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TSCHENCK CAMPCYC-01 - DATE (MMIDDIYYYY} Nee CERTIFICATE OF LIABILITY INSURANCE 712142026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEH OLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: - If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER | Reet R810 Main Sigal” (Ale,Wo, ex): (716) 634-5097 | FAX wo):(716) 626-5057 Williamsville, NY 14221 RDURESS: INSURER(S} AFFORDING COVERAGE NAIC # iInsuReERA:US Underwriters INSURED insurer B; United States Liability 25895 cies om: Campus Cycling Collective, Inc. INSURER C: : INSURERE : INSURERF : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES 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 DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ; INSR ie TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MuMep ey) | aaa) LIMITS A | X | COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 | cLams-mape [ X | occur x | | INPP3553874E 12/1/2028 | 12/1/2026 | BAYVRE IGRENTED oo ts 400,000 _ MED EXP (Any one person) § (5,000 | PERSONAL & ADVINJURY | § 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,006,000 POLICY iFRO- eg Loc PRODUCTS - COMP/OP AGG | $ 4,000,000 “i OTHER: ‘ $ AUTOMOBILE LIABILITY GOMBINED SINGLE LIMIT — | ANY AUTO BODILY INJURY (Per person) [ $ —| OWNED SCHEDULED | AUTOS ONLY | ‘AUTOS BODILY INJURY (Per accident) | $ ON-OWNED ROPERTY DAMAGE || ASS OnLy ROMS GNTY | Per pecident $ $ B/Xtuwereacias | X | occur EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE XL1614792E 12/1/2028 | 12/1/2026 | , neaeeate $ pep | X | RETENTIONS Q 5 1,000,000 WORKERS COMPENSATION PER OTH AND EMPLOYERS’ LIABILITY vin STATUTE | ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OF FICER/MEMBER EXCLUDED? NIA (Mandatory in NH) | ELL. DISEASE -EA EMPLOYEE] $ If yes, describe under DESCRIPTION OF GPERATIONS below EL. DISEASE - POLICY LIMIT | $ ‘| DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required} Town of Aurora is listed as an additional insured. Event:West Falls Cyclocross Date: November 8th, 2026 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED iN Town of Aurora ACCORDANCE WITH THE POLICY PROVISIONS. 575 Oakwood Ave East Aurora, NY 14052 AUTHORIZED REPRESENTATIVE ; | ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD