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2019/10/31 Game 7 Sports Certificate of Liability Insurance
0/21/Z9 q __.Q8iQ8 _AM PJD_T_ _, 70: 19516792568 1.QM:,30, 4�.Q.4094 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYM 1011$12019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT$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($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsement(&). PRODUCER CONTACT Amy Plemmons NAME: Security Underwriters InC, PtI4NE (336)945 3713 A Nc (339)945�719 6380 Shallowford Road AQDRIESS; amyp@securityunderwriters.com P O Box Sao INSURERI8 AFFORDING COVERAGE NATO v Lewl3Vllle NC 27023 INSURERA: HULLOO-S4pft9dl3le Insuranoe Co 41297 INSURED INSURER 6 I GannLe 7 Sports LLC INSURERC: 7174 Springhill Rd, INSURERD. INSURER E Lewisville NO 27023 INSURER F COVERAGES CERTIFICATE NUMBER: OL19101502596 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE$PECTTO VVHICH THI$ CERTIFICATE MAYBE 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 CLAIM$, IN9R LTR TYPEOFINSURANOE !tiN POi,ICYNUMDER MP�LIZryCY MMIDPDPAYVI OLICY E7(P 11IMIT9 COMMERCIAL GENERAL LIABILITY EACHO URRENCE S 2.000,000 CI-AIMS-MADE OCCUR y S 100,000 MEOE%P An drre en S 5,000 A CPS3234120 10/31121319 10131/2020 PERSONAL&A VINJURY 12,000,000 03NI4 AGGREGATE LIMIT APPLIESAERI GCNERALAGGREGATE S 2.000,000 FOLIOY JEtT ©LOC PRONWNC.CQMPIOP Apo S 2,000,000 OTHER: $ AUTOMOBILE LIABILITY CU14191N 1NO.F.LIMIT S ANY AUTO BODILY INJURY(Per person) S OWNED SCHrMULP-15 AVTQS AUTOS ONLY AUTQ6 130DILY INJURY(Par accident) S HIRED NQN-OWNFp PROPERTY DAMAGE 4 AUTOS ONLY AUTOS ONLY Mar Pceapprin $ UMw3RELLALIAB =CLAIMS-MADE EAGHb[; RRENCE $ EXCESS UA9 AGGREGATE S AEri I RETENTION s 'c WOAKtAS COMP@NOATION PER oTrl• AND EMPLOYERS'LIABILITY YI N A 7E ANY FROPRIETORIPARTNERICAUVUTIVE OFFTCERIMEMBER EXCLiJryeD* L_JN JA E.L.EACH RCGIDENT S IMsndalory In NMI If M,dew&e under E.L.DISEASE-EA EMPLOYEE 3 DESCRIPTION OF OPGRATIONa E.L DISEASE-POLICY 41MIT S DESCRIPTION OF OPERATIONS(LOCATIONS I VEHICLES(ACORO 101.Addltlenal Remarks Schedule,mey be kl G.Tied If mere!pace In raqulrad) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELt,Eq BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City Of Menlfee ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRFSP-NTATIVE 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 29(2016f03) The ACORD name and logy are registered marks of ACORD