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Home My WebLink AboutBSN SPORTS, LLC - INSURANCE CERTIFICATE® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 0713112017 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 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 CONTACT MARSH USA INC. NAME: — — CHASE TOWER PHON o _ (a/C, No): 111 MONUMENT CIRCLE, SUITE 4300 ADDRESS: INDIANAPOLIS, IN 46204-2492 101168-BSN-GAWX-17-18 INSURED BSN Sports, LLC including subsidiaries: Tomark Sports, Kesslers Team Sports, Dixie Sporting Goods The Athletic Connection, Passon's Sports and U.S. Games 1901 Diplomat Drive Farmers Branch, TX 75234-8914 COVFRAnFR rFRTIFIrATF Al11MRFR WbURER S AFFORDING COVERAGE NAIC N INSURER A: James River Insurance Companny 12203 INSURER B : Travelers Indemnity Co Of CT 25682 INSURER C : Continental Casualty Company 20443 INSURER D : Travelers Indemnity Company 25658 INSURER E: Travelers Property Casually Company of America 25674 INSURER F : 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 AWL INSD SUBR wvn POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP (MMIDDNYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY ] CLAIMS -MADE LX1 OCCUR 000678243 SIR: 50,000 Occ/500,000 Agg 07/30/2017 07/30/2018 EACH OCCURRENCE $ 1,000,000 DAMA E TO RENTED PREMISES Ea occurrence $ 50,000 X MED EXP (Any one person) $ CONTRACTUAL LIABILITY PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER : POLICY JECT LOC PRO ❑ GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER, B AUTOMOBILE LIABILITY 810-501OX159-TCT-17 07/30/2017 07/30/2018 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ _ $ X UMBRELLA LIAB X OCCUR 6012289331 (Excess AL/EL) 07/30/2017 07/30/2018 EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ IO,000,OOO A EXCESS LIAB CLAIMS -MADE SIR: $10,000 00063341-3(Excess GL) 07I30/2017 07/30/2018 DED RETENTION $ $ D E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NI NIA YVYCK-UB-501 OX1 5-9-17 (AOS) YJ-UB-4H70713-8-17 (CA, MT, WI) 07/30/2017 07/30/2018 07/30/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT $ 1'D00'000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re 13-46239 The City, its officers, agents and employees are included as additional insured (except workers' compensation) where required by written contract. van i rrn.M r City of Fort Collins 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 Marsh USA Inc. Manashi Mukherjee © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD