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HomeMy WebLinkAbout143207 NEW BELGIUM BREWING CO - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIA131LITY INSURANCE nV 6/ 1 /2008 DATE11/2 /2007 1 1 /27/2007 PRODUCER Lockton Companies, LLC Denver 8110 E Union Avenue Suite 700 Denver CC)80237 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW (303)414-6000 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A One Brawn Amenca In,, Co 1066637 New Belgium Brewing Company, Inc 500 Linden Street INSURER B N.aienal union FIR it,, co rm968rt;h PA 19445 INSURER C Pinnacol Assurance Fort Collins CO 80524 INSURER D NSURER E T CAM OF INSURANCE DOES NOTCONSTITUTE ATHE COVERAGES NEWBE01 DM NSURERISLIAUHORRED REPRESENTATIVE OR PRODUCER AND TEPEHECERTIFCATE IS ING HOLDER THE POLICIES OF INSURANCE LISTED BE LOW 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 TR DD LI nF INSnRANCE POLICY NUMBER POLICY EFFECTIVE DATEIMMIDDIYY POLICY EXPIRATION DAT M DO V UMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILIrV CLAIMS MADE OCCUR 191 713008621 12/1/2007 12/1/2008 EACH OCCURRENCF $1,000000 DAMAGE TO RENTED PREMISES Ee pccurence $1,000,000 MED EXP (AHV one Persan) $10,000 PERSONAL& ADVINJURY $11000,000 PIER GENERAL AGGREGATE $2,000,000 L AGGREGATE LIMIT APPLIES PI R PRODUCTS - COMP/OP AGO $2,000,000 POLICY F-ITROT F--1 LOC A AUTOMOBILE UABBITY ANYAUTO 713008621(AOS) 12/1/2007 12/1/2008 COMBINED SINGLE LIMIT IEa "rodent) $1 OLIO 000 X BODILY INJURY (Per person) 9XXXXXXXXXX A ALL OWNED AUTOS SCHEDUI ED AUTOS 753018631(TX ONLY) 12/1/2007 12/1/2008 X BODILY INJURY IPer acadent) $XXXXXXXXXX HIRED AUTOS NON OWNED AUTOS X PROPERTY DAMAGE (Per accident) $XXXXXXXXXX GARAGE UABIUTY AUTO ONLY EA ACCIDENT $XXXXXXXXXX OTHER THAN EA ACC $XXXXXXXXXX ANY ALL O NOT APPLICABLE $XXXXXXXXXX AUTO ONLY AGG EXC ESSIUMBREI.L(a LIABILITY EACH OCCURRENCE $5,000,000 B I X OCCUR EICLAIMSMADE BE7274997 12/1/2007 I2/I/2008 AGGREGATE $5,000,000 $XXXXXXXXXX ❑ UMBRELL A DEDUCTIBLE FORM lsxxxxxxxxxx $XXXXXXXXXX RETENTION $ A C WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' 406019781(ALI OTIII RST A I ES) 4020276(CO ONLY) 12/1/2007 6/I/2007 12/1/2008 6/1/2008 .� Wqy TAi lt.Ti Tc1 IO H EL EACH ACCIDENT s500000 EL DISEASE EA EMPLOYEE $500,000 It yes describe unde r SPECIAL PROVISIONS below NO E L DISEASE POLICY LIMIT $SOO,000 OTHER A Liquor Liabihp DO c'SL 713008621 12/1/2007 12/1/200R FDIWO,0�ou(IIPIL $1 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RAH Tour de. Fat The Cityof Fort Collins and its employees the Diamond Peaks Mountain Bike Patrol Bike Ft Collins and Colorado State Umvenity am named as Additional Insureds on Liability pohues with regards ut events of New Belgium Brewmg Company Inc CERTIFICATE HOLDER CANCELLATION 2567701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION The City of Fort Collins DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN PO Box 580 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 AUTHORIZID REPRESENTATIVE ACORD 25(2001/08) For Nueshons r.e•.a,ne this oemncate connctus, „under listed in the Producer soctnn abcie and sPenry the clam code NEWBEdt ® ACORD CORPORATION 1988