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CERTIFICATE OF INSURANCE 12/29/2009 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> American Specialty Insurance&Risk Services,Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND,OR <br /> 142 North Main Street ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW. <br /> Roanoke Indiana 46783 <br /> INSURED INSURERS AFFORDING COVERAGE <br /> USA Track&Field.Inc. INS.A: AXIS Insurance Company--------- <br /> 132 <br /> ompanyw 132 East Washington Street,Suite 800 INS.B: — <br /> Indianapolis, IN 46204 INS_C: <br /> SUNDANCE RUNNING CLUB <br /> 3808 FALMOUTH COURT <br /> STOCKTON,CA 95219 <br /> i <br /> CERT NUMBER:1000847065 <br /> EVENT CODE: 10-38-018 j <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 3.�000�.000 <br /> GL AXGL02100182-09 11/0112009 11;01!2010 Products-Completed Operations.Aggregate 3,000,000! <br /> A Personal and AdvertisingInjury1,000,000 <br /> 12:01 a.m. 12:01 a.m. Each Occurrence 1,000,000 <br /> Dal to Premises Rented to You(Any One Premises 1,000,000 1 <br /> Medical Expense Limit(Any One Person Excluded <br /> I <br /> � I <br /> I � 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 /> i <br /> I <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-Additiona•.Insured <br /> Certificateholders.but only with respect to the CALIFORNIA 10 on January 10,2010. <br /> I <br /> i <br /> II <br /> i <br /> I <br /> I <br /> CERTIFICATE HOLDER CANCELLATION <br /> COUNTY OF SAN JOAQUIN SHOULD ANY OF THE ABOVE DESCRIBED <br /> P O BOX 1810 POLICIES BE CANCELED BEFORE THE <br /> STOCKTON,CA 95201 EXPIRATION DATE THEREOF,THE ISSUING <br /> COMPANY WILL ENDEAVOR TO MAIL 30 DAYS <br /> 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 /> CW,.W,K+ <br /> American Specialty Insurance&Risk Services, Inc.also conducts business as A.S.I.R.S.I.Insurance Agency in the state of California. <br />