CTR057649_Certificate_of_Insurance_to_CGL_4-27-24.pdf
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- Attached to
- Master Agreement AZ|CTR057649
- Contract number
- CTR057649
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by NFP Property & Casualty Services, Inc. for Sprague's Sports, Inc., Sprague's Sports, LLC, and Gunsho II, LLC, with Clear Blue Insurance Company as the primary insurer. The certificate is for the State of Arizona, specifically naming the Arizona Game & Fish Department and the Arizona Department of Economic Security as additional insured parties. The insurance policy is effective from 4/27/2023 to 4/27/2024.
The insurance coverage includes Commercial General Liability with a $1,000,000 each occurrence limit, a $3,000,000 Umbrella Liability limit, and additional coverage for Building/Business Personal Property and Business Interruption totaling $11,208,000. A Cyber Liability component is also included with a $250,000 limit. The certificate holder (Arizona Game & Fish Department) is listed as an additional insured with respect to general liability limits for acts arising out of the operations of the named insured, as specified in the CG 20 26 12/19 endorsement form.
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Text version
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
PRODUCER
CONTACT
NAME:
FAXPHONE
(A/C, No):(A/C, No, Ext):
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER
POLICY EFF POLICY EXP
TYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT
OTHER: $
COMBINED SINGLE LIMIT
$(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED
BODILY INJURY (Per accident) $AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
$AUTOS ONLY AUTOS ONLY (Per accident)
OCCUR EACH OCCURRENCE
CLAIMS-MADE AGGREGATE $
DED RETENTION $
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below
INSURER(S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N
N / A (Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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.
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).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
The ACORD name and logo are registered marks of ACORD
7/10/2023
(303) 951-5050 (303) 951-5060
28860
Sprague's Sports, Inc.; Sprague's Sports, LLC; Gunsho II, LLC
345 W 32nd Street Yuma, AZ 85364
A 1,000,000
X BB01-CPP-000491-00 4/27/2023 4/27/2024 100,000
5,000
1,000,000
2,000,000
2,000,000
3,000,000A
BB01-UL-000211-00 4/27/2023 4/27/2024 3,000,000
10,000
A Building/BPP & BI/EE BB01-CPP-000491-00 4/27/2023 Building/BPP & BI/EE 11,208,000
A Cyber Liability - Co BB01-CPP-000491-00 4/27/2023 4/27/2024 250,000
Certificate holder is listed as additional insured with respect to the general liability limits for acts arising out of the operations of the named insured per form
CG 20 26 12/19.
Arizona Game & Fish Department State of Arizona 5000 W. Carefree Highway Phoenix, AZ 85086
SPRASPO-01 BRANDIHALLUM
NFP Property & Casualty Services, Inc.
1371 Hecla Drive Suite E Louisville, CO 80027
Clear Blue Insurance Company
4/27/2024
X
X
X
X
X
POLICY�NUMBER:BB01�CPP�000491�00 COMMERCIAL�GENERAL�LIABILITY
CG�20�26�12�19
THIS�ENDORSEMENT�CHANGES�THE�POLICY.��PLEASE�READ�IT�CAREFULLY.
CG�20�26�12�19 ©�Insurance�Services�Office,�Inc.,�2018� Page�1�of�1
ADDITIONAL�INSURED���DESIGNATED
PERSON�OR�ORGANIZATION
This�endorsement�modifies�insurance�provided�under�the�following:
COMMERCIAL�GENERAL�LIABILITY�COVERAGE�PART
SCHEDULE
Name�Of�Additional�Insured�Person(s)�Or�Organization(s):
�Arizona�Game�&�Fish�Department
Arizona�Department�of�Economic�Security
Information�required�to�complete�this�Schedule,�if�not�shown�above,�will�be�shown�in�the�Declarations.
A. Section� II� ��Who� Is� An� Insured� is� amended� to� include� as� an� additional� insured� the� person(s)� or� organization(s)� shown� in� the� Schedule,� but� only� with�respect�to�liability�for�"bodily�injury",�"property� damage"� or� "personal� and� advertising� injury"� caused,� in� whole� or� in� part,� by� your� acts� or� omissions�or�the�acts�or�omissions�of�those�acting� on�your�behalf:
1. In�the�performance�of�your�ongoing�operations;� or
2. In�connection�with�your�premises�owned�by�or� rented�to�you.
However:�
1. The� insurance� afforded� to� such� additional� insured�only�applies�to�the�extent�permitted�by� law;�and
2. If�coverage�provided�to�the�additional�insured�is� required� by� a� contract� or� agreement,� the� insurance� afforded� to� such� additional� insured will� not� be� broader� than� that� which� you� are� required� by� the� contract� or� agreement� to� provide�for�such�additional�insured.
B. With� respect� to� the� insurance� afforded� to� these� additional� insureds,� the� following� is� added� to� Section�III���Limits�Of�Insurance:�
If� coverage� provided� to� the� additional� insured� is� required�by�a�contract�or�agreement,�the�most�we� will� pay�on� behalf� of� the� additional� insured� is� the� amount�of�insurance:
1. Required�by�the�contract�or�agreement;�or�
2. Available� under� the� applicable� limits� of� insurance;
whichever�is�less.�
This� endorsement� shall� not� increase� the� applicable�limits�of�insurance.
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