HomeMy WebLinkAboutBSN SPORTS INC - INSURANCE CERTIFICATEACORD® CERTIFICATE OF LIABILITY INSURANCE
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ATE
D07012014 YY)
0713112014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 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 be endorsed. N 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 endorsements).
PRODUCER
MARSH USA INC.
CHASE TOWER
CONTACT
NAME'
FAX
PHONE AC No:
6$IAIL
ADORE
I I I MONUMENT CIRCLE, SUITE 4300
INDIANAPOLIS, IN 46204-2492
INSURERS AFFORDING COVERAGE
NAIC a
INSURER A: Colony Insurance Company
39993
101 168-BSN-Prop� 14-15
INSURED
BSN Sports, Inc. including subsidiaries:
Tomark Sports, Kesslers Team Sports, Dixie Sporting Goods,
INSURER B: Travelers Pmperly Casualty Co. of Amedce
25674
INSURER c : NIA
WA
INSURER D : NIA
NIA
The Athletic Connection, Passon's Sports and U.S. Games
1901 Diplomat Drive
Farmers Branch, TX 75234-8914
INSURER E: NIA
WA
INSURER F :
COVERAGES CERTIFICATE NUMBER: CHI-004810260-02 REVISION NUMBER:I
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
LTR
TYPE OF INSURANCE
AD L
SUBR
POLICY NUMBER
MIDD/YYYY
MM DDPOLICYEFF Y EXP
IYYYY
LIMITS
A
GENERALLIABILITY
103GL000055603
0713012014
07/30/2015
EACH OCCURRENCE
$ 1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE M OCCUR
PREMISES EaEocor Bence
$ 1,000,000
MED EXP (Any we person)
$ EXCLUDED
PERSONAL a ADV INJURY
$ 1,000,000
X CONTRACTUAL LIABILITY
GENERAL AGGREGATE
$ 2.000•000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGO
$ 2,000,000
$
X POLICY n PRO- JFCT 1-1LOC
B
AUTOMOBILE
LIABILITY
TJCAPI 101LO90TIL14
07/3012014
07130/2015
COMBINED SINGLE LIMIT
Ea accident
11000,000
BODILY INJURY (Per parson)
$
AnNY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per a ideru)
$
PROPERTY DAMAGE
Peraccidenl
$
NON -OWNED
HIRED AUTOS AUTOS
COMPICOLL DED
$ 500
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DIED I I RETENTION $
$
B
WORKERS COMPENSATION
TC2JU81101L19414
07I3012014
0713012015
W,C fiysrATu- orH-
B
AND EMPLOYER& LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
OFFICER/MEMBER EXCLUDED? O
(Mandato.
(Mandatory in NH)
NIA
TWU81101 L20114
AX, MA and WI
07I30I2014
07I30I2015
EL EACH ACCIDENT
$ 1,000,000
E.LDISEASE - EA EMPLOYE
$ 1,000,000
If yes describe under
DESCRIPTION OF OPERATIONS bekrx
I
I
I
I
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
DESCMPTON OF OPERATIONS I LMANONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more spice M mcIudmd)
Re: 13-46239
The City, its officers, agents and employees are included as additional insured (except Yorkers' compensation) where required by Milan contract.
City of Fort Collin
215 N. Mason St., 2nd Floor
PO Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Manh USA Inc.
Shirley Murray q.(,: //Jr,,,,.
(719RR-2010 ACORD CORPORATION. All rinhfn
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD