Laserfiche WebLink
<br />Feb 26 03 11:33a YOUT~ COMMISSION <br />Ulf14}'O'J 12:04 FAX 260 672. SS'""" AME.RIC.AN SPECI~LTY <br /> <br />714-54<'-7746 <br />....." <br /> <br />p. I <br />III 0021004 <br /> <br />rn.. <br /> <br />Dat. 15ouea; 14-Pob-03 <br /> <br />~RTlF1CATE OF INllURNICE <br /> <br />CERTIFICATEHOLDER <br /> <br />CITY OF SANTA ANA <br />COMMUNITY oevELOPMENT AGENCY <br />POBOX 1988 <br />SANTA ANA. CA 92702 <br /> <br />P ObUCER NSUR@D <br />American Spec:laICy InsuPOinoe Scrvreas, Inc. UJ'llt9d S~te& Amateur Boxing, l"c. <br />142 North Main Street One Olym~ie Plaza <br />Roal'lCb. Indiana 467&3 Cor"",do Spring.. CO 80909 <br />'T'hla Cl.l1JficzIle il f.ss;uad as 21 matter or SANTAANA BOXING cLUe <br />intOlTTll6on only and confers ng r];I113 upan 'BSO ~ 17TM ST. ST~ 218 <br />Iho "'rllflcaleholder. This eortificate do.. SANTA ANA, CA 92705 <br />nolamend. exlalld. or alter the CQwrage <br />afford.d by lIle policy below. <br /> <br />CO ERAGES -11t1 IS TO CERTIFY THAT THE POUCIES OP INSURANCE L sTI!D BEL AVE IlEEN ISSUED TO E INSURED ED AllDVE <br />FOR THE POLICY PERIOD INDICATED. NOTWITtlSTANDING ANY lIiQUIREMENT, ~RM OR C0I\l0IT10N OF ANYC:DNlRAC:T OR OTt!ER , . <br />OOCUM~T W/TM RE$PECT TO WHICH THIS CERTIFICATE MAY BE lS$UED OR MAY PERTAIN. TME INSURANCE Al'FOIIDED BY THE POLICIES <br />DESCRIBED HERBIN IS SUBJECT TO ALL THE ~RlrIlS. EllClUSION$ AND CONDITION OF SUCH POLICIES. LllollT5 $HOWN MAY HAVE 8EEN <br />REDUCED 8Y PAID CLAIMS. <br /> <br />Unrled $lete$ Fidelity a',,' GIl8..''Y Com""ny GL Policy Numb.. DOB4LOIl4ll6 <br />Etl'._:01..JAN-oJ 12:01 AM I!xpires:01-.lAN.o4 12:01 AM <br /> <br /> <br />N DDLLAIIS <br /> <br />Pro<luelll-Completea Operallo"" Aggregate Umlt <br />P.....'" alld Aclvert!:ling Injury Umit <br />Eaoh Ocwrrwnc:e Lilli! <br />Damase 10 Premises Rented 10 Yau (Ally On. <br />Premises) <br />MBdical e en~e Limrt An One Pf:rson <br /> <br />',000,000 <br /> <br />1.000.000 <br />1.000.000 <br />1.000.000 <br />50.000 <br /> <br />El<oIuded <br /> <br />ADIl NAl.INFORMATION I RESTRI ONS I SPE ITEM' <br />. The Cerlir"",tehordel is <)Ilry an A~dition.lln.ured "illl ,espect to liab/IUy caUHd by the neSige11! acts or omissions of the Named Insured, and anry with <br />resp.cllO sup.Nised eM. approved praCllces an" ltainlng 01 USA Boxins member ath:s1e. lor USA 8...;ns .""CII01l0d OlIenlS. <br />.. Covel'a!l8 Is eKCIYded fQr i&lny m-artial ans. kic.k-boxing, or other act:ivltie$ nOI.specifically ep~oved in advance by USA Soxlng, regardlesS ofwhethBr or not <br />lhey lIf. part of a USA Solling sanotioned aClilllly or crue aclivily. <br />. Covarag. Is .lIeclive Feb"'"')' 14. 2003 IM>ugh December 31.2003. <br /> <br /> <br /> <br /> <br />C CEU.ATlON . SHOULD ANY OF T E ABOVE DESCRIBED I' C1EB Bi CANCELED BEF E THE EXPI TIO DATE I!OF, T E SumG <br />I COMPANY WILL ENDEAVOR TO MAtL 30 DAYS WRITTI!N NOTICE TO THE C1!RTIFlCA~HOLDER, BUT FAILURE TO MAIL SUCH NOTlCl! S11AI.L <br />, IMPOSE NO OBLIGATION OR LIABI1.I'1Y OF ANY KIND UPON THE COIIIPANY. ITS AGENTS OR RE"IIESEIIITATlVES. <br /> <br />FOtm 11I0. USAB lIIlDllOl <br />Certi1lcole lIlo. 1foo225112 <br /> <br />Oa. . <br />....r/.. Q. ~~ <br />Dallld/-iarA!l <br />Authorized Representative <br /> <br />- <br /> <br />FOP" <br />"ED AS TO . <br />Af'PBOv <br />,Mf[tl-oRCK--- <br /> <br />LISA 'w Alton,e"i <br /> <br />'''(7) J) <br />