Date Issued: 28- Jan-02 CERTIFICATE OF INSURANCE 101 <br /> CERTIFICATEHOLDER <br /> FOR INFORMATIONAL PURPOSES ONLY <br /> PRODUCER INSURED <br /> American Specialty Insurance Services, Inc. American Bicycle Association <br /> 142 North Main Street 1645 W. Sunrise Blvd <br /> Roanoke, Indiana 46783 Gilbert, AZ 85233 <br /> This certificate is issued as a matter of information only and confers no rights EMERALD VALLEY BMX #81 <br /> upon the certificateholder. This certificate does not amend, extend, or alter 3055 POWELL <br /> the coverage afforded by the policy below. EUGENE, OR 97405 <br /> COVERAGES — THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE <br /> FOR THE POUCY PERIOD INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDfi1ON OF ANY CONTRACT OR OTHER <br /> DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES <br /> DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. UMITS SHOWN MAY HAVE BEEN <br /> REDUCED BY PAID CLAIMS. <br /> COVERAGE LIMITS IN DOLLARS <br /> United States Fidelity and Guaranty Company GL Policy Number D064L00278 Each Occurrence Limit 1,000,000 <br /> Effective:01-FEB-02 12:01 AM Expires:01 -FEB- 0312:01 AM <br /> General Aggregate Limit 1,000,000 <br /> Products - Completed Operations Aggregate Limit 1,000,000 <br /> Damage to Premises. Rented to You (Any One 50,000 <br /> Premise) <br /> Personal and Advertising Injury Limit 1,000,000 <br /> Medical Expense Limit (Any One Person) Excluded <br /> United States Fidelity and Guaranty Company XS Policy Number D064Y00139 General Aggregate Limit 10,000,000 <br /> Effective:01 -FEB- 0212:01 AM Explres:01-FEB-03 12:01 AM <br /> Each Occurrence Limit 10,000,000 <br /> Aggregate for Coverage Over Aggregate Limit 10,000,000 <br /> ADDITIONAL INFORMATION / RESTRICTIONS / SPECIAL ITEMS <br /> • The ABA track operator listed above is an insured under the above policies with respect to losses arising from their operations on behalf of ABA at ABA - <br /> sanctioned tracks. Coverage for BMX competitions and practices are limited to those that are sanctioned by ABA from February 01, 2002 through January 31, <br /> 2003. <br /> CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING <br /> COMPANY WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATEHOLDER, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO <br /> OBLIGATION OR UABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> Form No. ABAA_000003 <br /> Certificate No. 1000162053 <br /> Event Code. ABA02 0021 <br /> • <br /> Q. WoulAAA) <br /> David Harris <br /> Authorized Representative <br />