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MKL02468 CERTIFICATE OF INSURANCE Certificate Number <br />Renewal of Number COMMON POLICY DECLARATIONS MKL02914 <br />This Declaration is attached to and forms part of certificate provisions. <br />In respect of Insuring Sections 1 and 4 <br />ITEM 1. NAME INSURED AND MAILING ADDRESS <br />Authority Ref. No. - B07SORNAFB1703435 <br />In respect of Insuring Sections 2, 3, 5 and 6 <br />Authority Ref. No. - B076ORNAFB1803434 <br />INTERNATIONAL GAY RODEO ASSOCIATION <br />20140 East Maplewood Lane <br />CENTENNIAL, CO 80016 <br />AGENT NAME AND ADDRESS <br />Kati <br />KALIFF INSURANCE <br />INSURANCE 1917-2017 <br />2009 NW MILITARY HWY <br />SAN ANTONIO, TX 78213 <br />ITEM 2. POLICY PERIOD From: 02/28/2018 <br />To: 02/28/2019 Term: ANNUAL <br />IM 12:01 AA, Standard Time at your mailing address <br />vrrimoies�erisirirrniiiiriac�rira�oririrnri�vrrivriaurir�,►iiciiwr�vei.�iriayoisirrwzrrwrrrra0r�irrvieraysaririe�rriarrnrrra®ir�ar.�rririri�rriirsr�irrrioriiriivmr�doirro., <br />BUSINESS DESCRIPTION: FAIR W/ RODEO <br />Insurance is effective with CERTAIN UNDERWRITERS AT LLOYD'S <br />FORM OF BUSINESS: Individual Joint Venture Partnership Organization X Corporation <br />Audit Period: Annual unless otherwise stated: <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS CERTIFICATE, <br />WE AGREE TO PROVIDE THE INSURANCE AS STATED IN THIS CERTIFICATE. <br />THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THIS <br />PREMIUM MAY BE SUBJECT TO ADJUSTMENT. <br />PREMIUM <br />Commercial Property Coverage Part — Section 1 <br />$ <br />NOT PROVIDED <br />Commercial General Liability Coverage Part — Section 2 <br />$ <br />6,731.00 <br />Commercial Crime Coverage Part - Section 3 <br />$ <br />NOT PROVIDED <br />Commercial Inland Marine Coverage Part— Section 4 <br />$ <br />NOT PROVIDED <br />Directors & Officers Liability Coverage Part — Section 6 <br />$ <br />NOT PROVIDED <br />Liquor Liability Coverage Part — Section 6 <br />$ <br />1,075.00 <br />TOTAL $ <br />7,806.00 <br />NO FLAT CANCELLATION <br />$ 7,806.00 <br />Premium shown is payable: $ 7,806.00 At inception. $ <br />Forms applicable to all Coverage Parts: <br />SEE SCHEDULE OF FORMS AND ENDORSEMENTS <br />This certificate of Insurance is made and accepted subject to the foregoing stipulations and conditions together with such <br />other provisions, agreement or conditions as may be endorsed or added hereto. <br />Date: 03/23/2018 _ By: <br />(Correspondent) <br />Insured Copy <br />MHKIFFl001 Copyright, 180 Forms MHK/FF/OD1 <br />