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HomeMy WebLinkAboutCopeland Enterprises Insurance LetterACORDrh, CERTIFICATE OF LIABILITY INSURANCE 2/1/2017 DATE(MMIDD/YYYY) 1/25/2016 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(les) must 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 Lockton Companies No, Ext);(AIC. Nn 8110 E Union AvenueA/c, Suite 700 Denver CO 80237 E-MAIL ADDRESS: ' v NAIC (303) 414 6000+ JAN 2 9 2016 ;INSURER A. -Safety National Casualty Corporation t 15105 119445 2/1/2016 INSURED Slap Shot Holdings, Corp. INSURER B : National Union Fire Ins Co Pitts. PA H XV 1035557 The Sports Authority, Inc. TSA Stores, Inc. and their subsidiaries INSURER C 1050 W. Hampden Avenue INSURER D: JNSUR9R : Englewood, CO 80110 INSURER F _ MED EXP (Any oneperson.) XXXXXXX COVERAGES SPOA110I CERTIFICATE NUMBER: 2$35075 REVISION NUMBER: XXXXXXX 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. IL SR TYPE OF INSURANCE N p SUSR MLOPOLICY NUMBER POLICY EF1F POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY Y N GLA4045746 2/1/2016 2/1/2017 EACH OCCURRENCE 500,000 A CLAIMS -MADE X OCCUR SIR $500,000 OAftyy1IA�'E yO RENTED PR (Ea Ea aocurrenre 500.000 _ MED EXP (Any oneperson.) XXXXXXX X Per c_ ren- Aga. PERSONAL & ADV INJURY $ 500,000 not to exceed 1.5M _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 9,500,000 Y 7 LOC POLICJE� PRODUCTS - COMP/OP AGG $ 1,500,000 $ OTHER A AUTOMOBILE LIABILITY N N CAA4045745 2/1/2016 2/1/2017 C.OM.BcItVdEeDISINGLE LIMIT $ 1,000.000 BODILY INJURY (Per person) $ XXXXXXX X ANY AUTO IHIRED AUTOS NED SCHEDULED AUTOS BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE $XXXXXXX Per acct e NON -OWNED AUTOS AUTOS 1 $ XXXXXXX X Phy Dmg X 1K Comp/Coll 1 B X UMBRELLA LIAB X OCCUR N N 19086813 2/1/2016 2/1/2017 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25,000,000 EXCESS LIAR CLAIMS -MADE DED I X I RETENTION $25,000 $ XXXXXXX A WORKERS AND EMPLOYERS' LIA LIABILITY N LDC4045742� ({(AOS) 2/1/2016 2/1/2017 X STATUTE oTH A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN HI N/A P54045743(WI) 2/1/2016 2/1/2017 EL. EACH ACCIDENT $ 1,000,000 - - OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL. DISEASE - EA EMPLOYEE 1,000,000 IF yes, describe under DESCRIPTION OF OPERATIONS b.1— nn C.L. EASEASE - PQLICY UMIT 1,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached it more space is required) If Additional Insured language is apphcahle it is sublect to the terms of the policy. RE: Store #765 located at 1144 Chorro Street, San Luis Obispo, CA 93501. TSA lease at 837 Marsh andel Property Insurance for 837 Marsh and 114 Chorro. Certificate Holder is named as Additional Insured with respect to liability, where required by written contract, as their interest may appear. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2835625 AUTHORIZED REPRESENTATIVE City of San Luis Obispo Attn: City Clerk's Office 990 Palm Street San Luis Obispo, CA 93401 JJ C J ACORD 25 (2014/01) ©1 $ 2014 AC 3 ORPOPfATION. All riahts reserved The ACORD name and logo are registered marks of ACORD A.M. Best's Consumer Insurance Information Center A.M. Best's C� � Crr Need Coverage?am How Does Your Insurrrer�Rate? Find insurers by stale or coverage type 8nler a Corrgrany Marro Consumer Home I Terms to Know 0 Life & Retirement 0 Health & Disability Q Car & Home ® Other Life Events Safety National Casualty Corporation (a member of Philadelphia Ins Cosrrokio Marine US Grp) AM aaflIt 0"iu NAIL#:15105 FEIN #: 43-0727872 Address: 1832 Schuetz Road Phone: 314-995-5300 Sl Louis, MO 63146 Fax: 314-995-6817 UNITED STATES Web: yoM.Mlen national enm Page I of 1 80 Member Center: Loa In I Sian Up State Insurance Information Select a Stele v Why a Best's Rating is Important I Contact Us 19 Print this baso Best's Ratings Viow Definition Need More information? Financial Strength Rating: A+ urchase an insurer report, complete with AMB Outlook: Stable rating history, market share and a list of Effective Date: August 21, 2015 Affirmed competitive insurers for $ 9 95 9 ( I Vraw Sample R000rt Financial Size Category: XIV ($1.50 Billion to $2.00 Billion) Licensing: The company is licensed in the District of Columbia, Guam, Puerto Rico, U S Virgin Islands and all states It is also licensed in Canada in the provinces of Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Nova Scotia, Ontario, Prince Edward Island and Saskatchewan Top Line(s) of Business (based upon Direct Premiums written) 1 Excess Workers' Compensation mww oaroww ) 2 Workers' Compensationi weyy-Lraw�) 3 Auto (Commercial) (vi,m, palmi on ) 4 Other Liability (Occurrence) ;y DD brrdw. ) 5 Surety 7n_rn`n�,) Top State(s) of Business (based upon Direct Premiums written) 1 California 2 iEflnois 3 New York 4 Pennsylvania 5 Texas Visit our News Room for the latest News and Press Ralaases for this company and its A M Best Group Terms of Use All information provided on the A M Best website, including but not limited to text, data, ratings, reports, images, photos, graphics, and charts is owned by or licensed to A.M Best Company and is protected by United Stales copyright laws and international treaty provisions A M Best and its licensors retain all copyright and other proprietary rights to the website content Best's Credit Ratings, obtained through any source, may not be reproduced, distributed to Third Parties, or stored in a database or retrieval system in any form for commercial purposes without the prior written permission of the A M Best Company All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited By logging into Best's Member Center or accessing this site, you accept and agree to be bound by our complete Terms of Use CvslamerSsycatI Pfoduqt Sup rt I Mnmber_Conte r I CoriloO In IA-nw.rs About &M ees! I afte Map I Privacy Pdicv I Security I Terms of Use I Legal & Llcansino Copyright © 2016 A M. Best Company, Inc and/or its affiliates ALL RIGHTS RESERVED http : //www3 . ambe st. com/consumers/C ompanyProfile. aspx?BL=3 6&ambnum=000818 &P... 3/24/2016 A.M. Best's Consumer Insurance Information Center Page 1 of 1 A.M. Best's CeWwMember Center: Log In I Sign Up Need Coverage? How Does Your Insurer Rate? State Insurance Information Find insurers by state or coverage Type I Enter a Company Name l Select a Slate v j Consulmer •!Ho !me Terms to Know I Why a Best's Rating is Important I Contact Us © Life & Retirement O Health & Disability Q Car & Home 0 Other Life Events National Union Fire Ins Co Pittsburgh PA I9 Print thisoaae (a member ofAmerican International Group) AM Best #: 02351 NAIC #: 19445 FEIN #: 25-0097550 Address: 175 Water Street Phone: 212-770-7000 1Bth Floor Fax: r New York, NY 10038 Web: yMff.Aiu.cam UNITED STATES Best's Ratings Vlew Derinitian Need More information? Financial Strength Rating: A u Purcha50 an insurer report, complete with Implication: Negative rating history, market share and a list of Effective Date: Janus 27, 2016 Under Review January ( ) competitive insurers for $ 9 95. Viaw semoie Roaart Financial Size Category: XV ($2 Billion or greater) u Denotes Under Review Best's Ratings Licensing: The company is licensed in the District of Columbia, Guam, Northern Mariana Islands, Puerto Rico and all stales. Elsewhere it is represented by American International Underwriters The company is also licensed in Greece, the Northern Marianas Islands, Panama, Hong -Kong, Uruguay (reinsurance only) and Mexico (reinsurance only). Top Lines) of Business (based upon Direct Premiums Written) 1 Other Liability (Claims -made) (view par41i1km 2 Other Liability (Occurrence) (view neBnitl a ) 3 Accident and Health CJinwnnnnAien > 4 Ocean Marine dyww nor+nrolvn > 5 Auto (Commercial) CVdl.w. nntindlnn) Top State(s) of Business (based upon Direct Premiums Written) 1 California 2 New York 3 Other Alien 4 Texas 5 Illinois Visit our NewsRoom for the latest News and Press Releasee for this company and its A M. Best Group Terms of Use All information provided on the A.M. Best website, including but not limited to text, data, ratings, reports, images, photos, graphics, and charts is owned by or licensed to A M Best Company and is protected by United States copyright laws and international treaty provisions. A.M Best and its licensors retain all copyright and other proprietary rights to the website content. Best's Credit Ratings, obtained through any source, may not be reproduced, distributed to Third Parties, or stored in a database or retrieval system in any form for commercial purposes j without the prior written permission of the A M. Best Company. All unauthorized use of Best's Credit Ratings or other published information is strictly prohibited, By logging into Best's Member Center or accessing this site, you accept and agree to be bound by our complete Terms of Use. Customer 'Service I Product Support I Membar Oantet I Contex Into I Careers About A M. Best. I Site Ma I Privacy Policy I Security I Terms of Use I Lanai & Licenso Copyright © 2016 A.M Best Company, Inc. and/or its affiliates ALL RIGHTS RESERVED I http://www3.ambest.com/consumers/CompanyProfile.aspx?BL=36&ambnum=002351 &P... 3/24/2016 City Administration 990 Palm Street, San Luis Obispo, CA 93401-3249 805.781 7114 December 29, 2016 Slap Shot Holdings, Corp The Sports Authority, Inc TSA Stores Inc. and their subsidiaries 1050 W. Hampden Ave Englewood, CO 80110 Subject: Expired Insurance Certificates for TSA Stores, Inc and their subsidiaries 837 Marsh and 1144 Chorro Contract Dear Vendor: Our records indicate the following insurance coverage(s) will expire as of the referenced date below. According to the contract, you must maintain insurance coverage throughout the term of the contract. We would greatly appreciate your prompt attention to this matter. Automobile Liability: General Liability: Workers Comp/Employers Liab: Umbrella Liab: Automobile Liability: General Liability: Workers Comp/Employers Liab: Umbrella Liab: Expiration date: 02/01/2016 Expiration date: 02/01/2015 Expiration date: 02/01/2015 Expiration date: 02/01/2015 Expiration date: 02/01/2017 Expiration date: 02/01/2017 Expiration date: 02/01/2017 Expiration date: 02/01/2017 Please note that the Certificate of Insurance should reference both TSA lease at 837 Marsh and Property Insurance for 837 Marsh and 114 Chorro. For General Liability coverage, you will need to submit a binder or certificate of insurance with the "Additional Insured Endorsement" prior to the date of expiration. If you submit a binder, you will need to send the certificate of insurance and the "Additional Insured Endorsement" once it is issued. The documents may be emailed in advance to hizoodwin a,slocity.org and then hard copies mailed. All documents should be sent to: City of San Luis Obispo Attn: City Clerk's Office 990 Palm Street San Luis Obispo, CA 93401 If you have any questions, please phone me at (805) 781-7103. Our fax number is (805) 781-7109. Sincere] V� Heather Goodwin, Deputy City Clerk City Administration 990 Palm Street, San Luis Obispo, CA 93401-3249 805781.7114 slocity org April 8, 2016 Slap Shot Holdings, Corp The Sports Authority, Inc TSA Stores Inc. and their subsidiaries 1050 W. Hampden Ave Englewood, CO 80110 Subject: Expired Insurance Certificates for TSA Stores, Inc and their subsidiaries 837 Marsh and 1144 Chorro Contract Dear Vendor: Our records indicate the following insurance coverage(s) will expire as of the referenced date below. According to the contract, you must maintain insurance coverage throughout the term of the contract. We would greatly appreciate your prompt attention to this matter as we have several contracts with your business. Automobile Liability: Expiration date: 11/15/2015 General Liability: Expiration date: 11/15/2015 Other Liability: Expiration date: 11/15/2015 Please note that the Certificate of Insurance should reference both TSA lease at 837 Marsh and Property Insurance for 837 Marsh and 114 Chorro. For General Liability coverage, you will need to submit a binder or certificate of insurance with the "Additional Insured Endorsement" prior to the date of expiration. If you submit a binder, you will need to send the certificate of insurance and the "Additional Insured Endorsement" once it is issued. The documents may be emailed in advance to hRoodwin(wslocit.�org and then hard copies mailed. All documents should be sent to: City of San Luis Obispo Attn: City Clerk's Office 990 Palm Street San Luis Obispo, CA 93401 If you have any questions, please phone me at (805) 781-7103. Our fax number is (805) 781-7109. Sincerely, Heather Goodwin, Deputy City Clerk