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<br />03/18/2005 15:51 FAX 16305980476 <br /> <br />ALLE, J FLOOD <br /> <br />~002 <br /> <br />.. <br />AAIC <br />Amllrt!o:.lttn_ld:l.. ......n~. CDrpaI'iIIlon <br />555 Cdl'S1e Road East <br />Pri"celOnN,J.OIS.t!-5212 <br /> <br />MEMBER CERTIFICATE <br />COMMERCIAL GENERAL LIABILITY <br /> <br />Named wured Member DDd Addn::u; <br />Tustin Martill1 Art:i <br />624 Efl,~t Firsl Stre:d <br />.~ Tu,tin, CA 92780 <br />:s+.. (ktH'-t') <t:L.fRk>-d::t---- <br /> <br />Member Certificate No. 76A2GL1OO3477-00 <br /> <br />Policyholder; <br />Spoch IIDd Rt;crc~tioD Pro"'id~r;: ^'$ociation Rhk <br />Management, lac. <br />1 776 South Napervillc Road, Bldg-B <br />Wheaton IL 60189 <br /> <br />n ,.)Ic"1 ~o5c: <br />/J .xc.,LI- C:)C C/ <br /> <br />Policy No. 76A1GLOOOOOOI-00 <br /> <br />Certifil;ate CoverAge Perind: <br /> <br />'l:Omm: <br /> <br />1/25105 To <br /> <br />1/25106 at 1201 AM Standard Time <br />at the address of the Named Insured Member <br /> <br />Form of Bu.iD~U: ; <br />1&1 Individual <br />o Partnership <br />o Joint Venture <br /> <br />o Limited Liability CompllIlY <br />D Organization (Other Than Partnership. Jomt Vc:ntwe Or Limlled LwbiliLy Company) <br /> <br /> <br />THE TERMS. EXCLUSIONS AND CONDITIONS OF THE lI'SURANCE PROVlDED UNDER TIllS CERTIFICATE ARE com AlNED <br />IN THE COMMERlCAL GENERAL LIABILITY POLICY (CGll ISSUED TO SPORTS AND RECREATION PROVIDERS <br />ASSOCIATION RTSK MANAGF.MENT JNc. THE COMPLETE COL POLICY IS AVAILABLE FOR YOUR REVIEW AND/OR <br />INSPECTION UPON YOUR REQUEST TO THE PROGRAM ADMINISTRATOR SliOWN BELOW THE rNSURAI'CE AFFORDED BY <br />THIS CERTIHCA TE SHALL NOT AMEND OR ALTER THE TERMS. EXCLUSIONS AND CONDITIONS OF THE CGl POLICY <br />lI'1)lCA TW ABOve <br /> <br /> <br />51,000.000 <br /> <br />Each Occun'tllce Limit <br />o (If ch~cktd: Hired and Non.Owned AulO Liabillt)! covsroge is provid,d.j <br />Damages To Premises Rented to You (anyone premises) <br />Medical Expense (anyone pClson) <br /> <br />Limits <br />Of <br />InsUI1IDCe <br /> <br />$300000 <br />NOT <br />COVERED <br />$1 000 000 <br />$2 IlOO 000 <br />$1 0000011 <br />N/A <br /> <br />Pl,..T:J:onal and Advertising lnjury Limit <br />GcncTul Aggregate Limit (per certificate of insurnnce) <br />Products-Completed Operations Aggrcga{c Limit <br />Eaeh ClalID <br /> <br />Deductible <br /> <br /> <br />::ow;.r' .. ;,,,r <br /> <br />Athletic Program, - Amateur <br /> <br />:P.tI.nafthto'Q~.~'Md,::~;Qi..'1\lmi:: ':''''t"rir.,t~>. ~~H:;:'i,t/ '!:f'(l'. ,-..",..' ,.,.., '. .;,,:i;1~';;li~;:,l ;:::;:;t,!:,;')>\,'ii:;)';.n,:'i. :,:,.\;:;:::;";:;t<::~~:g:r:::!)'iA:.:<: <br />a~s of Prem.ium) Rate Minimum aDd Dc osit Premium <br /> <br />80 Panicipants <br /> <br />S6.75 <br /> <br />554000 <br /> <br />SRGL100 (08/04) <br /> <br />Copyrighl ~004 Arne-rice" Atter"aUve Inlluronce Corporlltlon. <br />Includes copyrighled ",..tarlal ofltla !nSUr.llnC9 Service, Offico. Inc_.....,1h if& permi&&IOn <br /> <br />\.PPROVED <br />,.') <br /> <br /> <br />Page 1 of 4 <br /> <br />~---~, <br />