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CERTIFICATE OF INSURANCE 112/18/2008 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> American Specialty Insurance&Risk Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND,OR <br /> Roanoke, Indiana 46783 North Main Street ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW. <br /> Ro <br /> INSURED INSURERS AFFORDING COVERAGE <br /> USA Track&Field,Inc. INS.A: AXIS Insurance Company <br /> 132 East Washington Street,Suite 800 INS.B: <br /> Indianapolis, IN 46204-3723 INS.C: <br /> SUNDANCE RUNNING CLUB <br /> 3808 FALMOUTH COURT <br /> STOCKTON,CA 95219 <br /> CERT NUMBER: 1000728327 <br /> EVENT CODE:09-38-007 <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, NOT WITHSTANDING 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 CONDITION OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INS POLICY POLICY POLICY <br /> LTR TYPE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS <br /> General Aggregate 2,000,000 <br /> GL AXGLO1100182-08 11/01/2008 11/01/2009 Products-Completed Operations Aggregate 1,000,000 <br /> A Personal and Advertising In'urV 1,000,000 <br /> 12:01 a.m. 12:01 a.m. Each Occurrence 1,000,000 <br /> Damage to Premises Rented to You(Any One Premises 1,000,000 <br /> Medical Expense Limit(Any One Person None <br /> I <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Coverage applies to USA Track&Field sanctioned events and registered practices,including any directly related activities,such as event set-up and tear-down,participant check-in and <br /> award ceremonies. <br /> The Certificateholder is only an additional insured with respect to liability caused by the negligence of the Named Insured as per Form AXIS 1003-Additional Insured-Certificateholders, <br /> but only with respect to the CALIFORNIA 10 on January 11,2009. <br /> CERTIFICATE HOLDER CANCELLATION <br /> COUNTY OF SAN JOAQUIN <br /> PUBLIC WORKS SHOULD ANY OF THE ABOVE DESCRIBED <br /> POLICIES BE CANCELED BEFORE THE <br /> P.O. BOX 1810 EXPIRATION DATE THEREOF,THE ISSUING <br /> 1800 HAZELTON STREET COMPANY WILL ENDEAVOR TO MAIL 30 DAYS <br /> STOCKTON,CA 95201 WRITTEN NOTICE TO THE CERTIFICATE <br /> HOLDER,BUT FAILURE TO MAIL SUCH NOTICE <br /> SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> OF ANY KIND UPON THE COMPANY,ITS <br /> AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> American Specialty Insurance&Risk Services, Inc.also conducts business as A.S.I.R.S.I. Insurance Agency in the state of California. n SSR 111) <br />