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HomeMy WebLinkAboutAnheuser-Busch Companies, LLC - Insurance Certificate 2024 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE F 06/28/2024 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 d AOn Risk Services Central, Inc. NAME: St. Louis MO Office (AC.No.EXt): <866) 283-7122 (aC No): (800) 363-0105 `y 1, 4220 Duncan Avenue E-MAIL 0 suite 401 ADDRESS: 2 St Louis MO 63110 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: ACE American Insurance Company 22667 Anheuser-Busch Companies, LLC INSURER B: Indemnity Insurance Co of North America 43575 Its Divisions & subsidiaries Corporate Risk Management & Insurance INSURER C: ACE Fire underwriters insurance Co. 20702 (202-5) INSURER D: One Busch Place St. Louis, MO 63118-1852 USA INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 570106961241 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 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYY LIMITS X COMMERCIAL GENERAL LIABILITY HDOG A EACH OCCURRENCE $5,000,000 CLAIMS-MADE X❑OCCUR PREMISES Ea occurrence $5,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $5,000,000 a GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $5,000,000 0 OTHER: Liquor Liability Lim $5,000,000 A AUTOMOBILE LIABILITY ISA H10823596 07/01/2024 07/01/2025 COMBINED SINGLE LIMIT $2,000,000 LO Ea accident X ANYAUTO BODILY INJURY(Per person) Z OWNED SCHEDULED BODILY INJURY(Per accident) N AUTOS HI RED AUTOS NON-OWNED PROPERTY DAMAGE V ONLY AUTOS ONLY Per accident) ;�„ r N UMBRELLA LIAB OCCUR EACH OCCURRENCE V EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION B WORKERS COMPENSATION AND wLRC55520392 07 01 2024 07 0l 2 225 X PER STATUTE I 1OTH.' EMPLOYERS'LIABILITY ER ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N All Other states C OFFICER/MEMBEREXCLUDED? N N/A SCFC55520537 07/01/2024 07/01/2025 E.L.EACH ACCIDENT $5,000,000 (Mandatory in NH) wi E.L.DISEASE-EA EMPLOYEE $5,000,000 If as,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 11,000,000 — DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) a--- RE: 10 Barrel Brewing is included as a Named Insured on the above referenced policies. 0 The city of Fort Collins is included as an Additional insured in accordance with endorsement CG 2026 (04 13) attached to the above referenced General Liability policy. -` a CERTIFICATE HOLDER CANCELLATION o .r o SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE r� EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE -may n POLICY PROVISIONS. g City of Fort Collins AUTHORIZED REPRESENTATIVE �y� cF 204 S. College Avenue CO Fort Collins CO 80524 USA o o 01988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 10236778 LOC#: A� ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk services Central , Inc. Anheuser-Busch Companies, LLC POLICY NUMBER See Certificate Number: 570106961241 CARRIER NAIC CODE See Certificate Number: 570106961241 EFFEGTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR ADDL SUBR POLICY NUMBER LIMITS LTR TYPE OF INSURANCE INSD WVD EFFECTIVE EXPIRATION DATE DATE (MM/DD/YYYY) (MM/DD/YYYY) WORKERS COMPENSATION A N/A WLRC5552046A 07/01/2024 07/01/2025 CA,MA,AZ ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD