Laserfiche WebLink
Date Issued; 31-DBO03 CERTIFICATE OF INSURANCE <br />CERTIFICATEHOLDSq <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS AND REPRESENTATIVES <br />20 CMC CENTER PLAZA <br />SANTA ANA, CA 82701 <br />Amarkan Specialty Insurance Services, Inc, Linked S1191e0 Amateur Boxing, Inc. dba USA Boxing <br />142 North Main Street One Olympic Pwa <br />Roanoke, Indiana 48783 Colorado Springs, CO atrgo9 <br />This cmtft219 is Issued as a matter of I TKO BOXING CLUB <br />information only and confers no rights upon 728 S CENTER STREET <br />the centifcatehotder. This certificate does SANTA ANA, CA 92702 <br />nor amend, extend, m altar the oovarage <br />afforded by the poNhy below. <br />FOR THE POLICY PERIOD INDICATED, NOT WRHSTANDINr <br />DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE <br />DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXC <br />United Stall Fidelity and 644ranlY Company GL P0110y Number DML007AR <br />EHectiva:01- NOV-03 12:01 AM Expir" :01- OCT"04 /2:01 AM <br />TENT, TERM OR CONDITION OF ANY CONTRACT OR OTFIER <br />OR MAY PERTAIN, T)-W INSURANCE AFFORDED BY THE POLICIES <br />MINTIOH OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN <br />General Agg"it, - —. <br />81000,000 <br />Products-Cwryieted Operatkxu Aggregale <br />1,0W,000 <br />Personal and Advertising Injury <br />1,000,000 <br />Each Occurrence <br />1,000,000 <br />Damage In Prnmises Rented 10 You (Any One <br />80,000 <br />• The CedirirAteholder b ohly an Additional Insured wllh respect to llabilly caused by the negligent acts or emissions of the Named Insured, and only with <br />respect to supervised club approved practices and training of USA Boxing member athletes for USA Boxing sanctioned events. <br />. CCvaraga Is excluded for any martial aft , Kok-boxing, m dlra activities not specl0nlly approved in advanea by USA Boxing, regardlesa of whether or not <br />they are pan of a USA Boxing sanctioned ac "1ty or club activity. <br />• The insurance coverage Provided under We policy Is primary . <br />COMPANY WILL ENDEAVOR TO NAIL ]D DAYS WRITTEN NOTICE TO <br />Foml No. USAB D00003 <br />CwlificalC No. 1000278817 <br />Laura StiEt <br />4.SSLSlaaf ill`/ <br />FAILURE TO MAIL SUCH NOTICE SHALL <br />David ~I <br />Aumuraod Representative <br />