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HomeMy WebLinkAboutNEW BELIGUM BREWING COMPANY - INSURANCE CERTIFICATEACORD,r CERTIFICATE OF LIABILITY INSURANCE 12/0112007 06/05/Too ' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Companies, LLC-0 Denver ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 8110 E Union Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 700 ALTER THE COVERAGE AFFORDED BY THE POLICIESBE Denver CO 80237 (303) 414-6000 INSURERS AFFORDING COVERAGE INSURED INSURER A: One Beacon America Ins. Co. 1066637 New Belgium Brewing Company, Inc. 500 Linden Street INSURER B: Firemans Fund Fort Collins CO 80524 INSURERC: Pinnacol Assurance INSURER D ----- r.rnrcmcn r rs I THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE MM DIYY POLICY EXPIRATION DATE MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,000 FIRE DAMAGE (Any one fire 1,000,000 A X COMMERCIAL GENERAL LIABILITY 713008621 12/01/2006 12/01/2007 MED EXP (Any oneperson) 10,000 CLAIMS MADE Y OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - POLICY JPRECOT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY A ANY AUTO 713008621 (AOS) 12/01/2006 12/01/2007 CD EOM&NdentSINGLELIMIT $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX A ALL OWNED AUTOS SCHEDULED AUTOS 753018631 (TX ONLY) 12/01/2006 12/01/2007 X HIRED AUTOS NON -OWNED AUTOS BODILYINJURY (Perraccident) accitlen[) $ XXXXXXX X PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX OTHER THAN EA ACC XXXXXXX ANY AUTO NOT APPLICABLE XXXXXXX AUTO ONLY: AGG B EXCESS LIABILITY X-1 OCCUR El CLAIMS MADE XAE98751928 12/01/2006 12/01/2007 EACH OCCURRENCE $ 5,000,000 AGGREGATE 5,000,000 XXXXXXX ❑ UMBRELLA XXXXXXX DEDUCTIBLE FORM XXXXXXX RETENTION A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 713008621 (ALL OTHER STATE 4020276 (CO ONLY) ) 12/01/2006 06/01 /2007 12/01/2007 06/01 /2008 X WC STATU- OTH- E.L. EACH ACCIDENT 500.000 E.L. DISEASE - EA EMPLOYE 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER A Liquor Liability 713008621 12/01/2006 12/01/2007 $1,000,000: CSL Deductible: $1,000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: Tour de Fat. The City of Fort Collins and its employees, the Diamond Peaks Mountain Bike Patrol and Colorado State University are named as Additional Insureds on Liability policies with regards to events of New Belgium Brewing Company, Inc. rTTFR CANCELLATION 2567701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION The City of Fort Collins PO Box 580 DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 30 DAYS WRITTEN Fort Collins, CO 80522 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE _L rA-7glec zqr✓ ACORD 25-S (7197) For questions raasrdlog this o.meaate, contact the number babd In the Trodacer wction abo and srroolfy the cheat oode •Neneear. © ACORD CORPORATION 19RR