Laserfiche WebLink
CC)REF CERTIFICATE OF LIABILITY INSURANCE ° "TOa��a��3 ' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT Heather Potter <br />Heather Potter NAME: <br />Assurances ABZ Insurance A/CNNo Ext : (514) 932 -1401 FAX 4 <br />(A/C No): (51 4) 932 -1451 <br />4098 rue Ste - Catherine 0. E -MAIL <br />Suite 200 ADDRESS: Heather @abz.ca <br />Westmount, QC H3Z 1 P2 CUSTOMER ID #: GISPO-1 PRODUCER <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: Lloyd's Underwriters (Endeavour Insurance Services Ltd.) <br />G.I. Sportz Inc., G.I. Sportz Direct Inc. <br />6000 Kieran INSURER B: <br />St- Laurent, QC H4S 2135 INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP j <br />LTR POLICY NUMBER MM /DD/YYYY MM /DD/YYYY LIMITS <br />GENERAL LIABILITY GISPO -1 -3001 (Binder) 07/26/2013 07/26/2014 EACH OCCURRENCE $ 2,000,000 <br />A ✓ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br />✓ PREMISES Ea occurrence $ 2,000,000 <br />CLAIMS -MADE F—IOCCUR I MED EXP (Any one person) $ 5,000 <br />I PERSONAL & ADV INJURY $ 2,000,000 <br />✓ USA CURRENCY <br />APPROVED <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: I ' <br />PRODUCTS - COMPIOP AGG $ 2,000,000 <br />[_—] <br />POLICY ; PRO- LOC JECT $ <br />AUTOMOBILE LIABILITY GISPO -1 -3001 (Binder) 07/26/2013 07/26/2014 COMBINED SINGLE LIMIT $ 2,000,000 <br />(Ea accident) <br />A ANY AUTO ✓ <br />BODILY INJURY (Per person) $ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />HIRED AUTOS (Per accident) <br />✓ NON -OWNED AUTOS $ <br />✓ USA CURRENCY $ <br />UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br />EXCESS LIAB CLAIMS -MADE AGGREGATE $ <br />DEDUCTIBLE $ <br />RETENTION $ $ <br />WORKERS COMPENSATION WC STATU- OTH- <br />AND EMPLOYERS' LIABILITY Y / N T TORY MI <br />ANY PROPRIETOR /PARTNER /EXECUTIVE ❑ � E.L. EACH ACCIDENT $ <br />OFFICER /MEMBER EXCLUDED? N / A <br />(Mandatory in NH) f E.L. DISEASE - EA EMPLOYE $ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT It <br />A Cancellation Notice: 30 days ✓ GISPO -1 -3001 (Binder) 07/26/2013 07/26/2014 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Additional Insured (form GC20260704 attached): The City of Riverside, its Officers, Employees and Agents are added as Additional Insured, but only with respect to liability arising out of <br />the operations of the Insured (booth /kiosk) at following tournament/event: <br />- Paintball Tournament: PSP West Coast Open, August 16 -18, 2013 (inclusive), Ab Brown Sports Complex, Riverside, California, USA <br />CERTIFICATE HOLDER CANCELLATION <br />City of Riverside <br />Risk Management SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />3900 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Riverside, CA 92522 ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />@ 1988 -2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />