HomeMy WebLinkAboutCOCACOLA ENTERPRISES - INSURANCE CERTIFICATEAr-nan ^ETIni-I InATr /1f 1 IAMIR PT\/ I&IA1111A&EA11 I DATEIMMIDDIYYYYI
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PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MARSH USA INC
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
3475 PIEDMONT RD NE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
SUITE 1200
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Attn: COM FAX
504477-C( EMALTN08 9ERTREQUEST@MARSH
INSURERS AFFORDING COVERAGE NAIC #
INSURED..
122667
Coca-Cola Enterprises Inc
INSURER ACE American In Company
DBA Coca-Cola Bottling Company of Greeley
INSURER B N/A N/A
1200 7th Avenue
wsuREr. c N/A
Greeley, CO 80631-4112
NiA
INSIIRIiR D'. -- -
I INSURER F
COVERAGES .-_._ -.._ ___ -.... -_---
__-. __. _._ ___ _. ___. 8 _-.-
THE POLICIES OF INSURANCE LISTS 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 WIT]I RESPECT TO WI -ITCH TI EIS CERTIFICATE
MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED I IGREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND
CONDITIONS OF SIJCI I POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
__--
IINSR
ADD -- -- ---- ----
I INSRD TYPE OF INSURANCE POLICYNUMBER
- -- -
POLICY EFFECTIVE POLICY EXPIRATION
LIMITS
)LTR
IDATE (MM/DDNY) DATE(MMIDDNY)
A
GENERAL LIABILITY
-
11/01/08
11/01/09
MACH OCCURRr NCC
2,000000
!
X COMMERCIAL GENERAL. LIAHILITr
�HDOG23746736
DAMAGETOR NUD
PREMISESIFa o e renca)
I$ 50000
_ i.Wi,b1SNADI XJ OCCUR
I
_
NfDLXPI D
i$ 5 GOO
I..
&y
V INJURY
.sAov wJURY
i$ 1,000,00 p
I GCrNERNAL
AGGREICANE
4,000,00 01
GEN( RAL AGGR( GN E LIMIT APPLIES PER
- - PPO-
!
I
-
I PRODUCTS COMP/OP AGGR
4,000,000,
POLICY JECT LOC
AUTOMOBILE
LIABILITY
I
`
ANf AUI
I
COMBINED SINGE F EMIT
(E a al,'AHt)
I$
I AtLO
OWNED AUTOS
E
SCHDULED ALU 0S
I
(BODILY INJURY
IP rperson)
!
$
�
HIRIED AUTOS
BODILY INJURY
$
NON OWNED AU rOS
(PSI am d,,M)
PROPERTY DAMAGE
I
--_ ---_-
I
(Per aa;ment)
I$
GARAGE LIABILITY
AUTO ONLY EA ACCIDENT$
l
ANY AUTO
I EAACC
($
!
OTHI RTHAN
AUTO ONLY
AGG
--
Is
EXCESSIUMBRELLA LIABILITY
I
I
EACH OCCURRENCE
$
I
OCCUR CLAIMS MADE
AGGREGAIti
$
RETENTION 5
1
WORKERS COMPENSATION AND
I
EMPLOYERS LIABILITY
JTORYLIMITSI 1. R
I
ANY PROPRIETORIPARTNER/EXECUTIVE
OR ICF.RIMEMBER EXCLUDED'
kL EACH ACCIDENT Is
LDISEASE_ LA EMPLOYEE$
1
II yes, desc. hP under
-- ""-
__
$
SPECIAL. PROVISIONS bebv
LDISEASE POLtCYLIMIT
OTHER
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I
1
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
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 1 5
ATL-001 u34339-OII
i
--- --- "- -_--
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Fort Collins
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL l
Purchasing Division
Atttn: David Carey, CPPB
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
PO Box 580
BUT FAILURE TO DO $O SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND
Fort Collins, CO 80521
UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AU I HORRGO HEPREULNTAUVE 1111
f Marsh USA lac. ���" A pA!•b�
Walter Gilstrap
ACORD 25 (2001/08) 0 ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the, policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer. and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.