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CE=E:22 i EFtr~~TE f.'a~ E"d~tsR6~;`•EC~ <br />PRODLJ OER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />American Specialty Insurance & Risk Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> <br />142 North Main Street HOLDER. THIS GERTIFICATE DOES NOT AMEND, EXTEND, OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW. ~ <br />Roanoke, Indiana 46783 <br />iNSUR~O INSURERS AFFORDING COVERAGE <br />USA Track ~ Fieid, Inc. lN5. A: AXIS Insurance Company <br />i 32 East Washington Street, Suite 800 INS B: <br />Indianapolis, IN 46204-3723 <br />INS. C: <br />CARE OF SOUTH BEND <br />P.O. BOX 1481 <br />SOUTH BEND, IN 46624 <br /> I <br />CERT NUMBER: 1000746556 <br /> EVENT CODE: 09-16-001 <br />C:(a VtKAC~tS <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 6EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRAGT OR OTHER DOCUMENT WITH RESPECT 70 WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCR{BED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITION OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE [TEEN REDUCED BY PAID CLAIMS. <br />IA15 <br />LTR POL4CY <br />TYPE <br />POLICY NUMBER POLICY <br />EFFECTIVE POLICY <br />EXPIRATION i <br />LIMITS <br /> General A re ate 2,000,000 <br /> GL AXGL01100182-OS 11/01120D$ 11!01/2009 Products-Com leted erations A re ate 1,000,000 <br />A Personal and Advertisin In'u 1,000,000 <br /> 12:01 a.m. 12:01 a.m. Each Occurcence 1,000,000 <br /> Dama a to Pr mis Rented to ou An One Premises 1 000 000 <br /> Medical Ex ense Limit An One Person Excluded <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DESCRIPTION OF OPERATIONS/LOCATlONSlVEHICLES/EXCLUSIONS ADDED BY ENDORSEhM1ENTISPECIAL PROVISIONS 1 <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 1 <br />award ceremonies. <br />The Certificatehclder is only an additional insured with respect to liability caused by the negligence of the Named Insured as per Form AXIS 1003-Additional Insured - <br />C:ANf'.FI f ATInN <br />t <br />I <br />i <br />I <br />OF PARKS COMMISSIONER <br />02/17/2009 <br />SHOULD ANY OF THE ABOVE DESCRIBED <br />POUGIES BE CANCELED BEFORE THE <br />EXPIRAT{ON DATE THEREOF. THE ISSUING ~ <br />COMPANY WILL ENDEAVOR TO MAIL 30 DAYS <br />WRITTEN pJOTICE TO THE CERTIFICATE <br />HOLDER. 6UT 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 />~ ~ v <br />