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ACC) CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDD/YYIY) <br /> 1 6/30/2014 <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 Margretta Palya, AAI <br /> The Novick Group PHONE (301)795-6600 F'4X No):(301)795-6610 <br /> One Church Street -MAIL mal a@novick rou com <br /> ADDRESS: p Y g p <br /> Suite 400 INSURERS AFFORDING COVERAGE NAIC# <br /> Rockville MD 20850 INSURER A:Philade l hia Indemnity Ins. Co. 18058 <br /> INSURED INSURER B: <br /> American Diabetes Association INSURERC: <br /> National Center INSURERD: <br /> 1701 N. Beauregard Street INSURERE: <br /> Alexandria VA 22311 1 INSURER F <br /> COVERAGES CERTIFICATE NUMBER vents 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 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 /> INSR ADDLSUBR TYPE OF INSURANCE POLICY NUMBER POLICY EFF <br /> MM/DDS LIMITS <br /> LTR <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 1,000,000 <br /> A 7 CLAIMS-MADE ❑X OCCUR X PHPK1115993 1/1/2014 /1/2015 MED EXP(Any one person) $ 20,000 <br /> X Participant Liability PERSONAL BADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 <br /> POLICY PRO X LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNEDSCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS Per accident <br /> UMBPELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS'LIABILITY Y/NEfL <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) <br /> San Joaquin County is an Additional Insured but only with respect to claims arising out of the negligence <br /> of the Named Insured at the Tour de Cure Women's Series on 10/26/14. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> San Joaquin County ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1810 E. Hazelton Avenue <br /> Stockton, CA 95205 AUTHORIZED REPRESENTATIVE <br /> Louis Novick/PALYA <br /> ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> INSn25r?ninnstni Thn Ar nion n-­4 Inn^am rnnicfnrnrl mnrerc of Af^r1Rll <br />