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ISSUE DATE(MM/DD/YY) <br /> CERTIFICATE OF INSURANCE 186115 ❑ 11/16/95 <br /> PRODUCER .t <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> . K & K Insurance Group, Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 1 712 Magnavox Way HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> ' P. O. Box 2338 <br /> Fort Wayne, In 46801 COMPANIES AFFORDING COVERAGE <br /> INSURED • <br /> COMPANY TIG INSURANCE COMPANY <br /> UNITED STATES AMATEUR BOXING, INC. LETTER A <br /> (USA BOXING) AND ITS MEMBER CLUBS COMPANY <br /> 1750 EAST BOULDER STREET LETTER B <br /> COLORADO SPRINGS, CO 80909 COMPANY C <br /> • • . - .. ..- . ... LETTER <br /> COVERAGES . <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IN- <br /> DICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE <br /> MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDI. <br /> TIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS(in thousands) <br /> LTR DATE(MM/DD/YY) DATE(MM/DD/YY) <br /> General Llabillty 1 2 : 0 1 AM 1 2 : 0 1 AM General Aggregate $ NONE <br /> A ®Commercial General Liability SSP 3 6 213 7 7 7 7/01 /95 7/01 /96 Products-Comp/Ops Aggregate $ 1 0 0 0 <br /> 0 Claims Made ®Occur. Personal&Advertising Injury $ 1000 <br /> ❑Owner's&Contractors Prot. Each Occurrence $ 1000 <br /> ❑• Fire Damage (Any one fire) $ 90 <br /> • Medical Expense(Any one person) $ 9 <br /> . Participant Legal Liability $ 1000 <br /> Automobile UabIllty ' Combined <br /> ❑An •auto Lite <br /> Y ltmi <br /> t $ <br /> O All owned autos Bodily <br /> ury <br /> • <br /> El Scheduled autos (per <br /> r (per person) $ <br /> ❑Hired autos - • Bodily <br /> Injury <br /> 0 Non•owned autos (per accident) $ <br /> ❑Garage Liability, Property <br /> E3 • Damage $ <br /> • Excess Liability OcEach <br /> ••Aggregate <br /> 0 <br /> ❑Other than Umbrella form $ $ <br /> • Statutory <br /> Workers' Compensation $ Each Accident <br /> and <br /> Employers' Liability $ Disease-Policy Limit <br /> $ Disease-Each Employee • <br /> AD&D . $ <br /> Participant Primary Medical $ <br /> Accident Excess Medical $ • <br /> Weekly Indemnity $ . X <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS <br /> CLUB : •UPPER MIDWEST GOLDEN GLOVES EVENT: MN TOOL GOLDEN GLOVE SHOW <br /> LOCATION: BELRAE BALLROOM' EVENT DATE: 1/9/96 <br /> • • <br /> CERTIFICATE HOLDER CANCELLATION <br /> • <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE <br /> • • CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE <br /> UPPER MIDWEST GOLDEN GLOVES ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS <br /> 1904 114TH AVE NW WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> C 0 0 Ni RAPIDS , MN 55433 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO <br /> OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, <br /> ITS AGENTS OR REPRESENTATIVES. <br /> . AUTHORIZED REPRESENTATIVE <br /> ra• ri.a., .-/Z.9 . C)P/ <br /> SL 39 • 1.92 <br />