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DATE(MMIDD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 03/09/2012 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s).. <br /> PRODUCER CONTACT <br /> NAME: <br /> Entertainment Pro Insurance PHONE FAX <br /> A1C No): <br /> 9645 Padre Peak Court E-MAIL <br /> Las Vegas,NV 89178 PRODUCER <br /> CUSTOMER ID <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURED INSURERA: New Hampshire Insurance Company 23841 <br /> Tony and Natalie Vice dba Fleet Feet Sports INSURERB: Houston Casualty Company <br /> co Rich Hanna <br /> INSURERC: <br /> 624 35th Street <br /> Sacramento, CA 95816 INSURER°` <br /> INSU REFIE: <br /> INSURER F: <br /> COVERAGES CERTIFICATE;NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br /> PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br /> WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT <br /> TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ILTR AUUL SUISH POLICY EFF TYPEOFINSURANCE POLICYEXP LIMITS <br /> LTR INSR WVD POLICYNUMBER MMIDDIYYYY MMIDDIYYY <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> A SEL012250626 03/09/2012 05/22/2012 300 000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ <br /> CLAIMS-MADE Fx I OCCUR MED EXP(Any oneperson) 5,000 <br /> X Host Liquor PERSONAL&ADV INJURY $ 1,000,000 <br /> B X Medical Expense 117002321 03/09/2012 05/22/2012 GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 1,000,000 <br /> POLICY jER`T n LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY(Per accident) $ <br /> SCHEDULED AUTOS <br /> PROPERTY DAMAGE $ <br /> HIRED AUTOS (Per accident) <br /> NON-OWNED AUTOS $ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION TORY LIMITS 1 1 -ER <br /> AND EMPLOYERS'LIABILITY Y 1 N <br /> ANY PROPRIETORIPARTNER/EXECUTIVE F-1E.L.EACH ACCIDENT $ <br /> OFFICEWMEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> It yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMT $ <br /> 1 7 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD101,Additional Remarks Schedule,it more space is required) <br /> The Certificate Holder is added as Additional InSUred with respects to our Insured's operations only. <br /> This coverage is with respect to Avenue of the Vines Half Marathon event to be held 5/20/2012-5/21/2012 at Woodbridge Winery Acampo CA <br /> CERTIFICATE HOLDER CANCELLATION <br /> County Of San Joaquin SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> 222 E. Weber#707 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED <br /> StOCI(tOn, CA 95207 IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE j{ <br /> ©1988-2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD <br />