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CERTIFICATE OF INSURANCE I 02/03/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION American Specialty Insurance & Risk Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND, OR 142 North Main Street ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW. Roanoke, Indiana 46783 INSURED INSURERS AFFORDING COVERAGE The National Archery Association of the U.S. INS. A. AXIS Insurance Company One Olympic Plaza INS. B: Colorado Springs, CO 80909 INS.C. SANTA FE TRAIL ARCHERS 11339 MULHALL STREET EL MONTE. CA 91732 CERT NUMBER: 1000743081 1/ - -<OC5 -O~7 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED 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 MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITION OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS POLICY POLICY POLICY LTR TYPE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS General Aaareaate 5,000,000 GL AXGL01100381-09 01/15/2009 01/15/2010 Products-Comoleted Ooerations Aaareaate 2,000.000 A 12:01 a.m. Personal and Advertisino Iniul'\/ 1.000,000 12:01 a.m. Each Occurrence 1,000,000 Damaae to Premises Rented to You (An On'" Premises 1 100 000 Medical Exnense Limit (Anv One Person Excluded DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY EN DORSEMENTISPECIAL PROVISIONS - The Certificateholder shall be an Additional Insured, but only with respect to the operations of the Named Insured, and subject to the provisions and limitations of Form CG 2026 _ Additional Insured - Designated Person or Organization, with respect to the NAA SANCTIONED ACTIVITIES AND PRACTICES from January 15, 2009 through January 14. 2010. - The general liability policy is primary as per Form CG 00 01. APPROVED AS T0 t v",tM _~>:;;jl1U~ 1/3 ,. .tura Sl' ,};)~\,;;dy f...~sistant Ity A Ilorney CERTIFICATE HOLDER THE CITY OF SANTA ANA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES 20 CIVIC CENTER PLAZA SANTA ANA. CA 92701 AUTHORIZED REPRESENTATIVE Q.~ American Specialty Insurance & Risk Services, Inc. also conducts business as AS.I.R.S.I. Insurance Agency in the state of California.