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ACORD'"CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/OOIYYYY)
<br />~04/18/2015
<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 pollcy(ies)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 />MARSHUSAINC.NAME:
<br />PHONE I f~No':122517TH STREET,SUITE 1300 .1Al.C...No....Ext].
<br />DENVER,CO 80202.5534 E-MAILADDRESS:Altn:Denver.certrequest@marsh,com INSURER/51 AFFORDING COVERAGE NAIC"
<br />02220.AEG25-GAWUQ.I6-17 AMGEN INSURER A :Starr Indemnity &Uabilily Company'38318
<br />INSURED INSURER B :NIA NfAAEGCYCLING,LLC
<br />800W.OlYMPIC 8LVD,SUITE305 INSURER c:
<br />LOSANGELES,CA 90015 INSURER 0:
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER'SEA-{)()2859097.26 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.NOlWlTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VV1TH RESPECT TO I/YHICH 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 ADDL UBR I,&OUCYEFF ~~6%~1 UMITSLTRTYPEOFINSURANCEPOLICYNUMBERMMlDDIYYYY
<br />X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE ,2,000,000
<br />A I CLAIMS.MADE 0 OCCUR 1000100043151 0310112015 0310112017 ~~~~~~J9~~~~nce\,1,000,000
<br />MED EXP (Anv one Dernonl ,EXClUDED
<br />X $100,000 SIR PERSONAL &ADV INJURY ,2,000,000
<br />=FAGGREGATE LIMITAPPLIESPER GENERAL AGGREGATE ,20,000,000
<br />DpRQ.0 PRODUCTS.COMPIDPAGG ,2,000,000POLlCYJECTLOC
<br />OTHER;,
<br />~TOMOBlLE UABIUTY n:~~~~1SINGLELIMIT ,
<br />ANY AUTO BODILY INJURY (Per pernon),-ALL OINNED -SCHEDULED BODILY INJURY (Per accident),-AUTOS -AUTOS
<br />HIREOAUTOS NON..Q'NNED ;~~~~!~L':.gAMAGE ,--AUTOS ,
<br />-UMBRELlA L1AB ROCCUR EACH OCCURRENCE ,
<br />EXCESS UAB CLAIMS..MADE AGGREGATE ,
<br />OED-1-T RETENTION S ,
<br />WORKERS COMPENSAT10N I ~f~T,rr,I 12~H.AND EMPLOYERS'LIABILITY YINANYPROPRIETORlPARTNERlEXECllTIVE0 NIA E.L.EACH ACCIDENT ,
<br />OFFICERIMEMBER EXCLUDED?(Mnndntory In NH)E.L.DISEASE.EAEMPLOYE S
<br />~~~t~~~cr~~~gPERATIONS below E.L.DISEASE.POLICY LIMIT S
<br />DESCRIPllON OF OPERA T10NS I LOCA nONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached If more Gpaco Is required)
<br />RE:2016 AMGEN TOUR OF CA
<br />SAN JOAQUIN COUNTY,ITS OFFICERS,AGENTS,AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED ON THE GENERAL LIABILITY IF REQUIRED BY
<br />WRtnEN CONTRACT.WAIVER OF SUBROGATION APPLIES IF REQUIRED BY WRITTEN CONTRACT ORAGREEMENT EXECUTED PRIOR TO lOSS.
<br />CERTIFICATE HOLDER CANCELLA TION
<br />SANJOAQUINCCUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE1810EHAZLETONAVE.THE 'EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED INSTOCKTON,CA 95205 ACCORDANCE WITH THE POLICY PROVIS]ONS.
<br />AUTHORIZED REPRESENTATlVE
<br />of Marsh USA Inc.
<br />,Sharon A.Hammer e'~a .aV~",,-,
<br />ACORD 25 (2014/01)
<br />@1988-2014ACORDCORPORATION.All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
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