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JSCHLINK <br />CERTIFICATE OF INSURANCE 0972095 <br />slue DAT1/ 13/04 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />K & K Insurance Group, Inc. <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />1712 Magnavox Way <br />P.O. Box 2338 <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Fort Wayne, In 46801 <br />COMPANIES AFFORDING COVERAGE <br />INSURED <br />USA CYCLING, INC. <br />COMPANY A <br />LETTER GREAT AMERICAN ASSURANCE COMPA <br />COMPANY B <br />LETTER <br />TEAM REDLANDS #1106 <br />415 E TENNESSEE <br />COMPANY `. <br />LETTER <br />REDLANDS, CA 92373 <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 <br />PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO <br />ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO. <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE (MM/DDPOLICYIEFFECTIVE <br />(M m) <br />POLICY DATE WDD TION <br />MM'D � <br />LIMITS in thousands <br />( ) <br />General Liability <br />12:01AM <br />12:01AM <br />General Aggregate $ NONE <br />A <br />® Commercial General Liability <br />MAC0566248800 <br />1/01/04 <br />1/01/05 <br />Products-Comp/Ops Aggregate $ 1000 <br />[-]Claims Made ®Occur. <br />Personal 8 Advertising Injury $ 1000 <br />❑ Owner's & contractors Prot. <br />Each Occurrence $ 1000 <br />❑ <br />Fire Damage (Any one fire) $ 300 <br />Medical Expense (Any one person) $ <br />Participant Legal Liability $ <br />p <br />Automobile Liability <br />Any auto <br />MAC0566248800 <br />12:01AM <br />1/01/04 <br />12:01AM <br />1/01/05 <br />Combined <br />Single <br />Limit <br />$ 1000 <br />❑ All owned autos <br />Bodily <br />❑ Scheduled autos <br />® Hired autos <br />Injury <br />(per erson <br />$ <br />Bodily <br />n Non -owned autos <br />**'(per <br />E] Garage Liability <br />Injury <br />accident <br />$ <br />Property <br />Damage <br />A <br />Excess Liability <br />F-1EXCO566248900 <br />12:01AM <br />1/01/04 <br />12:01AM <br />1/01/05 <br />Each <br />Occurrence <br />Aggregate <br />® Other than Umbrella form <br />$ 4000 <br />$ 4000 <br />Workers' Compensation <br />Statutory <br />and <br />$ Each Accident <br />Employers' Liability <br />$ Disease -Policy Limit <br />$ Disease -Each Employee <br />AD&D $ <br />Participant <br />Primary Medical $ <br />Accident <br />Excess Medical $ <br />Weekly Indemnity $ X <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS <br />CERTIFICATE HOLDER IS AN ADDITIONAL INSURED AS RESPECTS PERMIT# 2004-70, <br />REDLANDS BICYCLE CLASSIC, ON 3/23-28/04, AT REDLANDS, CA AND VICINITY BUT ONLY <br />WITH RESPECT TO THE LIABILITY ARISING OUT OF THE NAMED INSURED'S OPERATIONS. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE <br />(SEE ENDORSEMENT #GAC 3531 CG) <br />CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE <br />CITY OF COLTON <br />ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS <br />650 N LA CADENA DR <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO <br />COLTON, CA 92324-2823 <br />THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE <br />NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />' <br />COMPANY, ITS AGENT OR REPRESENTATIVES. <br />AUTHORIZED REP SE TATI E <br />`J 1-92 <br />