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