CERTIFICATE OF LIABILITY INSURANCE
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CERTIFICATE OF LIABILITY INSURANCE
AMATO'rrV ATHV?Trr fTNION OJ? n O' rr~. rNr
CERTlflCATEHOLDER This certificate is issued as a matter of information only and
confers no rights upon the certificate holder. This certificate does
For Information Purposes Only not amend, extend or alter the coverage afforded by the policies
below.
PRODUCER F oy Insurance Group Inc. INSURED Amateur Athletic Union of the U.S., Inc.
PO Box 1030 Walt Disney World Resort
Exeter, NH 03833 P.O. Box 1000
Lake Buena Vista, FL 32830.1000
Blazin Ravenz Track Club Florida
1576 Levern Street FLORIDA AAU
Clearwater. FL 33755 210 S. Park Ave. Suite 202
FLA T59FKA Sanford. FL 32771
1-800-AAU-4USA
COMPANIES AFFORDING COVERAGE
COMPANY A Lexinaton Insurance COffinanv COMPANY B American International Soecialtv Lines
Insurance Comnanv
COMPANY C National Union Insurance Comnanv
COVERAGES - This is to certify that the policy(ies) of insurance listed below have been issued to the insured named above for the policy period
indicated; notwithstanding any requirement, term, or condition of any contract or other docurnentwith respect to which this certificate may be issued
or may pertain, the insurance afforded by the policy(ies) described herein is subject to all the terms, exclusions, and conditions of such policy(ies),
limits shown may have been reduced by paid claims.
CO TYPE OF POLICY COVERAGE EFF. COVERAGE EXP. COVERAGES! $ LIMITS
LTR INSURANCE NUMBER DATE (MMlDDfYY) DATE (MMlDDfYY)
C Participant SGR-9101737 9/1/05 12:0 1 AM. 9/1/06 12:01 AM. Accident Medical 50,000
Accident Accidental Death and Dismemberment
5000
B Excess 9744353 9/1/0512:01 AM. 9/1/06 12:01 AM. Each Occurrence 9,000,000
Liability Policy Aggregate 9,000,000
A General 5420439 9/1/05 12:01 AM. 9/1/06 12:01 AM. Each Occurrence Limit 1,000,000
Liability General Aggregate Limit Per Club 3,000,000
Participant Legal Liability
Personal and Advertising Injury Limit 1,000,000
Products-Completed Operations 1,000,000
Fire Damage to premises Rented to
You (Any One Premises) 1,000,000
Medical Expenses Limit (Any One Person) 5,000
ADDITIONAL INFORMATION / RESTRICTIONS / SPECIAL ITEMS
The Certificateholder shall be an Additional Insured, but only with respect to the operations of the Named Insured, subject to the provisions and
Limitations of the policy( ies).
Coverage applies to AAU reqistered Clubs while participation in AAU sanctioned events/practices. For coverage to apply all participants in an
AAU sanctioned event must be current registered members of the AAD.
CANCELLA nON - Should any of the above described policies be canceled before the expiration date thereof, the issuing insurer 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
insurer, its agents or representatives.
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DATE ISSUED: 8/15/05
CERTIFICATE NUMBER AAU-Club Specimen
REQUEST NO. - la
Authorized Representative
CERTIFICATE OF LIABILITY INSURANCE
IOFT~ lie Ift..lf'"
CERTIFICATEHOLDER This certificate is issued as a matter of information only
and confers no rights upon the certificate holder. This
For Infomnation Purposes Only certificate does not amend, extend or atter the
coverage afforded by the policies below.
PRODUCER Foy Insurance Group Inc. INSURED Amateur Athletic Union of the U.S., Inc.
PO Box 1030 Watt Disney World Resort
Exeter, NH 03833 P.O. Box 1000
Lake Buena Vista, FL 32830-1000
Blazin Ravenz Track Club Florida
1576 Levem Street FLORIDA AAU
Clearwater. FL 33755 210 S. Park Ave. Suite 202
FLAT59FKA Sanford. FL 32771
1-800-AAU-4USA
COMPANIES AFFORDING COVERAGE
COMPANY A Lexinatan Insurance Comaanv COMPANY B American International Soecialtv Lines
Insurance Comoanv
COMPANY C National Union Insurance Comoanv
COVERAGES - This is to certify that the policy(ies) of insurance listed below have been issued to the insured named above for the policy
period indicated; notwithstanding any requirement, temn, 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 policy(ies) described herein is subject to all the terms, exclusions, and conditions
of such oolicvliesl. limits shown mav have been reduced bv oaid claims.
CO TYPE OF POLICY COVERAGE EFF. COVERAGE EXP. COVERAGESI $ LIMITS
LTR INSURANCE NUMBER DATE (MM/DDNY) DATE (MM/DDNY)
C Participant SGR-91 01737 9/1/0512:01 A.M. 9/1/06 12:01 AM. Accident Medical 50,000
Accident Accidental Death and
Dismemberment 5,000
B Excess 9744353 9/1/05 12:01 A.M. 9/1/06 12:01 AM. Each Occurrence 9,000,000
Liability Policy Aggregate 9,000,000
A General 5240439 9/1/0512:01 A.M. 9/1/06 12:01 AM. Each Occurrence Limit 1,000,000
Liability General Aggregate Limit Per Club 3,000,000
Participant Legal Liability
Personal and Advertising Injury 1,000,000
Limit
Products-Completed Operations 1,000,000
Fire Damage to premises Rented to 1,000,000
You (Any One Premises)
Medical Expenses Limit (Any One 5,000
Po,enn \
ADDITIONAL INFORMATION I RESTRICTIONS I SPECIAL
The Managers/Lessors shall be an Additional Insured, but only with respect to the operations of the Named Insured, subject to the
provisions and Limitations of the policy(ies).
Coverage applies to AAU reqistered Clubs while participation in AAU sanctioned events/practices. For coverage to apply all participants in
an AAU sanctioned event must be current registered members of the AAU.
CANCEli.A TION - Should any of the above described policies be canceled before the expiration date thereof, the issuing insurer will
endeavor to mail 10 days' written notice to the certificate holder, but failure to mail such notice shall impose no obligation or liability of any
kind upon the insurer, its agents or representatives.
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DATE ISSUED: 0811~
Authorized Representative
CERTIFICATE NUMBER AAU-Club Specimen ML
REQUEST NO. - 1a