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02/18/03 15 :44 FAX 260 672 8815 AMERICAN SPECIALTY Ins. 002 LX.a issued: 19- Feb-03 - CERTIFICATE OF INSURANCE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS AND REPRSENTATIVES 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 American Specialty Insurance Services, Inc. United States Amateur Boing, Inc. 142 North Main Street One O"Ic Plaza Roanoke, Indiana 46763 Colorado Springs. CO 80909 This certificate is issued as a matter of TKO BOXING CLUB Information only and confers no rights upon 726 S CENTER STREET the aerrtifiratsholder. This ceruficaba does SANTA ANA, CA 92702 not amend, mdend, or alter the coverage afforded by the policy below. COVERAGES —THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITION OF SUCH POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. United States Fidelity and Guaranty Company GL Posey Number D064LOO496 Eflactive:014AN4312:01 AM Eapires:01 JAN-" 12M AM General Aggregate Limit 5,000,000 Products- Completed Operations Aggregate Limit 1,000.000 Personal and Advertising Injury Limit 1,000,000 Each Occurrence Limit 1,000,000 Damage to Prernises Rented to You Wry One 501000 • The C&OOMWIClder is Only an Additional Insured with rasped to liability caused by One negligent acts or omissions of the Named Insured, and only with respect to supervised dub approved precdcas and training of USA Bmdng member athletes for USA eo>dmg sanctioned events. - Coverage Is excluded for any menial arts, kirk- ba)ft, or other adivities not specifically approved in advance by USA Boling, regardless of whether or not they are pan of a USA Boxing sanctioned activity or dub activity. • Coverage Is effective February 03, 2003 through December 31, 2003. . The insurance coverage provided under Ode poioy is primary. CANCELLATION -SHOULD ANY OF THE ABOVE DESCRIBED PGLICM6S BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATEHOLDER. Form Na USAB 000001 Ceriffi ate No. 1000223095 • � �fM/�.M/ David Harris Aut horlmd Representative APPROVER' FORM 4ar 1eed1 Deputy City - -..