HomeMy WebLinkAbout114170 COCA-COLA BOTTLING CO GREELEY - INSURANCE CERTIFICATE (2)MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBEIt
ATL-001250839-07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA INC NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
3475 PIEDMONT RD NE POLICY THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE
SUITE 1200 AFFORDED BY THE POLICIES DESCRIBED HEREIN
ATLANTA, GA 30305 COMPANIES AFFORDING COVERAGE
Attn ATLANTA CERTREQUEST@MARSH COM FAX
212-948-4321 COMPANY
04477-CCE-MAST -07-08 A ACE AMERICAN INSURANCE COMPANY
INSURED
COMPANY
'Coca-Cola Enterprises Inc
B N/A
DBA Coca-Cola Bottling Company of Greeley
COMPANY
1200 7th Avenue
Greeley, CO 80631-4112
C N/A
COMPANY
D
COVERAGES 8
THIS 15 TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED
NOT WITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS CONDITIONS AND EXCLUSIONS OF SUCH POLICIES AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDDIYY)
POLICY EXPIRATION
OATE(MM/DDIYY)
LIMITS
A
GENERAL
UANLITY
HDO G23733134
11/01/07
11/01/08
GENERAL AGGREGATE
$ 4000000
X
COMMERCIAL GENERAL LIABILITY
_
CLAIMS MADE OCCUR
PRODUCTS COMPIOP AGG
PERSONAL d ADV INJURY
$ 4,000,000
$ 1000000
j�
OWNER S 8 CONTRACTOR S PROT
EACH OCCURRENCE
$ 2,000,000
FIRE DAMAGE (Any one III
$ SO OOO
MED EXP iAny one '.)
$ 5,000
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
BODILY INJURY
(Per Pelson)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Peramdeni)
$
HIRED AUTOS
NON OWNED AUTOS
PROPERTY DAMAGE
$
I
GARAGE
LIABILITY
AUTOONLY EAACCIDENT
$
OTHER THAN AUTO ONLY
ANY AUTO
EACHACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSAT ION AND
EMPLOYERS LIABILITY
WC STATU OTH
TORY LIMITS FR
EL EACH ACCIDENT
$
THE PROPRIETOR' INCL
PARTNERS/EXECUTIVE
OFFICERS ARE EXCL
EL DISEASE -POLICY LIMIT
$
EL DISEASE EACH EMPLOYEE'
$
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSAIEHICLESISPECIAL ITEMS
City of Fort Collins Colorado, Its officers and employees are included as Additional Insured (if required by contract) On the above General Liability policy but
only with respect to liability arising out of the operations of the Named Insured
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF
THE "SURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
City of Fort Collins
Purchasing Division
CERTIFICATE HOLDER NAMED HEREIN BUT FAILURE TO MAIL SUCH NOTICE SHALL NPOSE NO OBLIGATION OR
Atttn David Carey CPPB
LIABILRYOFANY KIND UPON THE INSURER AFFORDING COVERAGE RSAGENTSOR REPRESENTATIVES OR THE
PO BOX 580
Fort Collins, CO 80521
ISSUER OF THIS CERTIFICATE
MARSH USA INC
BY Walter Gilstrap
MM1(3(02) VALID AS OF 10/26/07