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HomeMy WebLinkAboutPEPSI BOTTLING GROUP - INSURANCE CERTIFICATEACORD,N CERTIFICATE OF LIABILITY INSURANCE DAT12/17/2007Y) l/l/2009 PRODUCER LOCKT ON COMPANIES, LLC-N DALLAS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 717 N HARWOOD, LBh27 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DALLAS TX 75201 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 214-969-6700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A OLD REPUBLIC INSURANCE CO 1065871 PepOnesPESPSIIngayGyroup, In c.INSURER B Somers NY 10589 INSURER C INSURER D NSURER E I COVERAGES PEPBOOI ElTHIS NSURERISLIAUTHORIOF ZED REPRESENTATIVE OR PRODUCER AND THE CERTIT CONSTITUTE A CONTRACT FICATE HOLEN THE DER 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 `NHICH 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 ADD L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE IYY) POLICY EXPIRATION DATE(MMIODIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $2 000,(100 A — X DDMMIEPCiAL GENERAL LIAR'JTV MWZY S76�5 1/1/��Q$ I/I rJDOt� DAMA>( E TO RENTED PREMISES Ea ocrurence $., UO,000-- CLAIMSMADE OO(CUR MEDEXP(Any on.parsoN $1,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP ASS $2,000 000 POLICY PFCOT =LOC A AUTOMOBILE LIABIUTY ANYAUTO IVIWTB 19965 I/l/2008 I/l/2009 COMBINED SINGLE LIMIT En account) 61,000,000 X BODILY INJURY (Per person) $XXXXXXXXXX ALL ONNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accloent) $XXXXXXXXXX HIRED AUTOS NON OWNED AUTOS PROPERTY DAMAGE IPer accident) $XXXXXXXXXX GARAGE LIABILITY AUTO ONLY EA ACCIDENT $XXXXXXXXXX OTHER THAN EA ACC $XXXXXXXXXX ANYAUTO NOT APPLICABLE $XXXXXXXXXX AUTO ONLY AGG EXCESSIUNI BRELLA LIABILITY EACH OCCURRENCE $XXXXXXXXXX OCCUR �CLAIMSMADE NOT APPLICABLE AGGREGATE $XXXXXXXXXX $XXXXXXXXXX ❑ UMBREI LA $XXXXXXXXXX DEDUCTIBLE FORM $XXXXXXXXXX RETENTION $ A WORKERS COMPINSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE W MC 1]534100 I/l/20nX_- 1/I/2000 �X W CSTATU OTH _ E L EACH ACCIDENT $1,000,000 E L DISEASE EA EMPLOYEE $1,000,000 OFFICER/MEMBER EXCLUDED' If yes describe under SPECIAL PROVISIONS below NO E L DISEASE POLICY LIMIT $1,000,000 OTHER A MOTORCARGO MWE22197 I/l/2008 1/1/2009 $100000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The City of Fan Collins, its officers, agents and clnployLLS are named as additional insured with respuTs to General Liability and Auto Liability for any claims ansing out of work performed under their agreement The Insurance evidenced by this certificate w Ill not be cancelled or materially altered except after ten (10) days written nonce has been received by the Cityof Fan Collins 2814386 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION The Cib/ of Fort Collins DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 215 North Mason Street - 2nd Floor NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL PO Box 580 Fort Collins CO 80522-0 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE p, ACORD 2512001POR1 For R...n...r.P.nIngtm.s.nm-an...ma-a-e-mlieldi.emm.Prod...r..aimabo..and speedy the al..% tea. PEPeoI0 Ar:DRD CDRPDRATIDN I9RR