Laserfiche WebLink
_ I3SUE DATE(MM/00/YY) <br /> CERTIFICATE OF INSURANCE 185950 ❑ 2/21 /95 <br /> • <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> K & K Insurance Group , Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 1 7 1 2 Magnavox Way 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 ATIG INSURANCE COMPANY <br /> UNITED STATES AMATEUR BOXING, INC . <br /> LETTER <br /> (USA BOXING) AND ITS MEMBER CLUBS COMPANY B <br /> LETTER <br /> 1750 EAST BOULDER STREET COMPANY C <br /> COLORADO SPRINGS , CO 80909 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. LIMITSSHOWNMAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO. POLICY EFFECTIVE POLICY EXPIRATION LIMITS (in thousands) <br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) <br /> General Liability 12 : 0 1 AM 12 : 0 1 AM General Aggregate $ N O N E, <br /> A ®Commercial General Liability SSP 3 6 213 7 7 7 7/01 /94 7/01/95 Products-Comp/Ops Aggregate $ 10 0 0 <br /> ❑Claims Made ®Occur. Personal &Advertising Injury $ 1 0_0 0 <br /> ❑Owner's&Contractors Prot. Each Occurrence $ 1000 <br /> ❑ Fire Damage (Any one fire) $ 50 <br /> Medical Expense(Any one person) $ 5 <br /> Participant Legal Liability $ 1 0 0 0 <br /> Automobile Liability CombinedSingle <br /> ❑Any auto Limit $ <br /> ❑All owned autos BodilyInjury <br /> ❑Scheduled autos (per person) $ <br /> ❑Hired autos BodilyInjury <br /> .❑Non-owned autos (per accident) $ <br /> ❑Garage Liability Property <br /> ❑ Damage $ <br /> Each <br /> Excess Liability Occurrence Aggregate <br /> ❑Other than Umbrella form $ $ <br /> Statutory <br /> Workers' Compensation $ Each Accident <br /> and $ Disease-Policy Limit <br /> Employers' Liability <br /> • $ Disease-Each Employee <br /> AD&D $ <br /> Participant Primary Medical $ <br /> Accident Excess Medical $ <br /> • <br /> Weekly Indemnity $ X <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS <br /> CLUB : UPPER MIDWEST GOLDEN GLOVES EVENT:UPPER MIDWEST GOLDEN GLOVES TOURN. <br /> LOCATION: BELRAE BALLROOM EVENT DATE: 4/12-13/95 <br /> CERTIFICATE HOLDER CANCELLATION <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 10 DAYS <br /> 1904 114TH AVE NW - WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO <br /> COON RAPIDS , MN 55433 OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, <br /> ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> (-‘00 • <br /> .q. A • C .71CA21 „__ <br /> .... • 1-92 <br /> SL 39 • <br />