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HomeMy WebLinkAboutInsurance Certificate: USA Track & Field CERTIFICATE OF INSURANCE DATE: 41212013 CERTIFICATE NUMBER: 20130402142324 AGENCY: ESIX Entertainment & Sports Insurance eXperts THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 5660 New Northside Drive, Suite 640 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES Atlanta, GA 30328 NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES Phone: (678) 324-3300 Fax: (678) 324-3303 BELOW. NAMED INSURED: INSURERS AFFORDING COVERAGE: USA Track & Field, Inc. Ashland Woodland Trails Association INSURER A: Philadelphia Indemnity Ins. Co. 132 East Washington Street, Suite 800 Indianapolis IN 46204 EVENT INFORMATION: _ Mt. Ashland Hill Climb Run (8/10/2013 - 8/11/2013) POLICY/COVERAGE INFORMATION: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE: POLICY NUMBER(S): EFFECTIVE: EXPIRES: 'LIMITS: A GENERAL LIABILITY X COMMERCIAL GENERAL PHPK935580 11/1/2012 11/1/2013 GENERAL AGGREGATE (Applies Per Event) _ $3,000,000 LIABILITY 1201 AM 12:01 AM EACH OCCURRENCE $1,000,000 X Occurrence DAMAGE TO RENTED PREMISES (Each Om.) $1,000,000 MEDICAL EXPENSE (Any one person) EXCLUDED PERSONAL & ADV INJURY $1,000,000 PRODUCTS-COMP/OPAGG $3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: 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 award ceremonies. The certificate holder is additional insured but only for the liability arising out of the negligence of the named insured, per the following endorsement: Additional Insured - Certificate Holders (Form PI-AM-002). CERTIFICATE HOLDER: NOTICE OF CANCELLATION: City of Ashland Should any of the above described policies be cancelled before the expiration date thereof, 20 E. Main St. notice will be delivered in accordance with the policy provisions. Ashland OR 97520 AUTHORIZED REPRESENTATIVE: