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American speClalLy 1V/L/LUVLS 0: 44: U'/ nor <br />YA(iC: 1/ UU'L 1''aX server <br />t0f01/2008 <br />GtKI IrWNI C t/r H~.wr`r.....~ <br />THIS CERTIFICATE IB 158 LIED AS A NATTER OF INFORMATION <br />PRODUCER ONLY AND CONFERS HO IOGHT6 UPON THE CERTIFICATE <br />N <br />HE <br />L <br />Amedcan Spedally insuroncB & Rink Services, ino ICY BELOW <br />PO <br />ALTER TH! COVERAGE AFFORDED tiY T <br />142 North Maln Street <br />Roanoke Indiana 48783 INSURERS AFFORDING COVERAGE <br />INSURED <br />Inc dale USA Badng <br />ateur Bating <br />t <br />A INS.A A%13 Insurance Cgmoanv <br />. <br />ac <br />m <br />United Sla INS. B: <br />One Olyrtplc Plaza INS. C: <br />Cobrodo Springs. CO 80909 <br />TKO BOXING CLUB <br />726 5 CENTER STREET <br />SANTA ANA. CA 92702 <br /> CERT NUMBER: 1000691586 <br />COVERAGES <br />IS IS TO CERTIFY THAT THE POUCIE6 OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE I URED NAMED A00VE FOR THE POLICY PERI <br />O <br />N <br />TH <br />THE TERMS, <br />5 S EJECT TO AI.L <br />Yf16E ISSUED OR MAY PERTI AI~NETHE N&URANCE AFFORDED BY THE POGCIF~ DESCRIBED HERE H <br />IMS <br />O <br />IC <br />. <br />ATE <br />MA <br />CERT F <br />E%CLUSIONS AND CONDRION OF SUCH POLICIES. AGGREGATE LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLA <br />INS PDLICY POLICY POLICY LIMITS <br />6000.000 <br />LTR TYPE POLICY NUMBER EFFECTIVE EXPIRATION <br />GeneralA ate <br />ducts-Can I led eraBons A^Orenale _ 1000000 <br />1,000, 0 <br />GL AXGL0110012bOB 10/01/2008 30101/2009 <br />Paf al arW Adve isln In I f __ <br />1000'000 <br />12:01 a m <br />01 <br />A 12 <br />~ a <br />a m <br />: <br />300 <br />= Ines Ren[ed to You /A 1 <br />1 t "mit An I an ExdrWatl <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICl.E3lE%CLUSIONS ADDED BY ENDORSEMENTIBPECIAL PROVISIONS <br />- Coverapa is etcWded for ANY martlal ens or Mek-bOSinp arJiNtles regaNless o1 whether Ihey are part of a USA Boring sanc0onetl aNvily or Uu0 acuvlN <br />- The General LiaWlity pUbYmntalnsa Setllnavrad Rtlenllon antl lc suUJeUlc Newm dS100P00 peroxurerca and 5280.000 in aGeumulet¢d annual eg9regata ipsses <br />The CaM1lfCeletMMef is oNy an additlona insured w71n nlspaU to Iladgly Caused 6Y 111e Mgepwlce 0191e Named Insured as per Form AX IS70aT- A-0dDOnal Insured - CenlgWlehoBers. <br />aches are/ Ollldala. aul aldy WLLI respec! b USA 9oving sanclWwd netivll4c antl far supewlsed tlub apUrewd prarJke eM <br />C <br />Y <br />0 <br />1 <br />C. <br />o <br />1 <br />a <br />and oMY wph racPeq Ip USA 6otkg Member A <br />ka Wnp pl USA Bosinp member alNeles for USA 5013rp salxdipned acllvAba. aaeCW a Qrlooe<01. 2008 <br />- =~3- <br />~_ . _ :.. <br /> CANCELLATION <br /> CERTIFICATE HOLDER <br />ITS OFFICERS, EMPLOYEES. AGENTS. AND REPRESENTATIVES <br />ITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED <br />POLICIES S! GANCELEO eEPORE THE <br /> , <br />THE C <br />20 CNIC CENTER PLAZA EXPIPA710N GATE THEREOF. THE ISSUING <br />rAMPANY WILL ENDEAVORTO MAIL 3D DAYS <br /> SANTA ANA. CA 92701 WRRTEN NOOCE TO THE CERTIFICATE <br /> HOLDER, BIJT FAILURE TO MAR SUCH NOTICE <br /> SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> OF ANY KIND UPON THE COMPANY. lT8 <br /> AGENTS OR REPFIESFJJTATNEa <br /> AUTHORIZED REPRESE'N'~T/~A~T_NE <br />• Y.cUS/vstii <br />American Specialty Inswance 8 Rbk Services. Inc also conducts husglesa as A S I R B I Insurance Agency In the slate of Cai9omia <br />