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AC►O1ltI1, CERTIFICATE CSF INSURANCE ISSUE DATE(MM/00/YY) <br /> 01 27/97 <br /> PRODUCERill <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> ICK 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 /> LEITER -.- <br /> COMPANY E <br /> INSURED 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 /> COVERAGES ::<>:>: ::;::;< <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 PATO CLAIMS. <br /> T TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR( POLICY NUMBER <br /> DATE(MM/DD/YY) DATE(MM/DaYT) LIMITS <br /> A GENERAL LIABILITY GENERAL AGGREGATE S 1, 000, 000 <br /> X COMMERCIAL GENERAL UABIUTY T S DM0 0 911-01 02/02/97 02/02/98 PROOUCTS-COMP/OP AGG. $ 1, 0 0 0, 0 0 0 <br /> CLAIMS MADE X OCCUR PERSONAL 8 AOV.INJURY S 1, 000, 000 <br /> OWNERS 8 CONTRACTOR'S PROT. I EACH OCCURRENCE S 1, 000, 000 <br /> X PARTICIPANT LEGAL FIRE DAMAGE(Any one lire) S <br /> 0 1 I MED.EXPENSE(Anyoneperson) $ <br /> UTOMOBILE LIABILITY I COMBINED SINGLE y <br /> S <br /> —1 ANY AUTO I UMIT <br /> 1_ ALL OWNED AUTOS I - <br /> r I BODILY INJURY S <br /> _1 SCHEDULED AUTOS j (Per person) <br /> __�HIRED AUTOS -- -- <br /> I BODILY INJURY s <br /> J NON-OWNED AUTOS I(Per accident) <br /> GARAGE LIABILITY i I <br /> PROPERTY DAMAGE I S <br /> I <br /> EXCESS LIABILITY <br /> EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE S <br /> If OTHER THAN UMBRELLA FORM <br /> STATUTORY LIMITS <br /> WORKER'S COMPENSATION - <br /> _ <br /> EACH ACCIDENT S <br /> AND — <br /> EMPLOYERS'LIABILITY DISEASE--POLICY UMIT 5 <br /> A OTHER DISEASE--EACH EMPLOYEE S <br /> () ]DEDUCTIBLE SDM00911-01 02/02/97 02/02/98 $500 PER CLAIM <br /> • <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 /> ...................... <br /> CERTIFICATE HOLDER-; <br /> CANCELLAT(ghl.... .. <br /> III ':. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> • EXPIRATION DATE THEREOF, i HE 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 /> 1� /Son rnoOn�nTlnn ,��ACORD25•S R/9a) <br />