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<br />A.~..RI..CERTlflCATEOFINSURANCE <br /> <br />ISSUE DATE (MM/DD/YY) <br /> <br />2/21/91 <br /> <br />PRODUCER <br /> <br />Brooks and Associates, Ltd, <br />1338 Park Avenue <br />River Forest, IL 60305 <br />(708) 771-3553 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. <br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />CODE <br /> <br />SUB-CODE <br /> <br />f~~~~NY A Transamer ica Insurance Company <br /> <br />INSURED <br /> <br />f~~~NY B <br /> <br />Allan C. Hill Productions, Inc. <br />dba Great American Circus <br />2477 Stickney Point Road <br />Suites 307-B & 311B <br />Sarasota, FL 34231 <br /> <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 <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> <br />f~~~NY C <br /> <br />f~T~~NY D <br /> <br />f~~~~NY E <br /> <br />CO <br />LTR <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY NUMBER <br /> <br />POLICY EFFECTIVE POLICY EXPIRATION <br />DATE (MM/DD/YY) DATE (MM/DD/YY) <br /> <br />ALL LIMITS IN THOUSANDS <br /> <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE X OCCUR, <br />OWNER'S & CONTRACTOR'S PROTo <br /> <br />FSP4827899 <br /> <br />2/26/91 <br /> <br />2/26/92 <br /> <br />GENERAL AGGREGATE <br />PRODUCTS-COMP/OPS AGGREGATE <br />PERSONAL .~ ADVERTISING INJURY <br />EACH OCCURRENCE <br /> <br />$S, 000 I 0(1 <br />$1,000 I oor <br />$1 , 000 , OC <br />$l,OOO,OOi <br />$ 50,001 <br /> <br />FIRE DAMAGE (Anyone fire) <br /> <br />MEDICAL EXPENSE (Anyone person) $ <br /> <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON.OWNED AUTOS <br />GARAGE LIABILITY <br /> <br />COMBINED <br />SINGLE $ <br />LIMIT <br />BODILY <br />INJURY $ <br />(Per person) <br />BODILY <br />INJURY $ <br />(Per accident) <br />PROPERTY $ <br />DAMAGE <br /> EACH AGGREGATE <br /> OCCURRENCE <br /> $ $ <br /> <br />EXCESS LIABILITY <br /> <br />OTHER THAN UMBRELLA FORM <br /> <br />WORKER'S COMPENSATION <br />AND <br /> <br />STATUTORY <br /> <br />EMPLOYERS' LIABILITY <br /> <br />$ <br />$ <br />$ <br /> <br />(EACH ACCIDENT) <br /> <br />(DISEASE-POLICY LIMiT) <br /> <br />(DISEASE-EACH EMPLOY EEl <br />I <br />, <br />I <br />, <br />I <br />I <br />I <br /> <br />OTHER <br /> <br />DESCRIPTION OF OPERA TIONS/LOCA TIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS <br /> <br />ADDITIONAL INSURED: ANY PERSON, ORGANIZATION OR ENTITY ENGAGED IN SPONSORING OR <br />PROVIDING THE PREMISES FOR THE CIRCUS OPERATION, BUT SOLELY AS RESPECTS THE OPERATIONS <br />OF THE NAMED INSURED. <br />CERTIFICATE HOLDER <br /> <br />CANCEL LA TION <br /> <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />I <br />LEFT, BUT FAILURE T SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR : <br />L1ABILlTYOF,~'f1<IND UPON TH ,OMPANY' ITS A, G,E, NT,S 0" R R EPR, ESEN"TATIVE,S', ' ,JI <br />AUTHORIZED REPRESENTATIVE// _ /~ -~ - /.-.-----. <br />.~ ~/~-, ,,/.-- /' <br />// ~ _' 2::r-:.~ J~: ~";C--,. <br />l____--.. -- , <br />@ACORD $;Q.~~QI!~'!!'Q~ 1988 <br />