$.gf:!f@AIg:Hg.hRg.i~Jft:i;fit!,;::;:':::t':'it:::?'?:\ ::?mfi:it:::::I:::::IWf?:':::\/:@'/\n::f::t:::itt\9AN9g~4T@ffI::i!,!::t:nt:i:I::::te.. ~ .;,:,::'):.:':.:. .. .. .. <br />.- ::,:: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF. T:-lE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL -2.L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />.. <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, . <br />/ . /'7 <br /> <br />\ f/i'I A :'AAY~At7; <br /> <br />SAMPLE CERTIFICATE <br /> <br />A~npn?,,~c::: ""0,...' <br />