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#4C CERTIFICATE OF LIABILITYINSUF ANCE DATE1/231DD(YY) <br /> 01!23114 <br /> PRODUCER HCM Insurance Brokers THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> 1407 Foothill Blvd#228 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> La Verne,CA 91750 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Phone (866)866-7090 Fax (866)496-5968 INSURERS AFFORDING COVERAGE NAiC# <br /> INSURED Federation of Independent Assn for Cycling INSURER A: Lexington Insurance Company <br /> and American Bicycle Racing INSURER B: Houston Casualty Company <br /> P.O. Box 487 INSURER C. <br /> Tinley Park, IL 60477-0487 INSURER D.INSURER.E. <br /> COVERAGES INSURER F: <br /> THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING <br /> ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> R <br /> LTR INSDATE(MM/DD1YY) DATE(MMIDONY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> d COMMERCIAL GENERAL LIABILITY ED <br /> 010-624237 01/11/14 01/11/15 PREF PREAMAGE MISES cccurcnce) $300,000 <br /> A CLAIMS MADE V OCCUR MED EXP(Any one person) <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPiOP AGG $1,000,000 <br /> POLICY PROJECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 <br /> ANY AUT 0 010-624237 01/11/14 01/11115 (Ea accident) <br /> ALL OWNED AUTOS <br /> A BODILY INJURY <br /> SCHEDULED AUTOS (Per person,) <br /> J HIREDAUTOS <br /> J NON OWNED AUTOS BODILY INJURY <br /> (Per accident) <br /> PROPERTY DAMAGE <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT <br /> ANY AUTO OTHER THAN EA ACC <br /> AUTO ONLY. AGG <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE <br /> OCCUR CLAIMS MADE AGGREGATE <br /> DEDUCTIBLE <br /> RETENTION S <br /> WORKERS COMPENSATION AND <br /> EMPLOYERS'LIABILITY V TORY STAT <br /> S OERH <br /> ANY PROPRIETOR/PARTNER!EXECUTIVE E.L.EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED; <br /> If yes,describe under E L.DISEASE-EA EMPLOYEE <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT <br /> OTHER <br /> B EXCESS MEDICAL 14/7002371 01/11/14 01/11/15 PER PERSON $10,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS <br /> Additional named insured: P.A.C.E.R.S. <br /> Event: Woodbridge Roat TT <br /> Event Date; March 22, 2014 <br /> San Joaquin County, its officers, agents and employees, are an additional insured under this policy. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> The County of San Joaquin, 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO <br /> State of California THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 1810 E. Hazelton Ave. OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. <br /> Stockton,CA 95201 AUTHORIZED REPRESENTATIVE <br /> . ......._......._... . <br /> ACORD 25(2001108)OF ©ACORD CORPORATION 1988 <br />