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AIM.A <br /> Association Insurance 1Kanagement <br /> MEMBER CERTIFICATE OF INSURANCE <br /> Thank you for10l22/Og <br /> purchasing your insurance from AIM. This is your Member Certificate and should be kept with your permanent records. <br /> Insured#: CA258598 <br /> NAMED INSURED-MEMBER: <br /> Lincoln Music Boosters PRODUCER NAME: <br /> Attn:Rachel Grant Association Insurance Management Inc. <br /> 6844 Nexandria Place PO Box 742946 <br /> Stockton,CA 95207 Dallas TX,75374-2W <br /> Company/Coverage Policy It Effective Dates Deductible Limits of Insurance <br /> Homeland!ns Co of New York/TBD-GUAM 10/14/09-10/14/10 <br /> Commercial General Liability NONE Each Occurrerm $1,000,000 <br /> General Aggregate $2,000,000 <br /> Products-COMP/OPS Aggregate $2.000,000 <br /> Personal&Advertising Injury $1,000,000 <br /> Homeland Ins Co of New York/TBD-GUAM Fire Damage(any one fire) $50 <br /> Medical 10/14/09-10/1 10/14/10 NONE Any One Person <br /> (Accident Medical} $50,000 <br /> Homeland Ins Co of New York/TBD-FB/PC(B 10/14/09-10/14110 $250 Aggregate $50,000 <br /> Comm1 Crime&Fidelity Mond) Each Occurrence $10,000 <br /> Homeland Ins Co of New York/TBD-PL 10/14/09-10/14/10 <br /> Non-profit Prof Liablity(Officers $1,500 Aggregate <br /> Liability) $1,000,000 <br /> Effective 11/21/09 County of San Joaquin,Dept of Public Works,is added as an additional insured for General Liability only as respects band review <br /> encroachment permit:closure of Ben Holt Dr.from Persh�g Ave to Alexandria PI for Lincoln High School Band Review Nov 21,2009.Parade route:Lincoln <br /> Rd,Leesburg,Ben Holt,Harrisburg <br /> Certificate Holder: This member certificate,together with the common <br /> County of San Joaquin part(s),cove Policy conditions,coverage <br /> rage form(s),and endorsements,H any,complete the above numbered <br /> Dept of PUNIC Works policy. Copies of the Master Policies are available upon request or may be printed at <br /> 1810 Hazelton Ave www.aim-aim <br /> Stockton,CA 95205 <br /> Attn:Permit Division Tom Iwamiya <br /> AUTHORIZED REPRESENTATIVE <br /> Page 1 of 2 <br /> AIM • Dallas, Texas • (800) 876-4044 • Fax (214) 360-0802 <br />