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Home My WebLink AboutAMERICAN BICYCLE ASSOCIATION DBA USA MX - INSURANCE CERTIFICATErliants• 1nR7ann AMFRIRlrt ACORDTE ,., CERTIFICATE OF LIABILITY INSURANCE D 2/26/2/DD/VYYY) /zs/zo1 s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOESNOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: USI Insurance Services LLC PHONE 602-279-5800FA I A/o No Ea : aC No): 602-279-5899 2375 E. Camelback Rd, Suite 250 ADDRESS: Phx.certificates@usi.biz Phoenix, AZ 85016 INSURERS) AFFORDING COVERAGE NAIC # 602 279-5800 INSURER A; Philadelphia Indemnity Insuranc 18058 INSURED INSURER B : American Bicycle Association dba: USA MX INSURER C P.O. Box 718 INSURER D Chandler, AZ 85244 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CONTRACTOR 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRR TYPE OF INSURANCE NSR WVD POLICY NUMBER MM/DD/YYFF YV MM DD/VVYY POLICY EXP LIMBS A XI COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR XI Ded: $0 I PHPK1460862 . I 3/01/2016 03/01/2017 EEDACH OCCURRENCE PFEMISESOEeoaTurrence $100000 —$1,000,000 MED EXP (Any one person) $ Excluded PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY Jo- LOC (OTHER: GENERAL AGGREGATE 55,000,000 PRODUCTS - COMP/OPAGG $1,000,000 Abuse/Molest $1,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS PHPK1460862 3/01/2016 03/01/2017 Eea�0eD1SINGLELIMIT 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ xI PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAB EXCESS LABCLAIMS-MADE X OCCUR PHUB531956 3/01/2016 03/01/201 EACH OCCURRENCE s4,000,000 AGGREGATE s4,000,000 DED I X RETENTION$10000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER OTH- ISTATUTE E.L. EACH ACCIDENT $ ELDISEASE - EA EMPLOYEE $ E..L.. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder and any other entities listed below are listed as additional insured under the General Liability on a primary & Non Contributory Basis Including waiver of subrogation with respect to the American Bicycle Association/USA BMX sanctioned events/competitions/practices and other operations conducted by American Bicycle Association/USA BMX track operators on behalf of the American Bicycle Association/USA BMX. Re: Epic BMX City of Ft. Collins P.O. Box 580 Ft. Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) 1 of 1 #S17336236/Ml7336021 01988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CXTJD